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Research ArticleOriginal Research

Interpersonal Primary Care Continuity for Chronic Conditions Is Associated with Fewer Hospitalizations and Emergency Department Visits Among Medicaid Enrollees

Anne H. Gaglioti, Chaohua Li, Peter T. Baltrus, Zhaowei She, Megan D. Douglas, Miranda A. Moore, Arthi Rao, Lilly Cheng Immergluck, Turgay Ayer, Andrew Bazemore, George Rust and Dominic H. Mack
The Journal of the American Board of Family Medicine March 2023, jabfm.2022.220015R1; DOI: https://doi.org/10.3122/jabfm.2022.220015R1
Anne H. Gaglioti
From the National Center for Primary Care, Morehouse School of Medicine, Atlanta, GA (AHG, CL, PTB, MDD, DHM); Center for Community Health Integration and Population Health Research Institute, Case Western Reserve University, Cleveland, OH (AHG); Department of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA (PTB, MDD); Lee Kong Chian School of Business, Singapore Management University, Singapore (ZS); Department of Family and Preventive Medicine, Emory University, Atlanta, GA (MAM); Center for Quality Growth and Regional Development, Georgia Institute of Technology, Atlanta, GA (AR); Department of Microbiology/Biochemistry/Immunology and Clinical Research Center, Morehouse School of Medicine, Atlanta, GA (LCI); H. Milton Steward School of Industrial and Systems Engineering, Georgia Institute of Technology, Atlanta, GA (TA); The Center for Professionalism and Value, American Board of Family Medicine, Washington, DC (AB); Center for Medicine and Public Health, Florida State University College of Medicine, Tallahassee, FL (GR).
MD, MS
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Chaohua Li
From the National Center for Primary Care, Morehouse School of Medicine, Atlanta, GA (AHG, CL, PTB, MDD, DHM); Center for Community Health Integration and Population Health Research Institute, Case Western Reserve University, Cleveland, OH (AHG); Department of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA (PTB, MDD); Lee Kong Chian School of Business, Singapore Management University, Singapore (ZS); Department of Family and Preventive Medicine, Emory University, Atlanta, GA (MAM); Center for Quality Growth and Regional Development, Georgia Institute of Technology, Atlanta, GA (AR); Department of Microbiology/Biochemistry/Immunology and Clinical Research Center, Morehouse School of Medicine, Atlanta, GA (LCI); H. Milton Steward School of Industrial and Systems Engineering, Georgia Institute of Technology, Atlanta, GA (TA); The Center for Professionalism and Value, American Board of Family Medicine, Washington, DC (AB); Center for Medicine and Public Health, Florida State University College of Medicine, Tallahassee, FL (GR).
MPH
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Peter T. Baltrus
From the National Center for Primary Care, Morehouse School of Medicine, Atlanta, GA (AHG, CL, PTB, MDD, DHM); Center for Community Health Integration and Population Health Research Institute, Case Western Reserve University, Cleveland, OH (AHG); Department of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA (PTB, MDD); Lee Kong Chian School of Business, Singapore Management University, Singapore (ZS); Department of Family and Preventive Medicine, Emory University, Atlanta, GA (MAM); Center for Quality Growth and Regional Development, Georgia Institute of Technology, Atlanta, GA (AR); Department of Microbiology/Biochemistry/Immunology and Clinical Research Center, Morehouse School of Medicine, Atlanta, GA (LCI); H. Milton Steward School of Industrial and Systems Engineering, Georgia Institute of Technology, Atlanta, GA (TA); The Center for Professionalism and Value, American Board of Family Medicine, Washington, DC (AB); Center for Medicine and Public Health, Florida State University College of Medicine, Tallahassee, FL (GR).
PhD
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Zhaowei She
From the National Center for Primary Care, Morehouse School of Medicine, Atlanta, GA (AHG, CL, PTB, MDD, DHM); Center for Community Health Integration and Population Health Research Institute, Case Western Reserve University, Cleveland, OH (AHG); Department of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA (PTB, MDD); Lee Kong Chian School of Business, Singapore Management University, Singapore (ZS); Department of Family and Preventive Medicine, Emory University, Atlanta, GA (MAM); Center for Quality Growth and Regional Development, Georgia Institute of Technology, Atlanta, GA (AR); Department of Microbiology/Biochemistry/Immunology and Clinical Research Center, Morehouse School of Medicine, Atlanta, GA (LCI); H. Milton Steward School of Industrial and Systems Engineering, Georgia Institute of Technology, Atlanta, GA (TA); The Center for Professionalism and Value, American Board of Family Medicine, Washington, DC (AB); Center for Medicine and Public Health, Florida State University College of Medicine, Tallahassee, FL (GR).
