https://scholars.lib.ntu.edu.tw/handle/123456789/493783
標題: | Continuity of care, follow-up care, and outcomes among breast cancer survivors | 作者: | Chen Y.-Y. CHENG-I HSIEH KUO-PIAO CHUNG |
關鍵字: | Breast cancer; Care continuity; Continuity of care; Emergency department use; Follow-up care; Health outcome; Hospitalization; Surveillance; Survivors | 公開日期: | 2019 | 出版社: | MDPI AG | 卷: | 16 | 期: | 17 | 來源出版物: | International Journal of Environmental Research and Public Health | 摘要: | This retrospective cohort study examined the effects of care continuity on the utilization of follow-up services and outcome of breast cancer patients (stages I-III) in the post-treatment phase of care. Propensity score matching and generalized estimation equations were used in the analysis of data obtained from national longitudinal databases. The continuity of care index (COCI) was calculated separately for primary care physicians (PCP) and oncologists. Our results revealed that breast cancer survivors with a higher oncology COCI were more likely than those with a lower oncology COCI to use mammography or breast ultrasound during the follow-up period (OR = 1.26, 95% CI: 1.19-1.32; OR = 1.12, 95% CI: 1.06-1.18; respectively). In terms of health outcomes, a higher oncology COCI was associated with a lower likelihood of hospitalization (OR = 0.78, 95% CI: 0.71- 0.85) and emergency department use (OR = 0.88, 95% CI: 0.82-0.95). A higher PCP COCI was also associated with a lower likelihood of hospitalization (OR = 0.77, 95% CI: 0.70-0.85) and emergency department use (OR = 0.75, 95% CI: 0.68-0.82). Overall, this study determined that ambulatory care continuity is positively associated with the likelihood of using recommended follow-up care services and negatively associated with adverse health events among breast cancer survivors. ? 2019 by the authors. Licensee MDPI, Basel, Switzerland. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85071499483&doi=10.3390%2fijerph16173050&partnerID=40&md5=29401317c0411689accc6ee8f17d7a62 https://scholars.lib.ntu.edu.tw/handle/123456789/493783 |
ISSN: | 1661-7827 | DOI: | 10.3390/ijerph16173050 | SDG/關鍵字: | cancer; chemotherapy; cohort analysis; health care; hospital sector; public health; adult; aged; ambulatory care; Article; breast cancer; cancer survivor; cohort analysis; echomammography; emergency care; female; follow up; general practitioner; health care utilization; hospitalization; human; major clinical study; mammography; middle aged; oncologist; patient care; retrospective study; Taiwan; aftercare; breast tumor; cancer survivor; patient care; treatment outcome; Adult; Aftercare; Aged; Breast Neoplasms; Cancer Survivors; Cohort Studies; Continuity of Patient Care; Female; Humans; Middle Aged; Retrospective Studies; Taiwan; Treatment Outcome |
顯示於: | 健康政策與管理研究所 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。