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Research ArticleOriginal Research

Patient-Physician Shared Experiences and Value Patients Place on Continuity of Care

Arch G. Mainous, Meredith A. Goodwin and Kurt C. Stange
The Annals of Family Medicine September 2004, 2 (5) 452-454; DOI: https://doi.org/10.1370/afm.84
Arch G. Mainous III
PhD
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Meredith A. Goodwin
PhD
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Kurt C. Stange
MD, PhD
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    Table 1.

    Association Between Duration of Patient-Physician Relationship, Experiences Shared Between Patient and Physician, and the Degree to Which Patients Value Continuity of Care (N = 2,504)

    CovariatesSum of Squares df F P
    * Reference category is fee-for-service insurance.
    Age0.6611.47.226
    Sex0.8511.89.17
    Health status1.9214.27.04
    Number of visits in previous year23.00151.14<.001
    Number of chronic illnesses3.0116.69.010
    Number of medications1.3713.05.081
    Insurance*
        Medicare6.44114.31<.001
        Medicaid1.2112.69.10
        Managed care1.5913.54.06
        None or other1.6913.76.05
    Main effects (combined)96.38453.58<.001
        Been through a lot with doctor84.56242.28<.001
        Number of years as patient of physician0.8520.43.39
    Two-way Interaction 4.74 4 2.64 .03
    Model196.301824.25<.001
    Residual1,117.532,485
    Total1,313.832,503
    • View popup
    Table 2.

    Degree to Which Patients Value Continuity by Duration of Relationship With Physician and Experience Shared Between Patient and Physician

    Doctor and I Have Been Through a Lot Together
    Duration of RelationshipDisagree, Strongly Disagree (n = 690)Neutral (n = 895)Agree, Strongly Agree (n = 919)Total (n = 2,504)
    Note: cell content represents the mean degree to which patients value continuity. Increasing numbers represent increasing value of continuity.
    Less than 2 years (n = 597)4.044.314.614.23
    2-4 years (n = 834)4.034.394.724.40
    More than 4 years (n = 1,073)4.254.354.744.54
    Total (N = 2,504)4.104.364.724.42

Additional Files

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  • The Article in Brief

    Patients are more likely to value an ongoing relationship with their family doctor when they feel that they have been through a lot with the doctor or when they have seen the same doctor over time. Patients place the highest value on an ongoing relationship with the doctor when both factors are present�they have seen the same doctor over time and feel that they have been through a lot together.

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The Annals of Family Medicine: 2 (5)
The Annals of Family Medicine: 2 (5)
Vol. 2, Issue 5
1 Sep 2004
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Patient-Physician Shared Experiences and Value Patients Place on Continuity of Care
Arch G. Mainous, Meredith A. Goodwin, Kurt C. Stange
The Annals of Family Medicine Sep 2004, 2 (5) 452-454; DOI: 10.1370/afm.84

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Patient-Physician Shared Experiences and Value Patients Place on Continuity of Care
Arch G. Mainous, Meredith A. Goodwin, Kurt C. Stange
The Annals of Family Medicine Sep 2004, 2 (5) 452-454; DOI: 10.1370/afm.84
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Subjects

  • Methods:
    • Quantitative methods
  • Other research types:
    • PBRN research
  • Core values of primary care:
    • Continuity
    • Relationship

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