Article Figures & Data
Tables
No. Research Theme Papers Reviewed No. Reference Citations 1 What is the best conceptual definition of continuity? 17 10,13-28 2 What is the best way to measure continuity of care? 17 13,14,20-22,29-40 3 Are patients who receive interpersonal continuity more satisfied with their care? 31 12,14,16,33,41-67 4 What patient characteristics correlate with choosing an interpersonal continuity model? 20 36,44,46,48,49,51,52,58,62,68-78 5 Is health care better in any measurable way when delivered in interpersonal continuity? 54 5,6,13,14,17,25,35,36,42,45,53-56,60,61,64,66-68,74,79-110 6 Are physicians more satisfied with practice when an interpersonal continuity model is followed? 12 14,16,42,52,53,55,61,62,67,111-113 7 Is health care less expensive when delivered in interpersonal continuity? 20 42,53,54,57,61,66,80,72,84,88,90-92,108,114-119 8 Can interpersonal continuity be improved by organizing a practice in a particular way? 22 12,17,33,46,52-55,59,63,69,76,94,120-128 9 Why do patients leave the care of a physician with whom they have interpersonal continuity? 13 4-6,58,69,71,73,126,129-133 10 What do primary care physicians value regarding continuity of care? 21 10,13,16,17,23,26,27,33,52,61,62,77,85,112,122,134-139 11 What do patients value regarding continuity of care? 18 16,17,33,44,46,49,51,52,59,60,62,65,69,70,104,131,136,140 12 Does geographic continuity matter to patients? 10 28,41,70,79,80,135,141-144 13 How are changes in the health care system affecting continuity? 16 4-6,9-12,61,76,114,120,133,141,142,144,145 - Table 2.
References Addressing Theme 2: What Is the Best Way to Measure Continuity of Care?
Reference Primary Research Question Bice & Boxerman, 197730 How can continuity of care best be measured? Ejlertsson & Berg, 198434 How do the quantitative measures of continuity compare with one another? Eriksson & Mattsson 198320 How can continuity of care be defined and measured? Given,198540 How consistent are three measures of continuity? Godkin & Rice,198437 How can continuity of care be measured? Hansen,197513 How can continuity of care best be measured? Magill & Senf,198731 How can continuity of care best be measured in a residency? Murata,199329 How can family continuity be measured? Patten & Friberg, 198032 How can continuity of care best be measured in a residency program? Pereira Gray,197933 How can personal patient lists assure ongoing personal care in a group practice? Rogers & Curtis,198021 How can continuity of care best be defined? Roos et al, 198036 Is objectively measured continuity of care associated with any measurable improvement in outcome quality? Shortell,197622 How can continuity of care best be defined and measured? Smedby et al,198639 Do various methods of measuring continuity correlate with one another? Starfield et al,197635 What can be done to improve coordination as measured by recognition of patient information? Steinwachs,197938 Do various methods of measuring continuity of care correlate with one another? Wall,198114 How can continuity of care best be defined and studied? Level of Continuity Description 1. Informational An organized collection of medical and social information about each patient is readily available to any health care professional caring for the patient. A systemic process also allows accessing and communicating about this information among those involved in the care 2. Longitudinal In addition to informational continuity, each patient has a “medical home” where the patient receives most health care, which allows the care to occur in an accessible and familiar environment from an organized team of providers. This team assumes responsibility for coordinating the quality of care, including preventive services 3. Interpersonal In addition to longitudinal continuity, an ongoing relationship exists between each patient and a personal physician. The patient knows the physician by name and has come to trust the physician on a personal basis. The patient uses this physician for basic health services and depends on the physician to assume personal responsibility for the patient’s overall health care. When the personal physician is not available, a coverage arrangement assures that longitudinal continuity occurs Instruments Interpersonal Continuity References Using