PMID: 26799201Jan 23, 2016Paper

Factors related to continuing care and interruption of P4P program participation in patients with diabetes

The American Journal of Managed Care
Suh-May YenWen-Chen Tsai

Abstract

To examine factors that influenced continuing care participation in patients with diabetes and factors contributing to interrupted participation for patients with diabetes enrolled in a diabetes pay-for-performance (P4P) program in Taiwan. Retrospective cohort analysis. Data were obtained from Taiwan's National Health Insurance Research Database on patients with a new confirmed diagnosis of type 2 diabetes during 2001 to 2008, selected as 1:1 propensity score-matched P4P program enrollees and nonenrollees (totaling 396,830). Logistic regression was performed to analyze factors associated with continuing care participation and with interrupted P4P program participation after enrollment. Among the patients with diabetes, P4P program enrollees were 4.27 times (95% CI, 4.19-4.36) more likely to participate in continuing care than nonenrollees. Factors affecting the participation of patients with diabetes in continuing care included P4P program enrollment status, personal characteristics, health status, characteristics of the main physician, and characteristics of the main healthcare organization. Interruption of P4P program participation occurred in 78,759 (44.33%) of the enrolled patients with diabetes and was correlated with male...Continue Reading

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