Characteristics of Patients in the Study
Variables | All Patients N = 765 | Multiple Provider Continuity Level | ||
---|---|---|---|---|
High n = 358 (>74%) | Moderate n = 334 (30%–74%) | Low n = 68 (<30%) | ||
Sociodemographic characteristics | ||||
Women, % | 48 | 51.7 | 48.8 | 32.4a |
Completed university, % | 14.2 | 13.8 | 15.3 | 11.8b |
Mean age, y | 66.7 | 67.1 | 67.1 | 62.1a |
Mean ambulatory visits, No. | 10.7 | 9.0 | 12.9 | 10.9c |
With high morbidity (RUB 4 or 5), % | 40 | 34.6 | 45.2 | 42.7a |
SF-12 PCS, mean score (range 0–100) | 39.6 | 40.9 | 39.4 | 39.1b |
Known provider continuity (KPC) | ||||
With high multiple provider (MP) continuity, % | 47.2 | 100 | … | … |
With high personal provider (PP) continuity, % | 19.6 | 41.6 | 0 | 0a |
Continuity-related variables from questionnaires | ||||
Relational continuity | ||||
Mean scored | 8.5 | 8.9 | 8.4 | 7.5 |
With high continuity, % | 41.7 | 43.1 | 40.9 | 38.7b |
Interpersonal communication | ||||
Mean scored | 8.7 | 9.0 | 8.9 | 8.0 |
With high communication, % | 46.5 | 47.4 | 46.6 | 41.3b |
Coordination within the clinic | ||||
Mean scored,e | 8.1 | 8.3 | 8.1 | 8.0 |
With high coordination, %e | 24.6 | 27.5 | 23.1 | 15.8b |
Coordination with specialists | ||||
Mean scored,f | 7.9 | 8.4 | 8.1 | 6.9 |
With high coordination, %f | 39.4 | 41.9 | 36.8 | 40.0b |
Overall coordination | ||||
Mean scored | 9.0 | 9.3 | 9.0 | 8.4 |
With high coordination, % | 58.4 | 43.9 | 36.5 | 31.7a |
High combined continuity score, % | 34.0 | 37.3 | 31.4 | 30.0a |
With family physician, % | 99.1 | 99.1 | 99.7 | 95.5a |
ANOVA = analysis of variance; RUB = Resource Utilization Band; SF-12 PCS = Short Form-12 physical component summary score.
↵a Tested and found significant (P ≤.05) by ANOVA or χ2.
↵b Tested and not found significant (P >.05) by ANOVA or χ2.
↵c Tested and not found significant by negative binomial regression.
↵d Means rescaled from 0–10, with 0 indicating low and 10 indicating high continuity/communitation/coordination; not tested statistically because distribution with ceiling effect.
↵e These results apply for 232 patients who had other physicians or nurses who worked in their physician’s office and played an important role in their care (30% of patients in ambulatory clinics); 109 of these patients had high, 104 moderate, and 19 low KPC-MP.
↵f These results apply for 447 patients who were referred to a specialist or education center for 1 of the 2 problems targeted by this study (diabetes, cardiovascular disease) (58.4% of patients in ambulatory clinics); 198 of these patients had high, 209 moderate and 40 low KPC-MP.