{"id":"https://openalex.org/W2913583858","doi":"https://doi.org/10.1177/1460458218824720","title":"Continuity of care and multiple chronic conditions impact frequent use of outpatient services","display_name":"Continuity of care and multiple chronic conditions impact frequent use of outpatient services","publication_year":2019,"publication_date":"2019-01-31","ids":{"openalex":"https://openalex.org/W2913583858","doi":"https://doi.org/10.1177/1460458218824720","mag":"2913583858","pmid":"https://pubmed.ncbi.nlm.nih.gov/30702018"},"language":"en","primary_location":{"id":"doi:10.1177/1460458218824720","is_oa":true,"landing_page_url":"https://doi.org/10.1177/1460458218824720","pdf_url":"https://journals.sagepub.com/doi/pdf/10.1177/1460458218824720","source":{"id":"https://openalex.org/S201800618","display_name":"Health Informatics Journal","issn_l":"1460-4582","issn":["1460-4582","1741-2811"],"is_oa":false,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Informatics Journal","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://journals.sagepub.com/doi/pdf/10.1177/1460458218824720","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5100342206","display_name":"Chi Wang","orcid":"https://orcid.org/0000-0002-0587-436X"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Chi Wang","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5030628169","display_name":"Hsiao\u2010Ching Kuo","orcid":"https://orcid.org/0000-0002-0953-1487"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Hsiao-Ching Kuo","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5104235790","display_name":"Su-Fen Cheng","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Su-Fen Cheng","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5043149621","display_name":"Jui-Lan Hung","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jui-Lan Hung","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067040392","display_name":"Jia-Hui Xiong","orcid":null},"institutions":[{"id":"https://openalex.org/I4210152230","display_name":"Kaohsiung Veterans General Hospital","ror":"https://ror.org/04jedda80","country_code":"TW","type":"funder","lineage":["https://openalex.org/I4210152230"]}],"countries":["TW"],"is_corresponding":false,"raw_author_name":"Jia-Hui Xiong","raw_affiliation_strings":["Kaohsiung Veterans General Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Kaohsiung Veterans General Hospital","institution_ids":["https://openalex.org/I4210152230"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5010502791","display_name":"Pei\u2010Ling Tang","orcid":"https://orcid.org/0000-0002-5312-1477"},"institutions":[{"id":"https://openalex.org/I152743029","display_name":"Kaohsiung Medical University","ror":"https://ror.org/03gk81f96","country_code":"TW","type":"education","lineage":["https://openalex.org/I152743029"]},{"id":"https://openalex.org/I4210152230","display_name":"Kaohsiung Veterans General Hospital","ror":"https://ror.org/04jedda80","country_code":"TW","type":"funder","lineage":["https://openalex.org/I4210152230"]},{"id":"https://openalex.org/I64723972","display_name":"Meiho University","ror":"https://ror.org/04cjpzj07","country_code":"TW","type":"education","lineage":["https://openalex.org/I64723972"]}],"countries":["TW"],"is_corresponding":true,"raw_author_name":"Pei-Ling Tang","raw_affiliation_strings":["Meiho University; Kaohsiung Medical University; Kaohsiung Veterans General Hospital","Kaohsiung Medical University","Meiho University"],"raw_orcid":"https://orcid.org/0000-0002-5312-1477","affiliations":[{"raw_affiliation_string":"Meiho University; Kaohsiung Medical University; Kaohsiung Veterans General Hospital","institution_ids":["https://openalex.org/I64723972","https://openalex.org/I4210152230","https://openalex.org/I152743029"]},{"raw_affiliation_string":"Kaohsiung Medical University","institution_ids":["https://openalex.org/I152743029"]},{"raw_affiliation_string":"Meiho University","institution_ids":["https://openalex.org/I64723972"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5010502791"],"corresponding_institution_ids":["https://openalex.org/I152743029","https://openalex.org/I4210152230","https://openalex.org/I64723972"],"apc_list":{"value":1500,"currency":"USD","value_usd":1500},"apc_paid":null,"fwci":4.8529,"has_fulltext":false,"cited_by_count":30,"citation_normalized_percentile":{"value":0.94566254,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":90,"max":99},"biblio":{"volume":"26","issue":"1","first_page":"318","last_page":"327"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.9995999932289124,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.9995999932289124,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12246","display_name":"Chronic