This Measure Instruments Interpersonal Continuity References Using This Measure Measures that do not require an assigned provider Measures that require an assigned provider Continuity of Care Index (COC)30-32,34,36-40 Christakis et al, 2000110 Christakis et al, 1999118 Flynn, 198545 Roos et al, 198036 Sloane & Eglehoff, 198375 Wasson et al, 198466 Duration of relationship14 Hjortdahl, 199283 Hjortdahl & Laerum, 199247 Love & Mainous, 199969 Mainous et al, 200160 Overland et al, 200168 Weiss & Bluestein, 199684 Number of Providers Seen (NOP)20 Raddish et al, 1999117 Shortell et al, 197749 Rate of provider turnover14 Most Frequent Provider Continuity (MFPC)40,121 Merenstein et al, 2001121 Sequential Continuity Index (SECON)20,34,37,38,40 Phillips & Shear, 198488 Pilotto et al, 199673 Shear et al, 198364 Wasson et al, 198466 Index Provider Identification35 Meredith et al, 2001114 Starfield et al, 197635 Susman et al, 198981 Wasson et al, 198466 Likelihood of Continuity Index (LICON)20,34,38 Likelihood of Sequential Continuity Index (LISECON)20,38 Patient survey, interview, or questionnaire Breslau, 198251 Breslau & Mortimer, 198144 Ettlinger & Freeman, 198187 Ettner, 1996109 Ettner, 199997 Gill et al, 200282 Hanninen et al, 2001101 Hennelly & Boxerman, 197992 Hjortdahl & Borchgrevink, 1991116 Hjortdahl & Laerum, 199247 Howie et al, 1999104 Kearley et al, 200162 Kingston, 198358 Kogan et al, 1995133 Lambrew et al, 200278 Love et al, 200048 O’Connor et al, 1998103 O’Malley et al, 199789 Herfindahl Index (HH)20,39 Modified Continuity Index (MCI)31,37 Gill & Mainous, 199890 Gill et al, 2000115 Neher et al, 2001124 Sturmberg & Schattner, 2001100 Modified, Modified Continuity Index (MMCI)31 Gill & Mainous, 199890 Gill et al, 2000115 Neher et al, 2001124 Index of Concentration (CON)22,38 GINI Index of Concentration (GINI)22,38 K Index (K)34,39 FRAC Index (FRAC)36 Roos et al, 198036 Measures of family continuity Measures that require an assigned provider Family Care measure (FC)29 Family Mean Continuity Index (FMCI)37 Usual Provider Continuity Index (UPC)20,31,32,34,38,39,120 Blankfield et al, 1990113 Boss & Timbrook, 200196 Breslau & Haug, 197663 Breslau & Reeb, 1975120 Cornelius, 199772 Flocke et al, 19975 Forrest & Starfield, 1998128 Freeman & Richards, 1994105 Freeman & Richards, 199346 Freeman & Richards, 199076 Goldberg & Dietrich, 1985139 Kibbe et al, 1993123 Mainous et al, 200160 Mainous & Gill, 199891 Roland et al, 198652 Smith, 199553 Wasson et al, 198466 Family Continuity of Care Index (FCOC)37
In this issue
Jump to section
Related Articles
Cited By...
- Interpersonal Continuity of Care May Help Delay Progression to Type 2 Diabetes
- Promoting Intensive Transitions for Children and Youth with Medical Complexity from Paediatric to Adult Care: the PITCare study--protocol for a randomised controlled trial
- Answering the "100 Most Important Family Medicine Research Questions" from the 1985 Hames Consortium
- Relationship between continuity of primary care and hospitalisation for patients with COPD: population-based cohort study from South Korea
- Prevalence of diabetes and associated risk factors in Ga Mashie, Accra, Ghana - the CARE Diabetes community-based survey
- General practitioners retiring or relocating and its association with healthcare use and mortality: a cohort study using Norwegian national data
- Storylines of family medicine III: core principles--primary care, systems and family
- Patients experiences with receiving sick leave certificates via remote consultations in Norway during the COVID-19 pandemic: a nationwide online survey
- Factors influencing blood pressure control in patients with atrial fibrillation and hypertension in Australian primary care
- Continuity and discontinuity of care among older patients in Danish general practice: a retrospective cohort study
- Continuity of care and consultation mode in general practice: a cross-sectional and longitudinal study using patient-level and practice-level data from before and during the COVID-19 pandemic in England
- General practitioners ending their practice and impact on patients health, healthcare use and mortality: a protocol for national registry cohort studies in Norway, 2008 to 2021
- Which methods are most practicable for measuring continuity within general practices?
