Continuity of Care of Patient with Diabetes and Its Affecting Factors in Korea.

Chai Hyun Yoon; Sin Jae Lee; Sooyoung Choo; Ok Ryun Moon; Jae Hyun Park

doi:10.3961/jpmph.2007.40.1.51

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English Abstract Continuity of Care of Patient with Diabetes and Its Affecting Factors in Korea.: Chai Hyun Yoon, Sin Jae Lee, Sooyoung Choo, Ok Ryun Moon, Jae Hyun Park; Journal of Preventive Medicine and Public Health 2007;40(1):51-58
DOI: https://doi.org/10.3961/jpmph.2007.40.1.51

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¹Department of Preventive Medicine, Graduate School of Public Health, Seoul National University, Korea.
²Gangseogu Health Center, Seoul, Korea.
³National Cancer Center, Korea. jaehyun@ncc.re.kr

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Abstract

OBJECTIVES
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 0.89+/-0.17 as calculated by MFPC and 0.92+/-0.16 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. CONCLUSIONS: 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.

Keywords: Diabetes mellitus Continuity of care

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