Does continuity of care matter in a universally insured population?
Identifieur interne : 000966 ( Main/Exploration ); précédent : 000965; suivant : 000967Does continuity of care matter in a universally insured population?
Auteurs : Verena H. Menec [Canada] ; Monica Sirski ; Dhiwya AttawarSource :
- Health services research [ 0017-9124 ] ; 2005.
Descripteurs français
- KwdFr :
- Accessibilité des services de santé (économie), Adulte (MeSH), Adulte d'âge moyen (MeSH), Caractéristiques de l'habitat (MeSH), Continuité des soins (économie), Facteurs socioéconomiques (MeSH), Femelle (MeSH), Humains (MeSH), Intervalles de confiance (MeSH), Manitoba (épidémiologie), Modèles logistiques (MeSH), Mâle (MeSH), Médecine de famille (statistiques et données numériques), Médecine de famille (économie), Odds ratio (MeSH), Programmes nationaux de santé (statistiques et données numériques), Recherche sur les services de santé (MeSH), Relations entre professionnels de santé et patients (MeSH), Santé en zone urbaine (MeSH), Service hospitalier d'urgences (statistiques et données numériques), Service hospitalier d'urgences (économie), Services de médecine préventive (statistiques et données numériques), Services de médecine préventive (économie), Sujet âgé (MeSH), Zones de pauvreté (MeSH), Études rétrospectives (MeSH).
- MESH :
- statistiques et données numériques : Médecine de famille, Programmes nationaux de santé, Service hospitalier d'urgences, Services de médecine préventive.
- économie : Accessibilité des services de santé, Continuité des soins, Médecine de famille, Service hospitalier d'urgences, Services de médecine préventive.
- épidémiologie : Manitoba.
- Adulte, Adulte d'âge moyen, Caractéristiques de l'habitat, Facteurs socioéconomiques, Femelle, Humains, Intervalles de confiance, Modèles logistiques, Mâle, Odds ratio, Recherche sur les services de santé, Relations entre professionnels de santé et patients, Santé en zone urbaine, Sujet âgé, Zones de pauvreté, Études rétrospectives.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Confidence Intervals (MeSH), Continuity of Patient Care (economics), Emergency Service, Hospital (economics), Emergency Service, Hospital (statistics & numerical data), Family Practice (economics), Family Practice (statistics & numerical data), Female (MeSH), Health Services Accessibility (economics), Health Services Research (MeSH), Humans (MeSH), Logistic Models (MeSH), Male (MeSH), Manitoba (epidemiology), Middle Aged (MeSH), National Health Programs (statistics & numerical data), Odds Ratio (MeSH), Poverty Areas (MeSH), Preventive Health Services (economics), Preventive Health Services (statistics & numerical data), Professional-Patient Relations (MeSH), Residence Characteristics (MeSH), Retrospective Studies (MeSH), Socioeconomic Factors (MeSH), Urban Health (MeSH).
- MESH :
- economics : Continuity of Patient Care, Emergency Service, Hospital, Family Practice, Health Services Accessibility, Preventive Health Services.
- epidemiology : Manitoba.
- statistics & numerical data : Emergency Service, Hospital, Family Practice, National Health Programs, Preventive Health Services.
- Adult, Aged, Confidence Intervals, Female, Health Services Research, Humans, Logistic Models, Male, Middle Aged, Odds Ratio, Poverty Areas, Professional-Patient Relations, Residence Characteristics, Retrospective Studies, Socioeconomic Factors, Urban Health.
Abstract
OBJECTIVE
To examine the relation between continuity of care and preventive health care and emergency department (ED) use in a universal health care system.
DATA SOURCES/STUDY SETTING
Administrative data that capture health care use of the entire population of a midwestern Canadian city.
STUDY DESIGN
A population-based, retrospective study of all individuals who had a least one physician contact in 1998 or 1999 (total N=536,893).
METHODS
Logistic regressions were conducted to examine the relation between continuity of care, defined in terms of the proportion of total visits to family physicians (FPs) made to the same FP, and cervical cancer screening, breast cancer screening, influenza vaccination, pneumococcal vaccination, and ED visits, controlling for demographic variables, socioeconomic status (defined in terms of relative affluence of neighborhood of residence), and health status.
PRINCIPAL FINDINGS
Continuity of care was related to better preventive health care and reduced ED use. A consistent socioeconomic gradient also emerged. For instance, the odds of having a mammogram was double for individuals living in the wealthiest neighborhoods, relative to those in the poorest neighborhoods (adjusted odds ratio=2.31, 99 percent CI 2.13-2.50).
CONCLUSIONS
Having a long-term relationship with a single physician makes a difference even in a universal health care system. Moreover, socioeconomic disparities remain, suggesting the need to target specifically individuals from lower socioeconomic strata for preventive health care.
DOI: 10.1111/j.1475-6773.2005.00363.x
PubMed: 15762898
PubMed Central: PMC1361147
Affiliations:
Links toward previous steps (curation, corpus...)