- Does doctors personality differ from those of patients, the highly educated and other caring professions? An observational study using two nationally representative Australian surveys
- General practitioners ending their practice and impact on patients health, health care use and mortality. A protocol for national registry cohort studies in Norway, 2006 to 2021
- Continuity in general practice as predictor of mortality, acute hospitalisation, and use of out-of-hours care: a registry-based observational study in Norway
- Continuity in the academic family medicine teaching environment: Exploring the potential of the CFPCs Patients Medical Home
- La continuite dans les milieux denseignement universitaire: Explorer le potentiel du Centre de medecine de famille du CMFC
- Assessment of the effects of methodological choice in continuity of care research: a real-world example with dyslipidaemia cohort
- Continuity of care, measurement and association with hospital admission and mortality: a registry-based longitudinal cohort study
- Is continuity of primary care declining in England? Practice-level longitudinal study from 2012 to 2017
- Predictors of Family Medicine Patient Retention in Opioid Medication-Assisted Treatment
- Improving continuity of care of patients with respiratory disease at hospital discharge
- Primary medical care continuity and patient mortality: a systematic review
- Visit Entropy Associated with Diabetic Control Outcomes
- Association between continuity of provider-adjusted regularity of general practitioner contact and unplanned diabetes-related hospitalisation: a data linkage study in New South Wales, Australia, using the 45 and Up Study cohort
- Prevalence of care fragmentation among outpatients attending specialist clinics in a regional hospital in Singapore: a cross-sectional study
- Continuity of care in general practice at cancer diagnosis (COOC-GP study): a national cohort study of 2853 patients
- How Evolving United States Payment Models Influence Primary Care and Its Impact on the Quadruple Aim
- Continuity of Primary Care and Emergency Hospital Admissions Among Older Patients in England
- Association between interpersonal continuity of care and medication adherence in type 2 diabetes: an observational cohort study
- Visit Entropy Associated with Hospital Readmission Rates
- Continuity of care in primary care and association with survival in older people: a 17-year prospective cohort study
- The Generation in Between: A Perspective from the Keystone IV Conference
- In California, Primary Care Continuity Was Associated With Reduced Emergency Department Use And Fewer Hospitalizations
- MetroHealth Care Plus: Effects Of A Prepared Safety Net On Quality Of Care In A Medicaid Expansion Population
- Most Uninsured Adults Could Schedule Primary Care Appointments Before The ACA, But Average Price Was $160
- Collaboration Between Surgeons and Medical Oncologists and Outcomes for Patients With Stage III Colon Cancer
- Effect of Continuity of Care on Hospital Utilization for Seniors With Multiple Medical Conditions in an Integrated Health Care System
- Impact of Continuity of Care on Mortality and Health Care Costs: A Nationwide Cohort Study in Korea
- Continuity of GP care is related to reduced specialist healthcare use: a cross-sectional survey
- Provider Practice Characteristics That Promote Interpersonal Continuity
- ACCF 2012 Health Policy Statement on Patient-Centered Care in Cardiovascular Medicine: A Report of the American College of Cardiology Foundation Clinical Quality Committee
- Emotional effects of continuity of care on family physicians and the therapeutic relationship
- Continuity in the Provider of Home-Based Physical Therapy Services and Its Implications for Outcomes of Patients
- Strategies to enhance teaching about continuity of care
- Consistency of Care and Blood Pressure Control among Elderly African Americans and Whites with Hypertension
- The patient-doctor relationship: a synthesis of the qualitative literature on patients' perspectives
- How should continuity of care in primary health care be assessed?
- The Association of Family Continuity with Infant Health Service Use
- Continuity of care matters
- Interpersonal continuity of care: a cross-sectional survey of primary care patients' preferences and their experiences
- Measuring Continuity of Care in Diabetes Mellitus: An Experience-Based Measure
- How are different types of continuity achieved? A mixed methods longitudinal study
- Patients' Perceptions of Interpersonal Continuity of Care
- Patients' experiences of continuity in the care of type 2 diabetes: a focus group study in primary care
- Consultation frequency
- In This Issue
- Interpersonal Continuity of Care and Care Outcomes: A Critical Review
- Physician-Patient Relationship and Medication Compliance: A Primary Care Investigation
- Towards a New Understanding of Provider Continuity
- Patients' Needs for Contact With Their GP at the Time of Hospital Admission and Other Life Events: A Quantitative and Qualitative Exploration
- Provocative Questions
- Continuity of Care: "It Is About Connecting"
- In this Issue: Continuity of Care