Association between Continuity of Care and Health-Related Quality of Life

Bayliss, Elizabeth A.; Ellis, Jennifer L.; Shoup, Jo Ann; McQuillan, Deanna B.; Steiner, John F.; Zeng, Chan

doi:10.3122/jabfm.2017.02.160225

Cited by 3 publications

(2 citation statements)

References 31 publications

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“…Regarding continuity of care, patients with chronic diseases who have better continuity of care have been known to have better clinical outcomes [ 66 ] and decreased mortality [ 67 ]. In addition, studies have shown that continuity of care is associated with better HRQoL in patients with diabetes [ 68 ], hypertension [ 69 ], and multiple chronic medical conditions [ 70 ]. Third, regarding the physician trust issue, compared to patients with irregular or few visits, patients with regular and continuous visits should have a higher chance of building a relationship of trust with their physicians.…”

Section: Discussionmentioning

confidence: 99%

The effect of a pay-for-performance program on health-related quality of life for patients with hepatitis in Taiwan

Chen

Yang

et al. 2022

Health Qual Life Outcomes

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Purpose Chronic viral hepatitis is a major global public health problem. The guidelines suggest the long-term performance of regular ongoing liver examinations to monitor liver inflammation and screen for hepatocellular carcinoma. However, the effects of regular liver examinations on health-related quality of life (HRQoL) have not been adequately evaluated. Therefore, this study evaluated the effects of regular ongoing examinations on the quality of life of patients with hepatitis. Methods A cross-sectional study was conducted from October to December 2016 in four hospitals in northern Taiwan. A hepatitis pay-for-performance (P4P) program was launched in 2010 to ensure that hepatitis patients have regular ongoing liver examinations. The study group consisted of patients who joined and stayed in the program for more than one year. The study assessed HRQoL utilizing the five-level version of the EuroQol-5 Dimension (EQ-5D-5L) and the EuroQoL visual analog scale (EQ-VAS). The responses for the EQ-5D-5L in hepatitis patients were transformed into the EQ-5D index according to the Taiwanese population’s value set. Sociodemographic and clinical characteristics were collected by questionnaire, and descriptive statistics were presented. A two-part model and generalized linear model with a Poisson distribution and a log link function, respectively, were used to examine the associations of the EQ-5D index and EQ-VAS score with participation in the hepatitis P4P program. We applied propensity score weighting with inverse probability weighting to control for selection bias. Results In all, 508 patients (aged 57.6 ± 11.6 years; 60.8% male) were enrolled in this study. The mean (standard deviation, SD) reported EQ-5D index and EQ-VAS scores were 0.93 (0.12) and 75.1 (13.8), and the median (interquartile range, IQR) values were 1 (0.108) and 80 (15), respectively. The study group had a moderately significantly higher EQ-VAS score (mean ratio = 1.029, P < 0.001). However, the differences in the EQ-5D index scores between the study and control groups were not significant. Conclusion Patients with hepatitis partially benefited from receiving hepatitis P4P in Taiwan, which featured regular ongoing liver examinations, in that their EQ-VAS scores were enhanced but not their EQ-5D index scores.

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Section: Discussionmentioning

confidence: 99%

The effect of a pay-for-performance program on health-related quality of life for patients with hepatitis in Taiwan

Chen

Yang

et al. 2022

Health Qual Life Outcomes

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“…Bayliss et al 13 analyzed baseline and 2-year follow-up data. Patient-reported outcomes were consistent over the 2-year period but were not associated with continuity of care at baseline or follow-up.…”

Section: Self-reported Healthmentioning

confidence: 99%

Improving Family Medicine with Thoughtful Research

Neale¹,

Bowman²,

Seehusen³

2017

J Am Board Fam Med

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This issue is about improving primary health care outcomes, from behavioral health to opioid issues to diagnosing hypertension to providing hope for childhood obesity. It includes hints for integrating behavioral health and care managers into family medicine practices. Opiate prescribing practices vary considerably between Japan and the United States, with helpful insights for our opiate abuse epidemic. Suicidality is high among patients taking opiates. Diagnosing hypertension the recommended way is not easily accomplished. Primary care clinicians are important in infertility and prostate cancer treatment, and in support of men who commit interpersonal violence and people with cognitive impairment who wander. The "July effect" seems to persist. Parents' views on obesity in children can be changed-for the better. Family physicians have less burnout than has been previously reported, and many provide palliative care. Doctors think diseases, patients think about how well they feel. Do we find healthy lifestyles in retirement? (J Am Board Fam Med 2017;30:117-120.)

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The Implementation of a Discharge Planning to Improve Quality of Life in Breast Cancer Patients: A Quasi-Experimental Study

2018

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Background: Breast surgery for women newly diagnosed with breast cancer is associated with poor postoperative quality of life (QOL). The aim of this study was to determine the effectiveness of a programmed discharge planning in improving overall QOL and its physical, emotional, social, and spiritual domains. Method: In this quasi-experimental study, we evaluated the newly diagnosed breast cancer women undergoing breast-conserving therapy in two groups, an experimental group (n = 35) and a control group (n = 34). The experimental group received programmed discharge planning at the time of hospital admission until six weeks after discharge. The control group received routine hospital care. Participants completed the QOL questionnaires before and after the intervention. The data were analyzed using the independent-samples t test, Fisher exact test, and Mann-Whitney U. Results: Before the intervention, there were no significant differences between the control and experimental groups in overall QOL or its physical, emotional, social, and spiritual domains. The data analysis after intervention showed significant improvement in QOL in the experimental group as compared with the control group. The changes in the scores of various domains of QOL were statistically significant (P < 0.01). Conclusion: This study emphasizes that programmed discharge planning is useful for improving QOL after breast-conserving surgery. Our finding could be applied to breast cancer patients with radiation therapy or chemotherapy.

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Association between Continuity of Care and Health-Related Quality of Life

Cited by 3 publications

References 31 publications

The effect of a pay-for-performance program on health-related quality of life for patients with hepatitis in Taiwan

The effect of a pay-for-performance program on health-related quality of life for patients with hepatitis in Taiwan

Improving Family Medicine with Thoughtful Research

The Implementation of a Discharge Planning to Improve Quality of Life in Breast Cancer Patients: A Quasi-Experimental Study

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