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The Association between Continuity of Care and All-Cause Mortality in Patients with Newly Diagnosed Obstructive Pulmonary Disease: A Population-Based Retrospective Cohort Study, 2005-2012

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  • Kyoung Hee Cho
  • Young Sam Kim
  • Chung Mo Nam
  • Tae Hyun Kim
  • Sun Jung Kim
  • Kyu-Tae Han
  • Eun-Cheol Park

Abstract

Background: The disease burden is increasing for chronic obstructive pulmonary disease (COPD) due to increasing of the growth rate of prevalence and mortality. But the empirical researches are a little for COPD that studied the association between continuity of care and death and about predictors effect on mortality. Objective: To investigate the association between continuity of care (COC) and chronic obstructive pulmonary disease (COPD) mortality and to identify other mortality-related factors in COPD patients. Methods: We conducted a longitudinal, population-based retrospective cohort study in adult patients with COPD from 2002 to 2012 using a nationwide health insurance claims database. The study sample included individuals aged 40 years and over who developed COPD in 2005 and survived until 2006. We performed a Cox proportional hazard regression analysis with COC analyzed as a time-dependent covariate. Results: Of the 3,090 participants, 60.8% died before the end of study (N = 1,879). The median years of survival for individuals with high COC (COC index≥0.75) was 3.92, and that for patients with low COC (COC index

Suggested Citation

  • Kyoung Hee Cho & Young Sam Kim & Chung Mo Nam & Tae Hyun Kim & Sun Jung Kim & Kyu-Tae Han & Eun-Cheol Park, 2015. "The Association between Continuity of Care and All-Cause Mortality in Patients with Newly Diagnosed Obstructive Pulmonary Disease: A Population-Based Retrospective Cohort Study, 2005-2012," PLOS ONE, Public Library of Science, vol. 10(11), pages 1-13, November.
    • Handle: RePEc:plo:pone00:0141465
    DOI: 10.1371/journal.pone.0141465
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    References listed on IDEAS

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    2. Hong, Jae-Seok & Kang, Hee-Chung, 2013. "Continuity of ambulatory care and health outcomes in adult patients with type 2 diabetes in Korea," Health Policy, Elsevier, vol. 109(2), pages 158-165.
    3. Mainous III, A.G. & Gill, J.M., 1998. "The importance of continuity of care in the likelihood of future hospitalization: Is site of care equivalent to a primary clinician?," American Journal of Public Health, American Public Health Association, vol. 88(10), pages 1539-1541.
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    1. Hsiao‐Mei Chen & Ching‐Min Chen, 2017. "A Chinese version of the Patient Continuity of Care Questionnaire: reliability and validity assessment," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(9-10), pages 1338-1350, May.

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