Table 4. Six Proportional Hazards Models of Time to Hospitalization (Preventable and Non-Preventable) (n = 1219).
Adjustedb Hazard Ratios (95% Confidence Interval) | |||
Modela | Continuity of Care | Non-preventable Hospitalizationc | Preventable Hospitalizationc |
1 | Patient-Reported Affective Continuityd | ||
Middle Tertile (15–16) | 0.80 (0.63,1.00) | 0.61* (0.41,0.91) | |
Highest Tertile (17–19) | 0.95 (0.79,1.14) | 0.67* (0.49,0.92) | |
2 | Claims-Based Herfindahl Indexd | ||
Middle Tertile (0.26–0.49) | 0.87 (0.72,1.04) | 1.52† (1.11,2.09) | |
Highest Tertile (≥0.50) | 0.89 (0.72,1.10) | 1.37 (0.93,2.02) | |
3 | Claims-Based Current Provider of Care (discounted)d | ||
Middle Tertile (0.27–0.58) | 0.79* (0.65,0.96) | 1.26 (0.90,1.75) | |
Highest Tertile (≥0.59) | 1.00 (0.82,1.23) | 1.21 (0.84,1.75) | |
4 | Claims-Based Modified, Modified Continuity Indexd | ||
Middle Tertile (0.53–0.75) | 1.07 (0.87,1.32) | 1.50* (1.01,2.21) | |
Highest Tertile (≥0.76) | 1.25* (1.02,1.54) | 1.64† (1.11,2.44) | |
5 | Claims-Based Ejlertsson's Index Kd | ||
Middle Tertile (0.46–0.71) | 0.91 (0.73,1.13) | 1.48 (0.98,2.24) | |
Highest Tertile (≥0.72) | 1.09 (0.88,1.35) | 1.74† (1.15,2.61) | |
6 | Claims-Based Modified Continuity Indexd | ||
Middle Tertile (0.38–0.63) | 1.03 (0.83,1.28) | 1.67* (1.10,2.53) | |
Highest Tertile (≥0.64) | 0.99 (0.78,1.25) | 1.16 (0.74,1.80) |
* p<.05;
p<.01.
Each model includes the named CoC measure and the covariates.
Adjusted for all predisposing, enabling, and need characteristics, and health service utilization factors.
A preventable hospitalization is defined as any hospitalization for an ACSC; Hospitalizations that are not for an ACSC are considered not preventable.
Reference category is the lowest tertile of scores.