• Corpus ID: 27570022

Does continuity of care improve patient outcomes?

@article{Cabana2004DoesCO,
  title={Does continuity of care improve patient outcomes?},
  author={Michael D. Cabana and Sandra H. Jee},
  journal={The Journal of family practice},
  year={2004},
  volume={53 12},
  pages={
          974-80
        }
}
OBJECTIVE Continuity of care is a cornerstone of primary care that has been promoted by recent trends in medical education and in the way health care delivery is organized. [...] Key MethodDATA SOURCES We conducted a systematic review of all articles in Medline (January 1966 to January 2002), Educational Resources Information Center (ERIC), and PSYCH INFO using the terms "continuity of care" or "continuity of patient care."Expand
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446 Citations
Highly Influential Citations
12
Background Citations
124
Methods Citations
10
Results Citations
9

446 Citations

Citation Type

Citation Type

Continuity of care with doctors—a matter of life and death? A systematic review of continuity of care and mortality
TLDR
This first systematic review reveals that increased continuity of care by doctors is associated with lower mortality rates, and patients across cultural boundaries appear to benefit from continuity of Care with both generalist and specialist doctors.
Why does continuity of care with family doctors matter?
TLDR
This is the first qualitative review reporting the unique perspectives of both patients and family physicians on continuity of care, and the findings add nuanced insight to the importance of continuity of Care in family practice.
Continuity of care to optimize chronic disease management in the community setting: an evidence-based analysis.
  • Medicine
    Ontario health technology assessment series
  • 2013
TLDR
There is low quality evidence that higher continuity of care is associated with decreased health service utilization, improved patient outcomes, and patient satisfaction, and there is insufficient evidence on the relationship of continuity of Care with disease-specific outcomes.
Continuity of Care: Literature review and implications.
TLDR
The results of this review showed that continuity of care is influenced by demographic factors, factors related to patients and healthcare professionals, patient-healthcare professional relationship, inter-professional factors, role of receptionists and organisational factors.
Continuity of outpatient care and avoidable hospitalization: a systematic review.
TLDR
It is identified that increased COC in outpatient care is associated with fewer hospitalizations for ACSCs and increasing COC is favorable for patients who are managing a specific ACSC.
What do we know about patients' perceptions of continuity of care? A meta-synthesis of qualitative studies.
TLDR
This article aims to improve the knowledge on patients' perceptions of relational (RC), informational (IC) and management continuity (MC) across care levels by identifying elements that enhance or distract continuity of care across boundaries.
A mixed methods study of continuity of care from cardiac rehabilitation to primary care physicians.
TLDR
To identify and describe information that is transferred from CR programs to primary care physicians in discharge summaries, and to assess the usefulness of such information from the perspective of the primary care physician.
Relational continuity of care in community pharmacy: A systematic review.
TLDR
It is suggested that a high degree of relational COC in CP could improve safe use of medications among patients and reduce inappropriate drug use and the use of other costly services.
How should continuity of care in primary health care be assessed?
TLDR
It is argued that it is important to distinguish between three distinct but related concepts: longitudinal continuity from a minimum number of health professionals, caring relationships between patients and professionals, and well-coordinated care between professionals.
Continuity of Care at the Primary Health Care Level: Narrative Review
The crucial significance of continuity of care at the level of primary health care is unquestionable. Proper implementation and monitoring are under execution worldwide due to lack of understanding…
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References

SHOWING 1-10 OF 39 REFERENCES
Does continuity of care matter? Yes: consistent contact with a physician improves outcomes.
TLDR
It is found that children with asthma had a higher risk of hospitalization associated with lower continuity than was the case for all children combined and this knowledge may enable providers to identify which patients can be safely managed at home or by telephone, thereby avoiding visits to an ED and possibly even hospitalizations.
Does continuous care from a physician make a difference?
TLDR
Review of the literature regarding the effect of a continuous relationship with a personal health care provider (longitudinal care) on quality of care using specific selection criteria and methodological standards found four studies provided most of the valid information.
Primary Care: Concept, Evaluation, and Policy
TLDR
Dr Starfield, in this well-written and easily readable book, objectively reviews the concept of primary care in its entirety and constructs the argument for primary care starting with a historical review.
Continuity of care and delivery of ambulatory services to children in Community Health Clinics
TLDR
It is concluded that expanding financial access alone is unlikely to sufficiendy improve low-income children's access to Community Health Clinics and additional emphasis on localizing the delivery of both routine and sick care services in a single site or with a specific clinician may be needed to achieve higher levels of both preventive care and overall ambulatory care.
Review: Primary Care: America's Health in a New Era
TLDR
The most valuable chapter in the book defines primary care as the provision of integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community.
Defining quality of care.
TLDR
It is suggested that there are two principal dimensions of quality of care for individual patients; access and effectiveness; and which aspects of care any set of quality indicators actually includes and measures and, and which are not included.
Continuity of care and the physician-patient relationship: the importance of continuity for adult patients with asthma.
TLDR
For patients with asthma, continuity of care was linked to patient evaluations of their interaction with the physician and changes in health care systems that promote discontinuity with individual physicians may be particularly disruptive for patients with chronic diseases.
Regular source of primary medical care and patient satisfaction.
TLDR
Results indicate the greater the degree of continuity in the physician/patient relationship, the higher the level of patient satisfaction, and the importance of conceptualizing continuity on a continuum, or at least across several categories, is demonstrated.
Continuity of outpatient medical care in elderly men. A randomized trial.
TLDR
It is concluded that continuity of outpatient provider care for men aged 55 years and older results in more patient satisfaction, shorter hospitalizations, and fewer emergent hospital admissions.
Primary Care at a Crossroads
  • S. Schroeder
  • Business, Medicine
    Academic medicine : journal of the Association of American Medical Colleges
  • 2002
TLDR
The author concludes that if generalism fails the market test, something very precious will be lost—and that generalist physicians would be so badly missed that they might have to be reinvented.
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