Erschienen in:
12.12.2016 | Capsule Commentary
Capsule Commentary on Kern et al., Healthcare Fragmentation and the Frequency of Radiology and Other Diagnostic Tests: a Cross-Sectional Study
verfasst von:
Amresh D. Hanchate, PhD
Erschienen in:
Journal of General Internal Medicine
|
Ausgabe 2/2017
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Excerpt
Higher fragmentation of ambulatory care—indicated by ambulatory visits distributed across a larger number of providers—is associated with poorer care coordination, duplication of services, and acute complications.
1 Building on prior evidence, this study by Kern et al.
2 examined whether fragmented ambulatory care is also associated with more radiology and other diagnostic tests, such as cardiac catheterization (not including laboratory blood or urine tests). Using administrative data from commercially covered adults in a seven-county region in New York state and a seven-category grouping of fragmented ambulatory care, the study found those with most fragmented care had approximately twice the number of radiology and other diagnostic tests compared to those with the least fragmented care. This relationship was robust to accounting for the number of chronic conditions and ambulatory visits. …
