Background Care fragmentation, characterized by the uncoordinated involvement of multiple
healthcare providers, leads to inefficient and ineffective healthcare, posing a significant …

Background Travel is a major barrier to healthcare access for Veteran Affairs (VA) patients,
and disproportionately affects rural Veterans (approximately one quarter of Veterans). The …

Background: The magnitude of the relationship between ambulatory care fragmentation and
subsequent total health care costs is unclear. Objective: To determine the association …

Introduction Urinary incontinence is a significant health problem with considerable social
and economic consequences among older adults. The objective of this study was to …

OBJECTIVES: To determine associations between a largescale primary care redesign--the
Comprehensive Primary Care Plus (CPC+) Initiative--and the extent of continuity or …

Background The influence of center volume on kidney transplant outcomes is a topic of
ongoing debate. In this study, we employed competing risk analyses to accurately estimate …

Background: Understanding what drives fragmented ambulatory care (care spread across
multiple providers without a dominant provider) can inform the design of future interventions …

Purpose The purpose of this study was to explore important elements involved in
interorganizational learning (IOL) in the complex context of integrated health care …

Background It is unclear whether highly fragmented ambulatory care (ie, care spread across
multiple providers without a dominant provider) increases the risk of an emergency …

Background Fragmentation of care (that is, the use of multiple ambulatory providers without
a dominant provider) may increase the risk of gaps in communication among providers …