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    Please use this identifier to cite or link to this item: http://asiair.asia.edu.tw/ir/handle/310904400/101750


    Title: Pay-for-performance participants in diabetes patients have better physician continuity of care and survival. American Journal of Managed Care.
    Authors: 潘建州;CC, Pan;龔佩珍;Kung, Pei-Tseng;邱莉婷;LT, Chiu;廖郁珮;YP, Liao;蔡文正;WC, Tsai;*
    Contributors: 健康產業管理學系
    Date: 2016-09
    Issue Date: 2016-11-08 10:32:57 (UTC+8)
    Abstract: OBJECTIVES: This study investigated the effects of
    physician continuity, measured as the Continuity of Care
    Index (COCI) score, on the survival of patients with diabetes,
    including both pay-for-performance (P4P) participants and
    nonparticipants.
    STUDY DESIGN: This was a retrospective, nationwide
    population-based analysis of 396,838 patients with diabetes,
    with 198,419 subjects each in the P4P participant and
    nonparticipant groups, from 1997 to 2009, in Taiwan.
    METHODS: The data presented in this study are secondary
    data obtained from the 1997 to 2009 National Health Insurance
    Research Database published by the Taiwan National Health
    Research Institute. Survival status and physician continuity
    were the dependent variables. Multiple regression analysis
    was used to examine the factors related to physician continuity
    among patients with diabetes. The Cox proportional hazard
    model was used to explore the related factors that affected the
    survival status of the patients with diabetes.
    RESULTS: After controlling for the other related factors,
    the COCI score of the P4P participants was 0.227 higher
    than that of the nonparticipants (P <.05). Compared with
    patients with a low COCI score (≤50%), the hazard ratio (HR)
    of mortality of patients with a high COCI score (>50%) was
    0.47 (95% confidence interval [CI], 0.46-0.48). Compared with
    nonparticipants, the HR of mortality of P4P participants was
    0.43 (95% CI, 0.41-0.44).
    CONCLUSIONS: Patients with diabetes with higher
    physician continuity had a lower HR of mortality. P4P
    participants had high.
    Relation: AMERICAN JOURNAL OF MANAGED CARE
    Appears in Collections:[健康產業管理學系] 期刊論文

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