Continuity of Care and the Risk of Preventable Hospitalization in Older Adult

JAMA: November 11, 2013

Importance  Preventable hospitalizations are common among older adults for reasons that are not well understood.

Objective  To determine whether Medicare patients with ambulatory visit patterns indicating higher continuity of care have a lower risk of preventable hospitalization.

Design  Retrospective cohort study.

Setting  Ambulatory visits and hospital admissions.

Participants  Continuously enrolled fee-for-service Medicare beneficiaries older than 65 years with at least 4 ambulatory visits in 2008.

Exposures  The concentration of patient visits with physicians measured for up to 24 months using the continuity of care score and usual provider continuity score on a scale from 0 to 1. Read More