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...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2021-02-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-021-83596-0 |
| _version_ | 1818843021428391936 |
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| 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 |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-19T04:51:15Z |
| format | Article |
| id | doaj.art-14df4a326f5640ebb411eb3d473ebcd9 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-12-19T04:51:15Z |
| publishDate | 2021-02-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-14df4a326f5640ebb411eb3d473ebcd92022-12-21T20:35:21ZengNature PortfolioScientific Reports2045-23222021-02-0111111010.1038/s41598-021-83596-0The effect of continuity of care on medical costs in patients with chronic shoulder painJu-hyun Oh0Boyoung Jung1Eun-San Kim2Namkwen Kim3In-Hyuk Ha4Jaseng Hospital of Korean MedicineJaseng Spine and Joint Research Institute, Jaseng Medical FoundationJaseng Spine and Joint Research Institute, Jaseng Medical FoundationCenter for Comparative Effectiveness Research and Economic Evaluation in Korean Medicine, Pusan National UniversityJaseng Spine and Joint Research Institute, Jaseng Medical FoundationAbstract 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.https://doi.org/10.1038/s41598-021-83596-0 |
| spellingShingle | 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 Scientific Reports |
| title | 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_short | 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 |
| url | https://doi.org/10.1038/s41598-021-83596-0 |
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