PhD
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Megan D. Douglas
From the National Center for Primary Care, Morehouse School of Medicine, Atlanta, GA (AHG, CL, PTB, MDD, DHM); Center for Community Health Integration and Population Health Research Institute, Case Western Reserve University, Cleveland, OH (AHG); Department of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA (PTB, MDD); Lee Kong Chian School of Business, Singapore Management University, Singapore (ZS); Department of Family and Preventive Medicine, Emory University, Atlanta, GA (MAM); Center for Quality Growth and Regional Development, Georgia Institute of Technology, Atlanta, GA (AR); Department of Microbiology/Biochemistry/Immunology and Clinical Research Center, Morehouse School of Medicine, Atlanta, GA (LCI); H. Milton Steward School of Industrial and Systems Engineering, Georgia Institute of Technology, Atlanta, GA (TA); The Center for Professionalism and Value, American Board of Family Medicine, Washington, DC (AB); Center for Medicine and Public Health, Florida State University College of Medicine, Tallahassee, FL (GR).
JD
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Miranda A. Moore
From the National Center for Primary Care, Morehouse School of Medicine, Atlanta, GA (AHG, CL, PTB, MDD, DHM); Center for Community Health Integration and Population Health Research Institute, Case Western Reserve University, Cleveland, OH (AHG); Department of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA (PTB, MDD); Lee Kong Chian School of Business, Singapore Management University, Singapore (ZS); Department of Family and Preventive Medicine, Emory University, Atlanta, GA (MAM); Center for Quality Growth and Regional Development, Georgia Institute of Technology, Atlanta, GA (AR); Department of Microbiology/Biochemistry/Immunology and Clinical Research Center, Morehouse School of Medicine, Atlanta, GA (LCI); H. Milton Steward School of Industrial and Systems Engineering, Georgia Institute of Technology, Atlanta, GA (TA); The Center for Professionalism and Value, American Board of Family Medicine, Washington, DC (AB); Center for Medicine and Public Health, Florida State University College of Medicine, Tallahassee, FL (GR).
PhD
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Arthi Rao
From the National Center for Primary Care, Morehouse School of Medicine, Atlanta, GA (AHG, CL, PTB, MDD, DHM); Center for Community Health Integration and Population Health Research Institute, Case Western Reserve University, Cleveland, OH (AHG); Department of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA (PTB, MDD); Lee Kong Chian School of Business, Singapore Management University, Singapore (ZS); Department of Family and Preventive Medicine, Emory University, Atlanta, GA (MAM); Center for Quality Growth and Regional Development, Georgia Institute of Technology, Atlanta, GA (AR); Department of Microbiology/Biochemistry/Immunology and Clinical Research Center, Morehouse School of Medicine, Atlanta, GA (LCI); H. Milton Steward School of Industrial and Systems Engineering, Georgia Institute of Technology, Atlanta, GA (TA); The Center for Professionalism and Value, American Board of Family Medicine, Washington, DC (AB); Center for Medicine and Public Health, Florida State University College of Medicine, Tallahassee, FL (GR).
PhD
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Lilly Cheng Immergluck
From the National Center for Primary Care, Morehouse School of Medicine, Atlanta, GA (AHG, CL, PTB, MDD, DHM); Center for Community Health Integration and Population Health Research Institute, Case Western Reserve University, Cleveland, OH (AHG); Department of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA (PTB, MDD); Lee Kong Chian School of Business, Singapore Management University, Singapore (ZS); Department of Family and Preventive Medicine, Emory University, Atlanta, GA (MAM); Center for Quality Growth and Regional Development, Georgia Institute of Technology, Atlanta, GA (AR); Department of Microbiology/Biochemistry/Immunology and Clinical Research Center, Morehouse School of Medicine, Atlanta, GA (LCI); H. Milton Steward School of Industrial and Systems Engineering, Georgia Institute of Technology, Atlanta, GA (TA); The Center for Professionalism and Value, American Board of Family Medicine, Washington, DC (AB); Center for Medicine and Public Health, Florida State University College of Medicine, Tallahassee, FL (GR).
