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KMID : 0371020070400010051
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Journal of Preventive Medicine and Public Health
2007 Volume.40 No. 1 p.51 ~ p.58
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Continuity of Care of Patient with Diabetes and Its Affecting Factors in Korea
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Yoon Chai-Hyun
Lee Sin-Jae
Choo Soo-Young
Moon Ok-Ryun
Park Jae-Hyun
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Abstract
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Objective: The objectives of this study were to estimate the continuity of care for all Koreans with diabetes and to identify factors affecting the continuity of care.
Methods: We obtained National Health Insurance claims data for patients with diabetes who visited health-care providers during the year 2004. A total of 1,498,327 patients were included as study subjects. Most Frequent Provider Continuity (MFPC) and Modified, Modified Continuity Index (MMCI) were used as indexes of continuity of care. A multiple linear regression analysis was used to identify factors affecting continuity of care.
Results: The average continuity of care in the entire population of 1,498,327 patients was 0.89H0.17 as calculated by MFPC and 0.92H0.16 by MMCI. In a multiple linear regression analysis, both MFPC and MMCI were lower for females than males, disabled than non-disabled, Medicaid beneficiaries than health insurance beneficiaries, patients with low monthly insurance contributions, patients in rural residential areas, and patients whose most frequently visited provider is the hospital.
Conclusion: The continuity of care for patients with diabetes is high in Korea. However, women, the disabled and people of low socio-economic status have relatively low continuity of care. Therefore, our first priority is to promote a diabetes management program for these patients.
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KEYWORD
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Diabetes mellitus, Continuity of care
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