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Interpersonal continuity of primary care of veterans with diabetes: a cohort study using electronic health record data

Overview of attention for article published in BMC Family Practice, July 2018
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About this Attention Score

  • Above-average Attention Score compared to outputs of the same age (52nd percentile)

Mentioned by

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4 tweeters

Citations

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3 Dimensions

Readers on

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9 Mendeley
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Title
Interpersonal continuity of primary care of veterans with diabetes: a cohort study using electronic health record data
Published in
BMC Family Practice, July 2018
DOI 10.1186/s12875-018-0823-5
Pubmed ID
Authors

Christine M. Everett, Perri Morgan, Valerie A. Smith, Sandra Woolson, David Edelman, Cristina C. Hendrix, Theodore Berkowitz, Brandolyn White, George L. Jackson

Abstract

Continuity of care is a cornerstone of primary care and is important for patients with chronic diseases such as diabetes. The study objective was to examine patient, provider and contextual factors associated with interpersonal continuity of care (ICoC) among Veteran's Health Administration (VHA) primary care patients with diabetes. This patient-level cohort study (N = 656,368) used electronic health record data of adult, pharmaceutically treated patients (96.5% male) with diabetes at national VHA primary care clinics in 2012 and 2013. Each patient was assigned a "home" VHA facility as the primary care clinic most frequently visited, and a primary care provider (PCP) within that home clinic who was most often seen. Patient demographic, medical and social complexity variables, provider type, and clinic contextual variables were utilized. We examined the association of ICoC, measured as maintaining the same PCP across both years, with all variables simultaneously using logistic regression fit with generalized estimating equations. Among VHA patients with diabetes, 22.3% switched providers between 2012 and 2013. Twelve patient, two provider and two contextual factors were associated with ICoC. Patient characteristics associated with disruptions in ICoC included demographic factors, medical complexity, and social challenges (example: homeless at any time during the year OR = 0.79, CI = 0.75-0.83). However, disruption in ICoC was most likely experienced by patients whose providers left the clinic (OR = 0.09, CI = 0.07-0.11). One contextual factor impacting ICoC included NP regulation (most restrictive NP regulation (OR = 0.79 CI = 0.69-0.97; reference least restrictive regulation). ICoC is an important mechanism for the delivery of quality primary care to patients with diabetes. By identifying patient, provider, and contextual factors that impact ICoC, this project can inform the development of interventions to improve continuity of chronic illness care.

Twitter Demographics

The data shown below were collected from the profiles of 4 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 9 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 9 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 4 44%
Student > Ph. D. Student 2 22%
Student > Doctoral Student 1 11%
Professor 1 11%
Professor > Associate Professor 1 11%
Other 0 0%
Readers by discipline Count As %
Medicine and Dentistry 3 33%
Nursing and Health Professions 2 22%
Social Sciences 2 22%
Psychology 1 11%
Unknown 1 11%

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 September 2018.
All research outputs
#7,331,862
of 13,568,727 outputs
Outputs from BMC Family Practice
#759
of 1,357 outputs
Outputs of similar age
#123,085
of 267,357 outputs
Outputs of similar age from BMC Family Practice
#1
of 1 outputs
Altmetric has tracked 13,568,727 research outputs across all sources so far. This one is in the 44th percentile – i.e., 44% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,357 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.4. This one is in the 41st percentile – i.e., 41% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 267,357 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 52% of its contemporaries.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them