Association between continuity of care (COC), healthcare use and costs: what can we learn from claims data? A rapid review.

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_31E8E32C0457
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Association between continuity of care (COC), healthcare use and costs: what can we learn from claims data? A rapid review.
Journal
BMC health services research
Author(s)
Nicolet A., Al-Gobari M., Perraudin C., Wagner J., Peytremann-Bridevaux I. (co-last), Marti J.
ISSN
1472-6963 (Electronic)
ISSN-L
1472-6963
Publication state
Published
Issued date
16/05/2022
Peer-reviewed
Oui
Volume
22
Number
1
Pages
658
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: epublish
Abstract
To describe how longitudinal continuity of care (COC) is measured using claims-based data and to review its association with healthcare use and costs.
Rapid review of the literature.
We searched Medline (PubMed), EMBASE and Cochrane Central, manually checked the references of included studies, and hand-searched websites for potentially additional eligible studies.
We included 46 studies conducted in North America, East Asia and Europe, which used 14 COC indicators. Most reported studies (39/46) showed that higher COC was associated with lower healthcare use and costs. Most studies (37/46) adjusted for possible time bias and discussed causality between the outcomes and COC, or at least acknowledged the lack of it as a limitation.
Whereas a wide range of indicators is used to measure COC in claims-based data, associations between COC and healthcare use and costs were consistent, showing lower healthcare use and costs with higher COC. Results were observed in various population groups from multiple countries and settings. Further research is needed to make stronger causal claims.
Keywords
Continuity of Patient Care, Delivery of Health Care, Europe, Far East, Humans, North America, Claims-based data, Continuity of care, Costs, Healthcare use
Pubmed
Open Access
Yes
Create date
23/05/2022 13:37
Last modification date
10/08/2022 7:09
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