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(statistics & numerical data)</term><term>Professional-Patient Relations (MeSH)</term><term>Residence Characteristics (MeSH)</term><term>Retrospective Studies (MeSH)</term><term>Socioeconomic Factors (MeSH)</term><term>Urban Health (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Accessibilité des services de santé (économie)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Caractéristiques de l'habitat (MeSH)</term><term>Continuité des soins (économie)</term><term>Facteurs socioéconomiques (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Intervalles de confiance (MeSH)</term><term>Manitoba (épidémiologie)</term><term>Modèles logistiques (MeSH)</term><term>Mâle (MeSH)</term><term>Médecine de famille (statistiques et données numériques)</term><term>Médecine de famille (économie)</term><term>Odds ratio (MeSH)</term><term>Programmes nationaux de santé (statistiques et données numériques)</term><term>Recherche sur les services de santé (MeSH)</term><term>Relations entre professionnels de santé et patients (MeSH)</term><term>Santé en zone urbaine (MeSH)</term><term>Service hospitalier d'urgences (statistiques et données numériques)</term><term>Service hospitalier d'urgences (économie)</term><term>Services de médecine préventive (statistiques et données numériques)</term><term>Services de médecine préventive (économie)</term><term>Sujet âgé (MeSH)</term><term>Zones de pauvreté (MeSH)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Continuity of Patient Care</term><term>Emergency Service, Hospital</term><term>Family Practice</term><term>Health Services Accessibility</term><term>Preventive Health Services</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Manitoba</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Emergency Service, Hospital</term><term>Family Practice</term><term>National Health Programs</term><term>Preventive Health Services</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Médecine de famille</term><term>Programmes nationaux de santé</term><term>Service hospitalier d'urgences</term><term>Services de médecine préventive</term></keywords><keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Accessibilité des services de santé</term><term>Continuité des soins</term><term>Médecine de famille</term><term>Service hospitalier d'urgences</term><term>Services de médecine préventive</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Manitoba</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Confidence Intervals</term><term>Female</term><term>Health Services Research</term><term>Humans</term><term>Logistic Models</term><term>Male</term><term>Middle 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emergency department (ED) use in a universal health care system.</p></div><div type="abstract" xml:lang="en"><p><b>DATA SOURCES/STUDY SETTING</b></p><p>Administrative data that capture health care use of the entire population of a midwestern Canadian city.</p></div><div type="abstract" xml:lang="en"><p><b>STUDY DESIGN</b></p><p>A population-based, retrospective study of all individuals who had a least one physician contact in 1998 or 1999 (total N=536,893).</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Logistic regressions were conducted to examine the relation between continuity of care, defined in terms of the proportion of total visits to family physicians (FPs) made to the same FP, and cervical cancer screening, breast cancer screening, influenza vaccination, pneumococcal vaccination, and ED visits, controlling for demographic variables, socioeconomic status (defined in terms of relative affluence of neighborhood of residence), and health status.</p></div><div type="abstract" xml:lang="en"><p><b>PRINCIPAL FINDINGS</b></p><p>Continuity of care was related to better preventive health care and reduced ED use. A consistent socioeconomic gradient also emerged. For instance, the odds of having a mammogram was double for individuals living in the wealthiest neighborhoods, relative to those in the poorest neighborhoods (adjusted odds ratio=2.31, 99 percent CI 2.13-2.50).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Having a long-term relationship with a single physician makes a difference even in a universal health care system. Moreover, socioeconomic disparities remain, suggesting the need to target specifically individuals from lower socioeconomic strata for preventive health care.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">15762898</PMID><DateCompleted><Year>2005</Year><Month>05</Month><Day>26</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>01</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0017-9124</ISSN><JournalIssue CitedMedium="Print"><Volume>40</Volume><Issue>2</Issue><PubDate><Year>2005</Year><Month>Apr</Month></PubDate></JournalIssue><Title>Health services research</Title><ISOAbbreviation>Health Serv Res</ISOAbbreviation></Journal><ArticleTitle>Does continuity of care matter in a universally insured population?</ArticleTitle><Pagination><MedlinePgn>389-400</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To examine the relation between continuity of care and preventive health care and emergency department (ED) use in a universal health care system.</AbstractText><AbstractText Label="DATA SOURCES/STUDY SETTING" NlmCategory="METHODS">Administrative data that capture health care use of the entire population of a midwestern Canadian city.</AbstractText><AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">A population-based, retrospective study of all individuals who had a least one physician contact in 1998 or 1999 (total N=536,893).</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Logistic regressions were conducted to examine the relation between continuity of care, defined in terms of the proportion of total visits to family physicians (FPs) made to the same FP, and cervical cancer screening, breast cancer screening, influenza vaccination, pneumococcal vaccination, and ED visits, controlling for demographic variables, socioeconomic status (defined in terms of relative affluence of neighborhood of residence), and health status.</AbstractText><AbstractText Label="PRINCIPAL FINDINGS" NlmCategory="RESULTS">Continuity of care was related to better preventive health care and reduced ED use. A consistent socioeconomic gradient also emerged. For instance, the odds of having a mammogram was double for individuals living in the wealthiest neighborhoods, relative to those in the poorest neighborhoods (adjusted odds ratio=2.31, 99 percent CI 2.13-2.50).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Having a long-term relationship with a single physician makes a difference even in a universal health care system. 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Practice</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006297" MajorTopicYN="N">Health Services Accessibility</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006302" MajorTopicYN="N">Health Services Research</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016015" MajorTopicYN="N">Logistic Models</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008350" MajorTopicYN="N">Manitoba</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009313" MajorTopicYN="N">National Health Programs</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016017" MajorTopicYN="N">Odds Ratio</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011204" MajorTopicYN="N">Poverty Areas</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011314" MajorTopicYN="N">Preventive Health Services</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011369" MajorTopicYN="N">Professional-Patient Relations</DescriptorName></MeshHeading><MeshHeading><DescriptorName 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sortKey="Menec, Verena H" sort="Menec, Verena H" uniqKey="Menec V" first="Verena H" last="Menec">Verena H. 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HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:15762898" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a GrippeCanadaV4
| This area was generated with Dilib version V0.6.35. |  |