Patients' Perceptions of Interpersonal Continuity of Care

Pandhi, Nancy; Saultz, John

doi:10.3122/jabfm.19.4.390

Cited by 96 publications

(89 citation statements)

References 31 publications

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“…28 Indeed, past work has found that higher continuity is associated with higher patient satisfaction 23 and, in some studies, better clinical outcomes. 24,26 However, pressures to improve access to primary care, including use of same-day visits and open-access scheduling, threaten to reduce interpersonal continuity, as improving PCP availability often means reducing the ability to manage patients as a sole provider. Indeed, some prior work has shown that efforts to improve access have resulted in a decline in continuity.…”

Section: Resultsmentioning

confidence: 99%

“…24 This effect on improved care may extend to fewer ER visits. On the other hand, PCPs who provide more continuous care may be less accessible in the case of an emergency, 25,26 and may thus increase ER use. The evidence on this question is scant, but the tension between continuity and improving access in primary care is particularly relevant as primary care moves toward team-based care models such as the medical home.…”

mentioning

confidence: 99%

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Primary Care Access and Emergency Room Use Among Older Veterans

et al. 2014

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Section: Resultsmentioning

confidence: 99%

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confidence: 99%

Primary Care Access and Emergency Room Use Among Older Veterans

et al. 2014

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“…The substantial benefit of interpersonal continuity of care has been reported in a number of studies and is related to better care outcomes (26)(27)(28)(29), including patient enablement (2,4,15). This seems to be important to majority of patients, particularly those from vulnerable groups (27,30). In the context of population aging and increased number of patients with more chronic conditions, continuity of care confirms itself as one of the core principles of family medicine and these issues should be considered by policy makers when addressing future organization of primary health care services in Croatia.…”

Section: Discussionmentioning

confidence: 99%

Patient, Physician, and Practice Characteristics Related to Patient Enablement in General Practice in Croatia: Cross-sectional Survey Study

et al. 2008

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AimTo investigate the quality of general practice care in Croatia by using patient enablement as a consultation outcome measure and its association with patient, physician, and practice characteristics.Methods A cross-sectional questionnaire-based study performed from November 2003 to March 2004 included a national stratified random sample of 350 general practitioners, who were asked to collect data on 50 consecutive consultations with their patients aged ≥18 years. Patients provided data on patient enablement (Patient Enablement Instrument, score range 0-12), consultation length, sociodemographic data, how well they knew the physician, health self-assessment, quality of life, and reason for the visit. Physicians provided data on age, sex, vocational training, working experience, educational work, average number of patients per day, and type of practice.Results In 5527 patients, the mean score (±standard deviation) for enablement at consultation was 6.6 ± 3.3 and the mean consultation length was 11.5 ± 5.5 minutes. Logistic regression analysis showed that lack of continuity of care (men: OR, 0.56; 95% CI, 0.47-0.67; women: OR, 0.52; 95% CI, 0.45-0.61), poor self-perceived health (men: OR, 1.76; 95% CI, 1.49-2.07; women: OR, 1.77; 95% CI, 1.53-2.04), low educational level, low quality of life for both sexes and older age in male patients predicted low enablement (P < 0.05 for each). Physician age, sex, and average number of patients per day were significantly correlated with enablement for male patients and physician working experience with enablement for female patients (P < 0.05 for each).Conclusion Patient enablement score in Croatia is high in comparison with countries such as the UK and Poland. Enablement at consultations was related to the continuity of care and patient health status, and other patient, physician, and practice characteristics, suggesting that these parameters should be considered when assessing quality of care in general practice.

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“…1 Studies from different countries suggest that interpersonal continuity of care is highly valued by patients, especially by females, older patients, and those with chronic disease. 7,8 Continuity of care is associated with improved patient outcomes 9,10 and increased patient satisfaction. [11][12][13] However, interpersonal continuity has declined in recent years in the UK and in other countries.…”

Section: Introductionmentioning

confidence: 99%