Continuity of GP care is related to reduced specialist healthcare use: a cross-sectional survey

Hansen, Anne; Halvorsen, Peder Andreas; Aaraas, Ivar J.; Førde, Olav Helge

doi:10.3399/bjgp13x669202

Cited by 46 publications

(56 citation statements)

References 31 publications

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“…In this study, it was decided to study continuity of care from the perspective of users, firstly because it has not been well studied, specifically among users under different types of conditions [20][21][22] and secondly, because there are differences between the perspective of users and professionals and policies in its perception 23 . For users, continuity is usually related to the doctor-patient relationship, with satisfaction, with the quality of care and access to it 24 .…”

mentioning

confidence: 99%

“…For health professionals and policies, continuity is essentially valued based on its impacts on the greater or lesser use of health services (in-patient or out-patient), in the limitation of access/ use of specialised care and in the reorganisation of health services. Also in this context, the authors suggest the need to perform more studies that support the relationship and the dynamics that are established between continuity of care and the levels of use of health services 23 .…”

mentioning

confidence: 99%

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A continuidade de cuidados de saúde na perspetiva dos utentes

Mendes

Gemito

Caldeira

et al. 2017

Ciênc. saúde coletiva

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mentioning

confidence: 99%

mentioning

confidence: 99%

A continuidade de cuidados de saúde na perspetiva dos utentes

Mendes

Gemito

Caldeira

et al. 2017

Ciênc. saúde coletiva

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“…Unsurprisingly, a GP relationship of less than 3 years was associated with less positive relational continuity experiences. The duration of GP relationship might be considered an alternative measure of continuity [18], thus indicating that this association might represent two sides of the same coin.…”

Section: Discussionmentioning

confidence: 99%

“…This refers mostly to individual doctors (not group practices). Alongside universal tax-funding and gate-keeping, the list system provides strong incentives for continuity of individual GP care [17, 18]. Continuity is thought to increase patient satisfaction, compliance, and comprehensiveness of care [19–23].…”

Section: Introductionmentioning

confidence: 99%

Experiences of general practitioner continuity among women with chronic fatigue syndrome/myalgic encephalomyelitis: a cross-sectional study

Hansen

Lian

2016

BMC Health Serv Res

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BackgroundContinuity of care is important for patients with chronic illness in need of coordinated healthcare services from multiple providers. Little is known about how patients with chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) experience continuity of GP care.This study explores how women with CFS/ME experience GP care across the three dimensions of continuity: informational, management, and relational continuity.MethodsThis cross-sectional study uses questionnaire data collected from members of The Norwegian ME Association. Descriptive statistics and logistic regressions were used to estimate experiences of continuity, and associations with age, education, self-rated degree of CFS/ME, duration of the GP relation (GP duration), and number of GP visits for CFS/ME-related issues during the previous year (GP frequency).ResultsAlmost two-thirds of participants reported positive experiences across all three dimensions of GP continuity of care; 64.4% for informational, 64.1% for management, and 77.2% for relational continuity. Lower educational attainment was associated with more negative experiences of informational continuity (primary school only compared to university educated: odds ratio [OR] 0.12, confidence interval [CI] 0.03–0.49, p = 0.003). Compared to participants aged 40–59 years, those aged 60+ years were significantly less likely to have experienced poor (negative) management continuity (OR 0.25, CI 0.09–0.76, p = 0.014). A GP relationship of three or more years was associated with positive experiences of relational continuity (OR 2.32, CI 1.09–4.95, p = 0.030). Compared to those with moderate CFS/ME, those who graded their CFS/ME as severe or very severe were significantly more likely to have negative experiences of relational continuity (OR 0.38, CI 0.14–0.99, p = 0.047).ConclusionsA large proportion of participants experienced all three aspects of continuity of GP care (especially the relational dimension) positively. Informational and management continuity scores were moderately lower. Our results suggest greater emphasis on information giving, feedback, and better coordination of care to be good strategies for practice improvement for this patient group.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-016-1909-1) contains supplementary material, which is available to authorized users.

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“…En viktig intensjon med innføringen av fastlegeordningen var å fremme kontinuitet i forholdet mellom lege og pasient (1). Dette er en viktig kvalitetsindikator i allmennmedisinsk sammenheng (2).…”

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