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."
457 Citations
Continuity of care with doctors—a matter of life and death? A systematic review of continuity of care and mortality
- Medicine, Political ScienceBMJ Open
- 2018
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?
- Medicine, Political ScienceCanadian Family Physician Médecin de famille canadien
- 2021
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, Political ScienceOntario health technology assessment series
- 2013
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.
- Medicine, Political ScienceSultan Qaboos University medical journal
- 2007
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.
- Medicine, Political ScienceThe American journal of managed care
- 2019
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.
- MedicineInternational journal for quality in health care : journal of the International Society for Quality in Health Care
- 2012
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.
- Medicine, Political ScienceThe Canadian journal of cardiology
- 2009
Relational continuity of care in community pharmacy: A systematic review.
- Medicine, Political ScienceHealth & social care in the community
- 2021
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?
- Medicine, Political ScienceThe British journal of general practice : the journal of the Royal College of General Practitioners
- 2009
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
- Political Science, Medicine
- 2020
This review attempts to summarize the most updated knowledge about the continuity of care, highlighting the concept of continuity of Care, definitions, types, significant benefits, common challenges and obstacles, and different means and tools for assessment and some available data about the current situation internationally.
References
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Does continuity of care matter? Yes: consistent contact with a physician improves outcomes.
- Medicine, Political ScienceThe Western journal of medicine
- 2001
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?
- MedicineThe Journal of family practice
- 1982
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
- Medicine, Political Science
- 1994
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
- Medicine, Political ScienceJournal of community health
- 1996
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
- Medicine, Political ScienceAnnals of Internal Medicine
- 1997
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.
Continuity of care and the physician-patient relationship: the importance of continuity for adult patients with asthma.
- Medicine, Political ScienceThe Journal of family practice
- 2000
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.
- MedicineQRB. Quality review bulletin
- 1989
Continuity of outpatient medical care in elderly men. A randomized trial.
- MedicineJAMA
- 1984
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
- Medicine, Political ScienceAcademic medicine : journal of the Association of American Medical Colleges
- 2002
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.