Association between continuity of care (COC), healthcare use and costs: what can we learn from claims data? A rapid review.
Détails
Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_31E8E32C0457
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Association between continuity of care (COC), healthcare use and costs: what can we learn from claims data? A rapid review.
Périodique
BMC Health Services Research
ISSN
1472-6963 (Electronic)
ISSN-L
1472-6963
Statut éditorial
Publié
Date de publication
2022
Peer-reviewed
Oui
Volume
22
Numéro
658
Langue
anglais
Notes
Publication types: Journal Article ; Review
Publication Status: epublish
Publication Status: epublish
Résumé
Objective: To describe how longitudinal continuity of care (COC) is measured using claims‐based data and to review its association with healthcare use and costs.
Research design: Rapid review of the literature.
Methods: We searched Medline (PubMed), EMBASE and Cochrane Central, manually checked the references of
included studies, and hand‐searched websites for potentially additional eligible studies.
Results: 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.
Conclusions: 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.
Research design: Rapid review of the literature.
Methods: We searched Medline (PubMed), EMBASE and Cochrane Central, manually checked the references of
included studies, and hand‐searched websites for potentially additional eligible studies.
Results: 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.
Conclusions: 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.
Mots-clé
Continuity of care, Claims‐based data, Healthcare use, Costs
Pubmed
Open Access
Oui
Financement(s)
Fonds national suisse / 407440_183447
Création de la notice
23/05/2022 12:37
Dernière modification de la notice
08/11/2023 8:57
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