MD, MS
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Turgay Ayer
From the National Center for Primary Care, Morehouse School of Medicine, Atlanta, GA (AHG, CL, PTB, MDD, DHM); Center for Community Health Integration and Population Health Research Institute, Case Western Reserve University, Cleveland, OH (AHG); Department of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA (PTB, MDD); Lee Kong Chian School of Business, Singapore Management University, Singapore (ZS); Department of Family and Preventive Medicine, Emory University, Atlanta, GA (MAM); Center for Quality Growth and Regional Development, Georgia Institute of Technology, Atlanta, GA (AR); Department of Microbiology/Biochemistry/Immunology and Clinical Research Center, Morehouse School of Medicine, Atlanta, GA (LCI); H. Milton Steward School of Industrial and Systems Engineering, Georgia Institute of Technology, Atlanta, GA (TA); The Center for Professionalism and Value, American Board of Family Medicine, Washington, DC (AB); Center for Medicine and Public Health, Florida State University College of Medicine, Tallahassee, FL (GR).
PhD
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Andrew Bazemore
From the National Center for Primary Care, Morehouse School of Medicine, Atlanta, GA (AHG, CL, PTB, MDD, DHM); Center for Community Health Integration and Population Health Research Institute, Case Western Reserve University, Cleveland, OH (AHG); Department of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA (PTB, MDD); Lee Kong Chian School of Business, Singapore Management University, Singapore (ZS); Department of Family and Preventive Medicine, Emory University, Atlanta, GA (MAM); Center for Quality Growth and Regional Development, Georgia Institute of Technology, Atlanta, GA (AR); Department of Microbiology/Biochemistry/Immunology and Clinical Research Center, Morehouse School of Medicine, Atlanta, GA (LCI); H. Milton Steward School of Industrial and Systems Engineering, Georgia Institute of Technology, Atlanta, GA (TA); The Center for Professionalism and Value, American Board of Family Medicine, Washington, DC (AB); Center for Medicine and Public Health, Florida State University College of Medicine, Tallahassee, FL (GR).
MD, MPH
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George Rust
From the National Center for Primary Care, Morehouse School of Medicine, Atlanta, GA (AHG, CL, PTB, MDD, DHM); Center for Community Health Integration and Population Health Research Institute, Case Western Reserve University, Cleveland, OH (AHG); Department of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA (PTB, MDD); Lee Kong Chian School of Business, Singapore Management University, Singapore (ZS); Department of Family and Preventive Medicine, Emory University, Atlanta, GA (MAM); Center for Quality Growth and Regional Development, Georgia Institute of Technology, Atlanta, GA (AR); Department of Microbiology/Biochemistry/Immunology and Clinical Research Center, Morehouse School of Medicine, Atlanta, GA (LCI); H. Milton Steward School of Industrial and Systems Engineering, Georgia Institute of Technology, Atlanta, GA (TA); The Center for Professionalism and Value, American Board of Family Medicine, Washington, DC (AB); Center for Medicine and Public Health, Florida State University College of Medicine, Tallahassee, FL (GR).
MD, MPH
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Dominic H. Mack
From the National Center for Primary Care, Morehouse School of Medicine, Atlanta, GA (AHG, CL, PTB, MDD, DHM); Center for Community Health Integration and Population Health Research Institute, Case Western Reserve University, Cleveland, OH (AHG); Department of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA (PTB, MDD); Lee Kong Chian School of Business, Singapore Management University, Singapore (ZS); Department of Family and Preventive Medicine, Emory University, Atlanta, GA (MAM); Center for Quality Growth and Regional Development, Georgia Institute of Technology, Atlanta, GA (AR); Department of Microbiology/Biochemistry/Immunology and Clinical Research Center, Morehouse School of Medicine, Atlanta, GA (LCI); H. Milton Steward School of Industrial and Systems Engineering, Georgia Institute of Technology, Atlanta, GA (TA); The Center for Professionalism and Value, American Board of Family Medicine, Washington, DC (AB); Center for Medicine and Public Health, Florida State University College of Medicine, Tallahassee, FL (GR).
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Article Information

