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Journal ArticleDOI

Measuring provider continuity in ambulatory care: an assessment of alternative approaches.

Donald M. Steinwachs
- 01 Jun 1979 - 
- Vol. 17, Iss: 6, pp 551-565
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TLDR
New measures are proposed that complement and improve upon certain limitations of existing measures and are applied to a pilot study of hypertensive patients being seen in a medical outpatient clinic of a teaching hospital.
Abstract
A comparison is made of existing measures of provider continuity in ambulatory care to assess differences and limitations. New measures are proposed that complement and improve upon certain limitations of existing measures. These measures are applied to a pilot study of hypertensive patients being seen in a medical outpatient clinic of a teaching hospital. The need for further development and refinement of continuity measures is indicated, and a unifying framework for measuring provider continuity is suggested.

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Journal ArticleDOI

Defining and Measuring Interpersonal Continuity of Care

TL;DR: The medical literature on continuity of care is reviewed to define interpersonal continuity and describe how it has been measured and studied, finding it is best defined as a hierarchy of 3 dimensions; informational, longitudinal, and interpersonal continuity.
Journal Article

Patient-centered medical home demonstration: a prospective, quasi-experimental, before and after evaluation.

TL;DR: A PCMH redesign can be associated with improvements in patient experience, clinician burnout, and quality without increasing overall cost.
Journal ArticleDOI

The Role of Provider Continuity in Preventing Hospitalizations

TL;DR: Continuity of care with a provider is associated with a decreased future likelihood of hospitalization in the Delaware Medicaid population, which suggests that policies that encourage patients to concentrate their care withA single provider may lead to lower hospitalization rates and possibly lower health care costs.
Journal ArticleDOI

The effect of continuity of care on emergency department use.

TL;DR: It is demonstrated that high provider continuity is associated with lower ED use for the Medicaid population, which suggests that strategies to improve continuity of care may result in lowerED use and possibly reduced health care costs.
Journal ArticleDOI

Continuity of Outpatient Medical Care in Elderly Men: A Randomized Trial

TL;DR: 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.
References
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Journal ArticleDOI

Continuity of care in a university-based practice.

TL;DR: Although continuity of well-child visits remained unchanged at the university setting, the continuity of sick visits declined markedly; an increased use of doctor visits for illness care was observed; its relationship with the decline in continuity is analyzed and discussed.
Journal ArticleDOI

Who receives optimal medical care

TL;DR: The findings of this study indicate that upperclass patients are treated longer by their physicians than lower-class patients, regardless of the type of practitioner used or the period the patient delayed.
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