Table 5. Nine Proportional Hazard Models of Time to Death (n = 1,219).
Modela | Continuity of Care | Adjustedb Hazard Ratios (95% Confidence Interval) |
1 | Patient-Reported Care Site Continuityc | 2.25† (1.33,3.81) |
2 | Patient-Reported Duration Continuityd | |
Middle Tertile (7.5–14.5) | 0.37‡ (0.24,0.57) | |
Highest Tertile (15–16) | 0.54† (0.37,0.80) | |
3 | Claims-Based Usual Provider of Cared | |
Middle Tertile (0.36–0.59) | 1.49* (1.03,2.15) | |
Highest Tertile (≥0.60) | 2.30‡ (1.56,3.38) | |
4 | Claims-Based Inverse Number of Providersd | |
Middle Tertile (0.16–0.25) | 1.59* (1.03,2.46) | |
Highest Tertile (≥0.26) | 1.80* (1.12,2.88) | |
5 | Claims-Based Modified, Modified Continuity Indexd | |
Middle Tertile (0.53–0.75) | 1.32 (0.86,2.03) | |
Highest Tertile (≥0.76) | 1.69* (1.13,2.52) | |
6 | Claims-Based Ejlertsson's Index Kd | |
Middle Tertile (0.46–0.71) | 1.00 (0.64,1.56) | |
Highest Tertile (≥0.72) | 1.70* (1.12,2.59) | |
7 | Claims-Based Bice-Boxerman CoCd | |
Middle Tertile (0.13–0.31) | 1.05 (0.68,1.64) | |
Highest Tertile (≥0.32) | 2.33‡ (1.56,3.49) | |
8 | Claims-Based Modified Continuity Indexd | |
Middle Tertile (0.38–0.63) | 1.42 (0.91,2.22) | |
Highest Tertile (≥0.64) | 1.98† (1.23,3.21) | |
9 | Claims-Based Sequential Continuityd | |
Middle Tertile (0.10–0.33) | 2.00‡ (1.36,2.96) | |
Highest Tertile (≥0.34) | 2.35‡ (1.59,3.49) |
*p<.05; † p<.01; ‡ p<.001.
Each model includes the named CoC measure and the covariates.
Adjusted for Medicare managed care entry during the follow-up period, all predisposing, enabling, and need characteristics, as well as health service use factors.
Reference category is low continuity defined as less than the average score.
Reference category is the lowest tertile of scores.