Journal article
Do Claims-Based Continuity of Care Measures Reflect the Patient Perspective?
Medical care research and review, Vol.71(2), pp.156-173
10/24/2013
DOI: 10.1177/1077558713505909
PMCID: PMC6309862
PMID: 24163307
Abstract
Continuity of care (CoC) is a cornerstone of the patient-centered medical home (PCMH) and one of the primary means for achieving health care quality. Despite decades of study, however, CoC remains difficult to define and quantify. To incorporate patient experiences into health reform evaluations, it is critical to determine if and how well CoC measures traditionally derived from administrative claims capture patient experiences. In this study, we used claims data and self-reported continuity experiences of 2,620 Medicare beneficiaries who completed the National Health and Health Services Use Questionnaire to compare 16 claims-based CoC indices to a multidimensional patient-reported CoC measure. Our results show that most claims-based CoC measures do
not
reflect older adults’ perceptions of continuous patient–provider relationships, indicating that claims-based assessments should be used in tandem with patient reports for defining, quantifying, and evaluating CoC in health care delivery models.
Details
- Title: Subtitle
- Do Claims-Based Continuity of Care Measures Reflect the Patient Perspective?
- Creators
- Suzanne E. Bentler - University of IowaRobert O. Morgan - The University of Texas Health Science Center at HoustonBeth A. Virnig - University of IowaFredric D. Wolinsky - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Medical care research and review, Vol.71(2), pp.156-173
- DOI
- 10.1177/1077558713505909
- PMID
- 24163307
- PMCID
- PMC6309862
- NLM abbreviation
- Med Care Res Rev
- ISSN
- 1077-5587
- eISSN
- 1552-6801
- Language
- English
- Date published
- 10/24/2013
- Academic Unit
- Health Management and Policy; College of Public Health
- Record Identifier
- 9984363574902771
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