The effect of continuity of care on medical costs in patients with chronic shoulder pain

Abstract Unnecessary surgery could be prevented through continuity of care (COC). The present study aimed to investigate the relationships between COC, surgery and cost associated with chronic shoulder pain. We used the Health Insurance Review and Assessment Service national patient sample (HIRA-NPS...

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Autores principales:	Ju-hyun Oh, Boyoung Jung, Eun-San Kim, Namkwen Kim, In-Hyuk Ha
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/14df4a326f5640ebb411eb3d473ebcd9
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spelling	oai:doaj.org-article:14df4a326f5640ebb411eb3d473ebcd92021-12-02T14:21:59ZThe effect of continuity of care on medical costs in patients with chronic shoulder pain10.1038/s41598-021-83596-02045-2322https://doaj.org/article/14df4a326f5640ebb411eb3d473ebcd92021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-83596-0https://doaj.org/toc/2045-2322Abstract Unnecessary surgery could be prevented through continuity of care (COC). The present study aimed to investigate the relationships between COC, surgery and cost associated with chronic shoulder pain. We used the Health Insurance Review and Assessment Service national patient sample (HIRA-NPS) in 2017. A total of 1717 patients were included. Bice–Boxerman Continuity of Care Index was used as the indicator for measuring the COC. Occurrence of surgery, associated costs, and direct medical costs were analysed. Logistic regression, a two-part model with recycled predictions and generalized linear model with gamma distribution were used. The majority of patients were 40–65 years old (high COC: 68.4%; low COC: 64.4%). The odds ratio (OR) for surgery was 0.41 in the high-COC group compared to the low COC group (95% CI, 0.20 to 0.84). Direct medical cost was 14.09% (95% CI, 8.12% to 19.66%) and 58.00% lower in surgery cost (95% CI, 57.95 to 58.05) in the high-COC group. Interaction with COC and shoulder impingement syndrome was significant lower in direct medical cost (15.05% [95% CI, 1.81% to 26.51%]). High COC was associated with low medical cost in patients diagnosed with chronic shoulder pain.Ju-hyun OhBoyoung JungEun-San KimNamkwen KimIn-Hyuk HaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ju-hyun Oh Boyoung Jung Eun-San Kim Namkwen Kim In-Hyuk Ha The effect of continuity of care on medical costs in patients with chronic shoulder pain
description	Abstract Unnecessary surgery could be prevented through continuity of care (COC). The present study aimed to investigate the relationships between COC, surgery and cost associated with chronic shoulder pain. We used the Health Insurance Review and Assessment Service national patient sample (HIRA-NPS) in 2017. A total of 1717 patients were included. Bice–Boxerman Continuity of Care Index was used as the indicator for measuring the COC. Occurrence of surgery, associated costs, and direct medical costs were analysed. Logistic regression, a two-part model with recycled predictions and generalized linear model with gamma distribution were used. The majority of patients were 40–65 years old (high COC: 68.4%; low COC: 64.4%). The odds ratio (OR) for surgery was 0.41 in the high-COC group compared to the low COC group (95% CI, 0.20 to 0.84). Direct medical cost was 14.09% (95% CI, 8.12% to 19.66%) and 58.00% lower in surgery cost (95% CI, 57.95 to 58.05) in the high-COC group. Interaction with COC and shoulder impingement syndrome was significant lower in direct medical cost (15.05% [95% CI, 1.81% to 26.51%]). High COC was associated with low medical cost in patients diagnosed with chronic shoulder pain.
format	article
author	Ju-hyun Oh Boyoung Jung Eun-San Kim Namkwen Kim In-Hyuk Ha
author_facet	Ju-hyun Oh Boyoung Jung Eun-San Kim Namkwen Kim In-Hyuk Ha
author_sort	Ju-hyun Oh
title	The effect of continuity of care on medical costs in patients with chronic shoulder pain
title_short	The effect of continuity of care on medical costs in patients with chronic shoulder pain
title_full	The effect of continuity of care on medical costs in patients with chronic shoulder pain
title_fullStr	The effect of continuity of care on medical costs in patients with chronic shoulder pain
title_full_unstemmed	The effect of continuity of care on medical costs in patients with chronic shoulder pain
title_sort	effect of continuity of care on medical costs in patients with chronic shoulder pain
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/14df4a326f5640ebb411eb3d473ebcd9
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The effect of continuity of care on medical costs in patients with chronic shoulder pain

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