Continuity of Care and Clinical Effectiveness

Autor: Robert A. Rosenheck, Greg A. Greenberg, Catherine Leda Seibyl
Rok vydání: 2002
Předmět:
Zdroj: Medical Care. 40:246-259
ISSN: 0025-7079
DOI: 10.1097/00005650-200203000-00008
Popis: BACKGROUND. Continuity of care (COC) has often been viewed as a crucial indicator of treatment quality for patients with severe psychiatric or addictive disorders. However, the relationship between COC and clinical outcomes has received little empirical evaluation. RESEARCH DESIGN. This study used hierarchical linear modeling to examine the relationship between six indicators of COC and seven outcome measures addressing symptoms, substance abuse, and social functioning. SUBJECTS. Patient interviews were conducted with 1576 veterans 3 months after their discharge from one of 22 residential work therapy programs for the treatment of severe substance abuse. RESULTS. Few significant relationships were found between COC and outcome measures in analyses conducted at both the client and program level and fewer than half of these show better outcomes with greater COC. When a Bonferroni corrected P level of P
Databáze: OpenAIRE