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DC Field | Value | Language |
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dc.contributor.author | Ung, David | - |
dc.contributor.author | Wang, Yun | - |
dc.contributor.author | Sundararajan, Vijaya | - |
dc.contributor.author | Lopez, Derrick | - |
dc.contributor.author | Kilkenny, Monique F | - |
dc.contributor.author | Cadilhac, Dominique A | - |
dc.contributor.author | Thrift, Amanda G | - |
dc.contributor.author | Nelson, Mark R | - |
dc.contributor.author | Andrew, Nadine E | - |
dc.date | 2021-12-22 | - |
dc.date.accessioned | 2022-06-22T06:47:44Z | - |
dc.date.available | 2022-06-22T06:47:44Z | - |
dc.date.issued | 2022 | - |
dc.identifier.citation | Neuroepidemiology 2022; 56(2): 90-96 | en |
dc.identifier.uri | https://ahro.austin.org.au/austinjspui/handle/1/30009 | - |
dc.description.abstract | Primary care physicians (PCPs) provide ongoing management after stroke. However, little is known about how best to measure physician encounters with reference to longer term outcomes. We aimed to compare methods for measuring regularity and continuity of PCP encounters, based on survival following stroke using linked healthcare data. Data from the Australian Stroke Clinical Registry (2010-2014) were linked with Australian Medicare claims from 2009 to 2016. Physician encounters were ascertained within 18 months of discharge for stroke. We calculated three separate measures of continuity of encounters (consistency of visits with primary physician) and three for regularity of encounters (distribution of service utilization over time). Indices were compared based on 1-year survival using multivariable Cox regression models. The best performing measures of regularity and continuity, based on model fit, were combined into a composite "optimal care" variable. Among 10,728 registrants (43% female, 69% aged ≥65 years), the median number of encounters was 17. The measures most associated with survival (hazard ratio [95% confidence interval], Akaike information criterion [AIC], and Bayesian information criterion [BIC]) were the Continuity of Care Index (COCI, as a measure of continuity; 0.88 [0.76-1.02], p = 0.099, AIC = 13,746, BIC = 13,855) and our persistence measure of regularity (encounter at least every 6 months; 0.80 [0.67-0.95], p = 0.011, AIC = 13,742, BIC = 13,852). Our composite measure, persistent plus COCI ≥80% (24% of registrants; 0.80 [0.68-0.94], p = 0.008, AIC = 13,742, BIC = 13,851), performed marginally better than our persistence measure alone. Our persistence measure of regularity or composite measure may be useful when measuring physician encounters following stroke. | en |
dc.language.iso | eng | |
dc.subject | Continuity of care | en |
dc.subject | Primary care physician | en |
dc.subject | Regularity | en |
dc.subject | Stroke | en |
dc.subject | Survival | en |
dc.title | Optimal Measures for Primary Care Physician Encounters after Stroke and Association with Survival: A Data Linkage Study. | en |
dc.type | Journal Article | en |
dc.identifier.journaltitle | Neuroepidemiology | en |
dc.identifier.affiliation | The Florey Institute of Neuroscience and Mental Health | en |
dc.identifier.affiliation | Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia | en |
dc.identifier.affiliation | Peninsula Clinical School, Central Clinical School, Monash University, Frankston, Victoria, Australia | en |
dc.identifier.affiliation | Department of Public Health, School of Psychology and Public Health, La Trobe University, Bundoora, Victoria, Australia | en |
dc.identifier.affiliation | School of Pharmacy, Chapman University, Irvine, California, USA | en |
dc.identifier.affiliation | Department of Epidemiology and Preventative Medicine, Monash University, Melbourne, Victoria, Australia | en |
dc.identifier.affiliation | Menzies Institute for Medical Research, Hobart, Tasmania, Australia | en |
dc.identifier.affiliation | School of Population and Global Health, The University of Western Australia, Perth, Washington, Australia | en |
dc.identifier.pubmeduri | https://pubmed.ncbi.nlm.nih.gov/34937038/ | en |
dc.identifier.doi | 10.1159/000520700 | en |
dc.type.content | Text | en |
dc.identifier.orcid | 0000-0002-3375-287X | en |
dc.identifier.orcid | 0000-0001-8162-682X | en |
dc.identifier.pubmedid | 34937038 | |
item.languageiso639-1 | en | - |
item.fulltext | No Fulltext | - |
item.grantfulltext | none | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.cerifentitytype | Publications | - |
item.openairetype | Journal Article | - |
Appears in Collections: | Journal articles |
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