How should continuity of care in primary health care be assessed?

Salisbury, Chris; Sampson, Fiona; Ridd, Matthew J; Montgomery, Alan

doi:10.3399/bjgp09x420257

Cited by 96 publications

(127 citation statements)

References 24 publications

Supporting

Mentioning

122

Contrasting

Unclassified

Order By: Relevance

“…[22][23][24][25][26][27][28] Implications for research and practice Continuity of care can be viewed from the perspective of the patient, the doctor, or the healthcare system. 29 This study takes the patient's perspective and confirms that interpersonal continuity of care is valued by patients. However, by no means all patients expressed this preference.…”

Section: Competing Interestsmentioning

confidence: 86%

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

Aboulghate¹,

Abel²,

Elliott³

et al. 2012

Br J Gen Pract

View full text Add to dashboard Cite

show abstract

Section: Competing Interestsmentioning

confidence: 86%

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

Aboulghate¹,

Abel²,

Elliott³

et al. 2012

Br J Gen Pract

View full text Add to dashboard Cite

show abstract

“…Continuity of care is measured by two variables: "continuity of care received," which measures the patient experience and "continuity of care provided," which measures the provider experience. Continuity of care received, also known as "see your own" in quality improvement literature, 34 is defined as the percentage of primary care office visits made by a physician's patients to their own PCPs in a year. Continuity of care provided is defined as the annual percentage of a physician's office visits that were spent seeing the PCP's own patients.…”

Section: Variable Definitionsmentioning

confidence: 99%

Patients Report Better Satisfaction with Part-Time Primary Care Physicians, Despite Less Continuity of Care and Access

et al. 2014

View full text Add to dashboard Cite

BACKGROUND:The growing number of primary care physicians (PCPs) reducing their clinical work hours has raised concerns about meeting the future demand for services and fulfilling the continuity and access mandates for patient-centered care. However, the patient's experience of care with part-time physicians is relatively unknown, and may be mediated by continuity and access to care outcomes. OBJECTIVE: We aimed to examine the relationships between a physicians' clinical full-time equivalent (FTE), continuity of care, access to care, and patient satisfaction with the physician. DESIGN: We used a multi-level structural equation estimation, with continuity and access modeled as mediators, for a cross-section in 2010. PARTICIPANTS: The study included family medicine (n=104) and internal medicine (n=101) physicians in a multi-specialty group practice, along with their patient satisfaction survey responses (n=12,688). MAIN MEASURES: Physician level FTE, continuity of care received by patients, continuity of care provided by physician, and a Press Ganey patient satisfaction with the physician score, on a 0-100 % scale, were measured. Access to care was measured as days to the third nextavailable appointment. KEY RESULTS: Physician FTE was directly associated with better continuity of care received (0.172 % per FTE, p<0.001), better continuity of care provided (0.108 % per FTE, p<0.001), and better access to care (−0.033 days per FTE, p<0.01), but worse patient satisfaction scores (−0.080 % per FTE, p=0.03). The continuity of care provided was a significant mediator (0.016 % per FTE, p<0.01) of the relationship between FTE and patient satisfaction; but overall, reduced clinical work hours were associated with better patient satisfaction (−0.053 % per FTE, p=0.03). CONCLUSIONS: These results suggest that PCPs who choose to work fewer clinical hours may have worse continuity and access, but they may provide a better patient experience. Physician workforce planning should consider these care attributes when considering the role of parttime PCPs in practice redesign efforts and initiatives to meet the demand for primary care services.KEY WORDS: part-time work; continuity of care; access to care; patient satisfaction.

show abstract

“…2 These anxieties are not without basis; up to twothirds of patients with chronic fatigue report being dissatisfied with the quality of care they receive. 3 GPs will tend to stereotype patients with chronic fatigue as having certain undesirable traits and will feel a sense of hopelessness regarding treatment options.…”

Section: Address For Correspondencementioning

confidence: 99%

“…1 In this issue of the BJGP, two papers by Salisbury et al 2 and Ridd et al 3 add to the large body of primary care research seeking to improve the definition and measurement of the continuing patient-doctor relationship. The aim is to understand and defend it as a core feature.…”

Section: The Future For Personal Doctoringmentioning

confidence: 99%

The future for personal doctoring

Haggerty

2009

Br J Gen Pract

View full text Add to dashboard Cite

How should continuity of care in primary health care be assessed?

Cited by 96 publications

References 24 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?

Patients Report Better Satisfaction with Part-Time Primary Care Physicians, Despite Less Continuity of Care and Access

The future for personal doctoring

Contact Info

Product

Resources

About