Continuity of Primary Care: To Whom Does It Matter and When

  • Nutting P
  • Zyzanski S
  • Goodwin M
 et al. 
  • 2

    Readers

    Mendeley users who have this article in their library.
  • N/A

    Citations

    Citations of this article.

Abstract

BACKGROUND Inconsistent findings on the value of continuity of care can stem from variability in its importance to different subsets of patients. We therefore examined the association among patient and visit characteristics and extent to which the patient valued continuity of care (PVC). We hypothesized that continuity would be more important to patients who are older, sicker, and female, who have established a relationship with their physician, and whose visit addresses more complex problems. METHODS A study of 4,454 consecutive outpatient visits to 138 community-based family physicians used a 3-item measure ({alpha} = 0.67) of PVC. The patient's report of (1) the adequacy of primary care for the visit and (2) satisfaction with the physician on that visit was assessed with multiple measures. Analyses examined the associations among PVC and patient-reported satisfaction with the physician and adequacy of the visit. RESULTS Extremes of age, female sex, less education, Medicare and Medicaid insurance, number of chronic conditions and medications, number of visits to the practice, and worse self-reported health status were associated with higher value placed on continuity (P

Get free article suggestions today

Mendeley saves you time finding and organizing research

Sign up here
Already have an account ?Sign in

Find this document

There are no full text links

Authors

  • Paul A Nutting

  • Stephen J Zyzanski

  • Meredith A Goodwin

  • Susan A Flocke

  • Kurt C Stange

Cite this document

Choose a citation style from the tabs below

Save time finding and organizing research with Mendeley

Sign up for free