{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T17:55:51Z","timestamp":1780595751769,"version":"3.54.1"},"reference-count":32,"publisher":"BMJ","issue":"2","license":[{"start":{"date-parts":[[2021,2,16]],"date-time":"2021-02-16T00:00:00Z","timestamp":1613433600000},"content-version":"unspecified","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004663","name":"Ministry of Science and Technology, Taiwan","doi-asserted-by":"publisher","award":["107-2314-B-002-229"],"award-info":[{"award-number":["107-2314-B-002-229"]}],"id":[{"id":"10.13039\/501100004663","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Taiwan Association of Family Medicine","award":["2019-2020"],"award-info":[{"award-number":["2019-2020"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2020,12,16]]},"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>The objective of this study was to explore the impact of Taiwan\u2019s Family Practice Integrated Care Project (FPICP) on hospitalisation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>A population-based cohort study compared the hospitalisation rates for ambulatory care sensitive conditions (ACSCs) among FPICP participating and non-participating patients during 2011\u20132015.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting<\/jats:title>\n                  <jats:p>The study accessed the FPICP reimbursement database of Taiwan\u2019s National Health Insurance (NHI) administration containing all NHI administration-selected patients for FPICP enrolment.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Participants<\/jats:title>\n                  <jats:p>The NHI administration-selected candidates from 2011 to 2015 became FPICP participants if their primary care physicians joined the project, otherwise they became non-participants.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Interventions<\/jats:title>\n                  <jats:p>The intervention of interest was enrolment in the FPICP or not. The follow-up time interval for calculating the rate of hospitalisation was the year in which the patient was selected for FPICP enrolment or not.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Primary outcome measures<\/jats:title>\n                  <jats:p>The study\u2019s primary outcome measures were hospitalisation rates for ACSC, including asthma\/chronic obstructive pulmonary disease (COPD), diabetes or its complications and heart failure. Logistic regression was used to calculate the ORs concerning the influence of FPICP participation on the rate of hospitalisation for ACSC.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The enrolled population for data analysis was between 3.94 and 5.34 million from 2011 to 2015. Compared to non-participants, FPICP participants had lower hospitalisation for COPD\/asthma (28.6\u2030\u201335.9\u2030 vs 37.9\u2030\u201342.3\u2030) and for diabetes or its complications (10.8\u2030\u201314.9\u2030 vs 12.7\u2030\u201318.1\u2030) but not for congestive heart failure. After adjusting for age, sex and level of comorbidities by logistic regression, participation in the FPICP was associated with lower hospitalisation for COPD\/asthma (OR 0.91, 95% CI 0.87 to 0.94 in 2015) and for diabetes or its complications (OR 0.87, 95% CI 0.83 to 0.92 in 2015).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Participation in the FPICP is an independent protective factor for preventable ACSC hospitalisation. Team-based community healthcare programs such as the FPICP can strengthen primary healthcare capacity.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjopen-2020-039986","type":"journal-article","created":{"date-parts":[[2021,2,16]],"date-time":"2021-02-16T23:32:44Z","timestamp":1613518364000},"page":"e039986","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Impact of team-based community healthcare on preventable hospitalisation: a population-based cohort study in Taiwan"],"prefix":"10.1136","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2893-2187","authenticated-orcid":false,"given":"Chyi-Feng Jeff","family":"Jan","sequence":"first","affiliation":[{"name":"Family Medicine, National Taiwan University Hospital, Taipei, Taiwan"},{"name":"Family Medicine, National Taiwan University College of Medicine, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Che-Jui Jerry","family":"Chang","sequence":"additional","affiliation":[{"name":"Family Medicine, National Taiwan University Hospital, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinn-Jang","family":"Hwang","sequence":"additional","affiliation":[{"name":"Family Medicine, National Yang-Ming Medical College, Taipei, Taiwan"},{"name":"Family Medicine, Taipei Veterans General Hospital, Taipei, Taiwan"},{"name":"Taiwan Association of Family Medicine, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tzeng-Ji","family":"Chen","sequence":"additional","affiliation":[{"name":"Family Medicine, National Yang-Ming Medical College, Taipei, Taiwan"},{"name":"Family Medicine, Taipei Veterans General Hospital, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5298-2462","authenticated-orcid":false,"given":"Hsiao-Yu","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Public Health and Institute of Occupational Medicine and Industrial Hygiene, National Taiwan University College of Public Health, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu-Chun","family":"Chen","sequence":"additional","affiliation":[{"name":"Family Medicine, National Yang-Ming Medical College, Taipei, Taiwan"},{"name":"Family Medicine, Taipei Veterans General Hospital, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheng-Kuo","family":"Huang","sequence":"additional","affiliation":[{"name":"Taiwan Association of Family Medicine, Taipei, Taiwan"},{"name":"Taiwan Medical Association, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8528-7981","authenticated-orcid":false,"given":"Tai-Yuan","family":"Chiu","sequence":"additional","affiliation":[{"name":"Family Medicine, National Taiwan University Hospital, Taipei, Taiwan"},{"name":"Family Medicine, National Taiwan University College of Medicine, Taipei, Taiwan"},{"name":"Taiwan Medical Association, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,2,16]]},"reference":[{"key":"2025101813031319000_11.2.e039986.1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2014.1332"},{"key":"2025101813031319000_11.2.e039986.2","doi-asserted-by":"crossref","first-page":"57","DOI":"10.15212\/FMCH.2015.0134","article-title":"Integrated care and training in family practice in the 21st century: Taiwan as an example","volume":"4","author":"Lee","year":"2016","journal-title":"Fam Med Community Health"},{"key":"2025101813031319000_11.2.e039986.3","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1097\/JCMA.0000000000000221","article-title":"Family physician system in Taiwan","volume":"83","author":"Jan","year":"2020","journal-title":"J Chin Med Assoc"},{"key":"2025101813031319000_11.2.e039986.4","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmx111"},{"key":"2025101813031319000_11.2.e039986.5","unstructured":"National Health Insurance Annual Report 2017-2018 . 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