jabfm.2022.220015R1
DOI 
https://doi.org/10.3122/jabfm.2022.220015R1
PubMed 
36868870

Published By 
The Journal of the American Board of Family Medicine
Print ISSN 
1557-2625
Online ISSN 
1558-7118
History 
  • Received for publication January 11, 2022
  • Revision received November 1, 2022
  • Accepted for publication November 3, 2022
  • Published online March 3, 2023.

Article Versions

  • You are currently viewing a previous version of this article (March 3, 2023 - 13:37).
  • View the most recent version of this article
Copyright & Usage 
© Copyright by the American Board of Family Medicine.

Author Information

  1. Anne H. Gaglioti, MD, MS,
  2. Chaohua Li, MPH,
  3. Peter T. Baltrus, PhD,
  4. Zhaowei She, PhD,
  5. Megan D. Douglas, JD,
  6. Miranda A. Moore, PhD,
  7. Arthi Rao, PhD,
  8. Lilly Cheng Immergluck, MD, MS,
  9. Turgay Ayer, PhD,
  10. Andrew Bazemore, MD, MPH,
  11. George Rust, MD, MPH and
  12. Dominic H. Mack, MD, MBA
  1. From the National Center for Primary Care, Morehouse School of Medicine, Atlanta, GA (AHG, CL, PTB, MDD, DHM); Center for Community Health Integration and Population Health Research Institute, Case Western Reserve University, Cleveland, OH (AHG); Department of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA (PTB, MDD); Lee Kong Chian School of Business, Singapore Management University, Singapore (ZS); Department of Family and Preventive Medicine, Emory University, Atlanta, GA (MAM); Center for Quality Growth and Regional Development, Georgia Institute of Technology, Atlanta, GA (AR); Department of Microbiology/Biochemistry/Immunology and Clinical Research Center, Morehouse School of Medicine, Atlanta, GA (LCI); H. Milton Steward School of Industrial and Systems Engineering, Georgia Institute of Technology, Atlanta, GA (TA); The Center for Professionalism and Value, American Board of Family Medicine, Washington, DC (AB); Center for Medicine and Public Health, Florida State University College of Medicine, Tallahassee, FL (GR).
  1. Corresponding author: Anne Gaglioti, MD, MS, Case Western Reserve University School of Medicine, 10900 Euclid Ave., Cleveland, Ohio 44106 (E-mail: ahg2{at}case.edu).
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The Journal of the American Board of Family     Medicine: 39 (1)
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Interpersonal Primary Care Continuity for Chronic Conditions Is Associated with Fewer Hospitalizations and Emergency Department Visits Among Medicaid Enrollees
Anne H. Gaglioti, Chaohua Li, Peter T. Baltrus, Zhaowei She, Megan D. Douglas, Miranda A. Moore, Arthi Rao, Lilly Cheng Immergluck, Turgay Ayer, Andrew Bazemore, George Rust, Dominic H. Mack
The Journal of the American Board of Family Medicine Mar 2023, jabfm.2022.220015R1; DOI: 10.3122/jabfm.2022.220015R1

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Interpersonal Primary Care Continuity for Chronic Conditions Is Associated with Fewer Hospitalizations and Emergency Department Visits Among Medicaid Enrollees
Anne H. Gaglioti, Chaohua Li, Peter T. Baltrus, Zhaowei She, Megan D. Douglas, Miranda A. Moore, Arthi Rao, Lilly Cheng Immergluck, Turgay Ayer, Andrew Bazemore, George Rust, Dominic H. Mack
The Journal of the American Board of Family Medicine Mar 2023, jabfm.2022.220015R1; DOI: 10.3122/jabfm.2022.220015R1
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Keywords

  • Chronic Disease
  • Continuity of Patient Care
  • Cross-Sectional Studies
  • Healthcare Disparities
  • Logistic Regression
  • Medicaid
  • Primary Health Care

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