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Patient-Physician Relational Continuity and Health System Utilization among Patients in Alberta.
Cunningham, Ceara; Patil, Tanmay; Shahid, Rizwan; Patel, Alka B; Oddie, Scott.
Afiliación
  • Cunningham C; The assistant scientific director for the Primary Health Care Integration Network. She is also a scientist for Applied Research and Evaluation Services in the Primary Health Care Provincial Portfolio of Alberta Health Services. Additionally, she holds an adjunct assistant professor position in the D
  • Patil T; A data analyst with Applied Research and Evaluation Services, Alberta Health Services. Tanmay provides support to a number of PCNs and internal AHS teams for projects involving quality improvement and project effectiveness.
  • Shahid R; Worked at Alberta Health Services since 2005 and is actively involved in applied geography research and the design and development of geographic information systems (GISs). He is also an adjunct assistant professor with the Department of Geography, University of Calgary, a GIS chartered geographer a
  • Patel AB; The AHS director of health services research and innovation on the Applied Research and Evaluation Services team in Primary Health Care. Dr. Patel is currently an adjunct assistant professor with the Department of Community Health Sciences and co-leads the Geography of Health research group under th
  • Oddie S; The director of measurement and knowledge integration on the Applied Research and Evaluation Services team in the Primary Health Care Provincial Portfolio with Alberta Health Services. Dr. Oddie is also the RDC-AHS Health Research Collaborative Chair at Red Deer College. Dr. Oddie leads and supports
Healthc Q ; 22(4): 13-21, 2020 Jan.
Article en En | MEDLINE | ID: mdl-32073386
In Alberta, no standardized processes exist to identify patients with chronic diseases (CDs) who do not have a family physician. This study examined the association between relational continuity (continuity of care) and healthcare utilization patterns in this population. Relational continuity was assessed using health administrative data to calculate a Usual Provider Continuity (UPC) Index. The majority of patients with no or a low UPC Index were male, did not have CD and were healthy or non-users of healthcare. When grouped by UPC Index, regression modelling revealed that emergency department visits and unplanned hospitalization declined with increased continuity of care. Advanced state of disease(s) and location of residence increased the likelihood of utilization of these services in the low- and moderate-continuity groups.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Relaciones Médico-Paciente / Enfermedad Crónica / Continuidad de la Atención al Paciente Aspecto: Implementation_research Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Healthc Q Asunto de la revista: HOSPITAIS / SERVICOS DE SAUDE Año: 2020 Tipo del documento: Article Pais de publicación: Canadá

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Relaciones Médico-Paciente / Enfermedad Crónica / Continuidad de la Atención al Paciente Aspecto: Implementation_research Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Healthc Q Asunto de la revista: HOSPITAIS / SERVICOS DE SAUDE Año: 2020 Tipo del documento: Article Pais de publicación: Canadá