Can continuity of care in primary care be sustained in the modern health system?

Abstract

BACKGROUND: Continuity of care is considered a core component of high-performing primary healthcare systems. As the population and primary care workforce grow, and the burden of chronic disease increases, it is becoming more difficult to provide care from one general practitioner. OBJECTIVES: This viewpoint article identifies strategies for encouraging the benefits of continuity of care within a modern health system. DISCUSSION: Seeing the same doctor may not be as important as an attitude to provide care consistent with a therapeutic doctor–patient relationship. This attitude may provide the benefits of continuity of care, and should not be lost as our health system becomes more complex.