Chi?Chih Chen|Chin?Hsiao Tseng|Shou?Hsia Cheng
Continuity of Care, Medication Adherence, and Health Care Outcomes Among Patients With Newly Diagnosed Type 2 Diabetes
Institute of Public Health|National Taiwan University|National Taiwan University Hospital|Institute of Public Health
background effects continuity care coc health care outcomes well established however mechanism association fully understood objective objective study examine relationship coc medication adherence well investigate mediating effect medication adherence association coc health care outcomes patients newly diagnosed type 2 diabetes research design subjects study utilized longitudinal design included 7year followup period 2002 2009 universal health insurance program taiwan patients aged 18 years older first diagnosed type 2 diabetes 2002 included study random intercept models conducted assess temporal relationship coc medication adherence health care outcomes results patients high intermediate coc scores likely adherent medications low coc scores odds ratio 337 95 confidence interval ci 315360 184 95 ci 174194 respectively addition association coc health care outcomes partly mediated better medication adherence patients newly diagnosed type 2 diabetes conclusions improving coc patients type 2 diabetes may result higher medication adherence better health care outcomes