Do patients value continuity of care in general practice? An investigation using stated preference discrete choice experiments

Turner, David; Tarrant, Carolyn; Windridge, Kate C.; Bryan, Stirling; Boulton, Mary; Freeman, George; Baker, Richard

doi:10.1258/135581907781543021

Cited by 107 publications

(96 citation statements)

References 6 publications

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“…In accordance with previous research, the present study indicates that interpersonal continuity of care is valued by the majority of patients, especially females, older patients, and those with chronic diseases. 7,8 Previous studies similarly suggest that males, older patients,…”

Section: Comparison With Existing Literaturementioning

confidence: 95%

“…1 Studies from different countries suggest that interpersonal continuity of care is highly valued by patients, especially by females, older patients, and those with chronic disease. 7,8 Continuity of care is associated with improved patient outcomes 9,10 and increased patient satisfaction. [11][12][13] However, interpersonal continuity has declined in recent years in the UK and in other countries.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Do English patients want continuity of care, and do they receive it?

Aboulghate¹,

Abel²,

Elliott³

et al. 2012

Br J Gen Pract

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Section: Comparison With Existing Literaturementioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

Do English patients want continuity of care, and do they receive it?

Aboulghate¹,

Abel²,

Elliott³

et al. 2012

Br J Gen Pract

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show abstract

“…Thus patients needing immediate access for sick care, including some healthy young adults, may be willing to forego some interpersonal continuity. [89][90][91][92] Patients also have differing constellations of acute and chronic conditions, functional limitations, expectations, and family and community resources-all of which affect the amount of care coordination required and the complexity of delivering comprehensive care to them by the practice team. 93 Nonetheless, while patients may prioritize different elements of primary care at different times in their lives, they will likely benefit from all five elements for much of their lifespan.…”

Section: Studying Primary Care Features In a Complex Health Care Systemmentioning

confidence: 99%

Disentangling the Linkage of Primary Care Features to Patient Outcomes: A Review of Current Literature, Data Sources, and Measurement Needs

et al. 2015

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Primary care plays a central role in the provision of health care, and is an organizing feature for health care delivery systems in most Western industrialized democracies. For a variety of reasons, however, the practice of primary care has been in decline in the U.S. This paper reviews key primary care concepts and their definitions, notes the increasingly complex interplay between primary care and the broader health care system, and offers research priorities to support future measurement, delivery and understanding of the role of primary care features on health care costs and quality.

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“…However, patients with ≥1 chronic disease were purposively selected as, for these patients, continuity is particularly important. [22][23][24] Another limitation is the possible recruitment bias. Providers could decide for themselves which patients to ask to participate.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Measuring continuity of care: psychometric properties of the Nijmegen Continuity Questionnaire

Uijen

Schers²,

Schellevis³

et al. 2012

Br J Gen Pract

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BackgroundRecently, the Nijmegen Continuity Questionnaire (NCQ) was developed. It aims to measure continuity of care from the patient perspective across primary and secondary care settings. Initial pilot testing proved promising. AimTo further examine the validity, discriminative ability, and reliability of the NCQ. DesignA prospective psychometric instrument validation study in primary and secondary care in the Netherlands. MethodThe NCQ was administered to patients with a chronic disease recruited from general practice (n = 145) and hospital outpatient departments (n = 123) (response rate 76%). A principal component analysis was performed to confirm three subscales that had been found previously. Construct validity was tested by correlating the NCQ score to scores of other scales measuring quality of care, continuity, trust, and satisfaction. Discriminative ability was tested by investigating differences in continuity subscores of different subgroups. Test-retest reliability was analysed in 172 patients. ResultsPrincipal factor analysis confirmed the previously found three continuity subscales -personal continuity, care provider knows me; personal continuity, care provider shows commitment; and team/cross-boundary continuity. Construct validity was demonstrated through expected correlations with other variables and discriminative ability through expected differences in continuity subscores of different subgroups. Test-retest reliability was high (the intraclass correlation coefficient varied between 0.71 and 0.82). ConclusionThis study provides evidence for the validity, discriminative ability, and reliability of the NCQ. The NCQ can be of value to identify problems in continuity of care. Keywordscontinuity of patient care; factor analysis, statistical; healthcare surveys; questionnaires; reproducibility of results.

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Do patients value continuity of care in general practice? An investigation using stated preference discrete choice experiments

Cited by 107 publications

References 6 publications

Do English patients want continuity of care, and do they receive it?

Do English patients want continuity of care, and do they receive it?

Disentangling the Linkage of Primary Care Features to Patient Outcomes: A Review of Current Literature, Data Sources, and Measurement Needs

Measuring continuity of care: psychometric properties of the Nijmegen Continuity Questionnaire

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