PT  - JOURNAL ARTICLE
AU  - De Maeseneer, Jan M.
AU  - De Prins, Lutgarde
AU  - Gosset, Christiane
AU  - Heyerick, Jozef
TI  - Provider Continuity in Family Medicine: Does It Make a Difference for Total Health Care Costs?
AID  - 10.1370/afm.75
DP  - 2003 Sep 01
TA  - The Annals of Family Medicine
PG  - 144--148
VI  - 1
IP  - 3
4099  - http://www.annfammed.org/content/1/3/144.short
4100  - http://www.annfammed.org/content/1/3/144.full
SO  - Ann Fam Med2003 Sep 01; 1
AB  - BACKGROUND International comparisons of health care systems have shown a relationship at the macro level between a well-structured primary health care plan and lower total health care costs. The objective of this study was to assess whether provider continuity with a family physician is related to lower health care costs using the individual patient as the unit of analysis. METHODS We undertook a study of a stratified sample of patients (age, sex, region, insurance company) for which 2 cohorts were constructed based on the patients’ utilization pattern of family medicine (provider continuity or not). Patient utilization patterns were observed for 2 years. The setting was the Belgian health care system. The participants were 4,134 members of the 2 largest health insurance companies in 2 regions (Aalst and Liège). The main outcome measures were the total health care costs of patients with and without provider continuity with a family physician, controlling for variables known to influence health care utilization (need factors, predisposing factors, enabling factors). RESULTS Bivariate analyses showed that patients who were visiting the same family physician had a lower total cost for medical care. A multivariate linear regression showed that provider continuity with a family physician was one of the most important explanatory variables related to the total health care cost. CONCLUSIONS Provider continuity with a family physician is related to lower total health care costs. This finding brings evidence to the debate on the importance of structured primary health care (with high continuity for family practice) for a cost-effective health policy.