Coordination across ambulatory care a comparison of referrals and health information exchange across convenient and traditional settings

Ji Chang, Dave Chokshi, Joseph Ladapo

Research output: Contribution to journalArticle

Abstract

Urgent care centers have been identified as one means of shifting care from high-cost emergency departments while increasing after-hours access to care. However, the episodic nature of urgent care also has the potential to fragment care. In this study, we examine the adoption of 2 coordination activities—referrals and the electronic exchange of health information—at urgent care centers and other ambulatory providers across the United States. We find that setting is significantly associated with both health information exchange and referrals. Several organization-level variables and environment-level variables are also related to the propensity to coordinate care.

Original languageEnglish (US)
Pages (from-to)128-137
Number of pages10
JournalJournal of Ambulatory Care Management
Volume41
Issue number2
DOIs
StatePublished - 2018

Keywords

  • Convenient care
  • Coordination
  • Health information exchange
  • Referrals
  • Urgent care

ASJC Scopus subject areas

  • Health Policy

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