Disease Management Strategies","score":0.9995999932289124,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9991999864578247,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.7097451686859131},{"id":"https://openalex.org/keywords/ambulatory-care","display_name":"Ambulatory care","score":0.6835428476333618},{"id":"https://openalex.org/keywords/odds-ratio","display_name":"Odds ratio","score":0.5658611059188843},{"id":"https://openalex.org/keywords/socioeconomic-status","display_name":"Socioeconomic status","score":0.5423851609230042},{"id":"https://openalex.org/keywords/confidence-interval","display_name":"Confidence interval","score":0.5015759468078613},{"id":"https://openalex.org/keywords/logistic-regression","display_name":"Logistic regression","score":0.4915042817592621},{"id":"https://openalex.org/keywords/continuity-of-care","display_name":"Continuity of care","score":0.4731363356113434},{"id":"https://openalex.org/keywords/odds","display_name":"Odds","score":0.4423847794532776},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.4188273847103119},{"id":"https://openalex.org/keywords/family-medicine","display_name":"Family medicine","score":0.3502286672592163},{"id":"https://openalex.org/keywords/environmental-health","display_name":"Environmental health","score":0.17711317539215088},{"id":"https://openalex.org/keywords/internal-medicine","display_name":"Internal medicine","score":0.12480011582374573},{"id":"https://openalex.org/keywords/population","display_name":"Population","score":0.09177988767623901}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7097451686859131},{"id":"https://openalex.org/C124306116","wikidata":"https://www.wikidata.org/wiki/Q2512965","display_name":"Ambulatory care","level":3,"score":0.6835428476333618},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.5658611059188843},{"id":"https://openalex.org/C147077947","wikidata":"https://www.wikidata.org/wiki/Q1515895","display_name":"Socioeconomic status","level":3,"score":0.5423851609230042},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.5015759468078613},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.4915042817592621},{"id":"https://openalex.org/C2987480172","wikidata":"https://www.wikidata.org/wiki/Q7834462","display_name":"Continuity of care","level":3,"score":0.4731363356113434},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.4423847794532776},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4188273847103119},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3502286672592163},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.17711317539215088},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.12480011582374573},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.09177988767623901},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000071069","descriptor_name":"Multiple Chronic Conditions","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000071069","descriptor_name":"Multiple Chronic Conditions","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000071069","descriptor_name":"Multiple Chronic Conditions","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000553","descriptor_name":"Ambulatory Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000553","descriptor_name":"Ambulatory Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000553","descriptor_name":"Ambulatory Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003266","descriptor_name":"Continuity of Patient Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003266","descriptor_name":"Continuity of Patient Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003266","descriptor_name":"Continuity of Patient Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1177/1460458218824720","is_oa":true,"landing_page_url":"https://doi.org/10.1177/1460458218824720","pdf_url":"https://journals.sagepub.com/doi/pdf/10.1177/1460458218824720","source":{"id":"https://openalex.org/S201800618","display_name":"Health Informatics Journal","issn_l":"1460-4582","issn":["1460-4582","1741-2811"],"is_oa":false,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Informatics Journal","raw_type":"journal-article"},{"id":"pmid:30702018","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/30702018","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health