Distribution of Continuity-of-Care Scores by Type of Care Setting and Whether Practice Has Designated Lead Physician for Diabetes Care
Explanatory Variable | Number of Patients | Total Continuity Score | Longitudinal Continuity | Flexible Continuity | Relational Continuity | Team and Cross-Boundary Continuity |
---|---|---|---|---|---|---|
Note: Figures are mean (SD) except where indicated. | ||||||
* Adjusted for whether practice has designated doctor for diabetes and clustering by family practice. | ||||||
† Adjusted for type of care and clustering by family practice. | ||||||
Type of care | ||||||
Family practice only | 44 | 65.1 (15.6) | 12.5 (5.3) | 18.4 (4.5) | 17.0 (7.0) | 17.2 (3.4) |
Hospital clinic only | 35 | 50.2 (18.1) | 9.1 (5.4) | 15.4 (5.9) | 9.4 (9.5) | 16.3 (3.1) |
Shared care | 114 | 64.7 (13.8) | 12.8 (5.0) | 18.3 (4.1) | 16.5 (6.4) | 17.1 (3.1) |
Adjusted difference* (hospital clinic vs family practice or shared care) (95% CI) | — | −13.7 (−19.2 to −8.2) | −3.2 (−5.1 to −1.2) | −2.8 (−4.5 to −1.2) | −7.1 (−9.7 to −4.5) | −0.7 (−1.8 to 0.5) |
P value | — | <.001 | .001 | .001 | <.001 | .239 |
Practice has designated physician for diabetes (No. of practices) | ||||||
No designated doctor (7) | 59 | 56.8 (15.4) | 10.9 (4.7) | 16.4 (5.3) | 13.5 (8.1) | 16.1 (2.5) |
Designated doctor (9) | 96 | 65.6 (16.0) | 12.6 (5.3) | 18.9 (4.3) | 16.5 (7.4) | 17.6 (3.3) |
Not known (3) | 38 | 61.6 (14.8) | 12.6 (5.8) | 17.2 (4.2) | 15.1 (7.4) | 16.7 (3.5) |
Adjusted difference† (designated vs no) (95% CI) | — | 8.2 (2.7 to 13.6) | 1.7 (−0.3 to 3.6) | 2.3 (0.6 to 4.0) | 2.7 (0.2 to 5.2) | 1.5 (0.5 to 2.5) |
P value | — | .003 | .088 | .007 | .036 | .003 |