Table 4.

Instruments to Measure Continuity of Care

InstrumentsInterpersonal Continuity References Using This MeasureInstrumentsInterpersonal Continuity References Using This Measure
Measures that do not require an assigned providerMeasures that require an assigned provider
Continuity of Care Index (COC)30-32,34,36-40Christakis et al, 2000110 Christakis et al, 1999118 Flynn, 198545 Roos et al, 198036 Sloane & Eglehoff, 198375 Wasson et al, 198466Duration of relationship14Hjortdahl, 199283 Hjortdahl & Laerum, 199247 Love & Mainous, 199969 Mainous et al, 200160 Overland et al, 200168 Weiss & Bluestein, 199684
Number of Providers Seen (NOP)20Raddish et al, 1999117 Shortell et al, 197749Rate of provider turnover14
Most Frequent Provider Continuity (MFPC)40,121Merenstein et al, 2001121
Sequential Continuity Index (SECON)20,34,37,38,40Phillips & Shear, 198488 Pilotto et al, 199673 Shear et al, 198364 Wasson et al, 198466Index Provider Identification35Meredith 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)20,38Patient survey, interview, or questionnaireBreslau, 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)31,37Gill & Mainous, 199890 Gill et al, 2000115 Neher et al, 2001124 Sturmberg & Schattner, 2001100
Modified, Modified Continuity Index (MMCI)31Gill & 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)36Roos et al, 198036Measures of family continuity
Measures that require an assigned providerFamily Care measure (FC)29
Family Mean Continuity Index (FMCI)37
Usual Provider Continuity Index (UPC)20,31,32,34,38,39,120Blankfield 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, 198466Family Continuity of Care Index (FCOC)37