informatics journal","raw_type":null},{"id":"pmh:oai:doaj.org/article:9bd2b0d7753a4c868393d4863dade31b","is_oa":true,"landing_page_url":"https://doaj.org/article/9bd2b0d7753a4c868393d4863dade31b","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Health Informatics Journal, Vol 26 (2020)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1177/1460458218824720","is_oa":true,"landing_page_url":"https://doi.org/10.1177/1460458218824720","pdf_url":"https://journals.sagepub.com/doi/pdf/10.1177/1460458218824720","source":{"id":"https://openalex.org/S201800618","display_name":"Health Informatics Journal","issn_l":"1460-4582","issn":["1460-4582","1741-2811"],"is_oa":false,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Informatics Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Sustainable cities and communities","score":0.8100000023841858,"id":"https://metadata.un.org/sdg/11"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320322845","display_name":"National Health Research Institutes","ror":"https://ror.org/02r6fpx29"}],"has_content":{"grobid_xml":false,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2913583858.pdf"},"referenced_works_count":26,"referenced_works":["https://openalex.org/W1774336638","https://openalex.org/W1959182674","https://openalex.org/W1966821974","https://openalex.org/W2004563782","https://openalex.org/W2036917062","https://openalex.org/W2044236259","https://openalex.org/W2046901203","https://openalex.org/W2062798613","https://openalex.org/W2063611598","https://openalex.org/W2074546355","https://openalex.org/W2080742990","https://openalex.org/W2090730950","https://openalex.org/W2116687494","https://openalex.org/W2125045411","https://openalex.org/W2126571024","https://openalex.org/W2130501785","https://openalex.org/W2145195349","https://openalex.org/W2146363044","https://openalex.org/W2158185581","https://openalex.org/W2186522057","https://openalex.org/W2220590002","https://openalex.org/W2318872111","https://openalex.org/W2345562130","https://openalex.org/W2482349362","https://openalex.org/W4238759981","https://openalex.org/W4302043281"],"related_works":["https://openalex.org/W4315650970","https://openalex.org/W1999597698","https://openalex.org/W2118847041","https://openalex.org/W2024025088","https://openalex.org/W2016483411","https://openalex.org/W2403534611","https://openalex.org/W2167134322","https://openalex.org/W2419315711","https://openalex.org/W2136790891","https://openalex.org/W199518055"],"abstract_inverted_index":{"This":[0],"study":[1],"investigated":[2],"the":[3,59,131,137],"association":[4],"between":[5],"care":[6,30,56,85,114,121,127],"continuity":[7,54,112,125],"and":[8,44,105,130],"chronic":[9,35,103],"conditions":[10],"in":[11,20],"relation":[12],"to":[13,22,26,51,73,118,135],"highly":[14,122],"frequent":[15],"use":[16,119],"of":[17,55,61,84,113,126,139],"outpatient":[18,120],"service":[19],"order":[21],"find":[23],"constructive":[24],"suggestions":[25],"bring":[27],"efficient,":[28],"high-quality":[29],"for":[31,142],"patients":[32,46],"with":[33,78,90,110],"multiple":[34],"conditions.":[36],"The":[37,53],"National":[38],"Health":[39],"Insurance":[40],"database":[41],"was":[42,71,87],"used":[43,72],"333,294":[45],"were":[47,116],"identified":[48],"from":[49],"2007":[50],"2009.":[52],"index":[57,86,115],"indicates":[58],"dispersion":[60],"a":[62],"patient's":[63],"ambulatory":[64],"visits":[65],"among":[66],"providers.":[67],"Multivariate":[68],"logistic":[69],"regression":[70],"estimate":[74],"adjusted":[75],"odds":[76],"ratios":[77],"95":[79],"percent":[80],"confidence":[81],"intervals.":[82],"Continuity":[83],"significantly":[88],"associated":[89],"age,":[91],"sex,":[92],"urbanization":[93],"level,":[94],"socioeconomic":[95],"status,":[96],"emergency":[97],"department":[98],"visits,":[99],"hospitalization,":[100],"psychological":[101],"disorders,":[102],"diseases,":[104],"catastrophic":[106],"illness":[107],"card;":[108],"those":[109],"low":[111],"likely":[117],"frequently.":[123],"Improving":[124],"is":[128,134],"fundamental,":[129],"best":[132],"way":[133],"advance":[136],"practice":[138],"family":[140],"medicine":[141],"primary":[143],"care.":[144]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":5},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":10},{"year":2022,"cited_by_count":5},{"year":2021,"cited_by_count":4},{"year":2020,"cited_by_count":3}],"updated_date":"2026-06-03T09:05:47.796612","created_date":"2025-10-10T00:00:00"}
