caa a22 4500 606222391 CHVBK 20210128101133.0 cr unu---uuuuu 210128e20150501xx s 000 0 eng 10.1007/s00038-015-0671-1 doi (NATIONALLICENCE)springer-10.1007/s00038-015-0671-1 Continuity of care trajectories and emergency room use among patients with diabetes [Elektronische Daten] [Hui-Ying Tsai, Yiing-Jenq Chou, Christy Pu] Objectives: To analyze the pattern of continuity of care (COC) using trajectory analysis for a group of patients newly diagnosed with diabetes, and determine whether various trajectories lead to distinct patient outcomes. Methods: We used the Taiwan National Health Insurance claims database. Newly diagnosed patients with diabetes in 2005 totaling 4367 were included in this study. All patients were followed up to 2011. We identified groups of COC trajectories using trajectory analysis. We subsequently determined whether various COC trajectories were associated with the frequency of total and diabetes-related emergency room (ER) use using negative binomial models. Results: We discovered five distinct COC trajectories for our newly diagnosed diabetes sample based on trajectory analysis. The early-seeker group had the lowest IRR for total ER visits (IRR=0.56, P<0.001), followed by the high-maintainer group (IRR=0.67, P<0.001). Similar results were obtained for diabetes-specific ER use. Conclusions: We identified various COC trajectories for diabetes patients. Chronic disease patients may seek a suitable physician by compromising care continuity at the onset of disease progression and exhibit favorable outcome. Swiss School of Public Health, 2015 Continuity of care (COC) nationallicence Group-based trajectory analysis nationallicence Emergency room (ER) use nationallicence Diabetes nationallicence Tsai Hui-Ying Institute of Hospital and Healthcare Administration, National Yang-Ming University, Taipei, Taiwan aut Chou Yiing-Jenq Department of Public Health, National Yang-Ming University, Taipei, Taiwan aut Pu Christy Department of Public Health, National Yang-Ming University, Taipei, Taiwan aut International Journal of Public Health Springer Basel 60/4(2015-05-01), 505-513 1661-8556 60:4<505 2015 60 38 https://doi.org/10.1007/s00038-015-0671-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00038-015-0671-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Tsai Hui-Ying Institute of Hospital and Healthcare Administration, National Yang-Ming University, Taipei, Taiwan aut NATIONALLICENCE 700 1- Chou Yiing-Jenq Department of Public Health, National Yang-Ming University, Taipei, Taiwan aut NATIONALLICENCE 700 1- Pu Christy Department of Public Health, National Yang-Ming University, Taipei, Taiwan aut NATIONALLICENCE 773 0- International Journal of Public Health Springer Basel 60/4(2015-05-01), 505-513 1661-8556 60:4<505 2015 60 38