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. 2023 Jul-Aug;21(4):305–312. doi: 10.1370/afm.2994

Table 1.

Continuity Measures, Examples, and Calculation

Measure and Examplesa Calculation
Usual provider of care (this measure is based on the fraction of contacts with a particular family physician)
Example A: 6/10 = 0.60
Example B: 6/10 = 0.60
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Herfindahl Index (this measure is based on the fraction of contacts with all family physicians)
Example A: (62/102) + (42/102) = 0.52
Example B: (62/102) + (32/102) + (12/102) = 0.46
Inline graphic
Bice-Boxerman Index (also known as Continuity of Care Index; this measure is based on the fraction of contacts with all family physicians who had at least several contacts)
Example A: [(6 × 5)/(10 × 9)] + [(4 × 3)/(10 × 9)] = 0.47
Example B: [(6 × 5)/(10 × 9)] + [(3 × 2)/(10 × 9)] + [(1 × 0)/(10 × 9)] = 0.40
Inline graphic

p = total number of different family physicians; n = total number of contacts with any family physician; ni = number of contacts with family physician i.

a

Example A: the patient had 10 contacts, of which 6 were with family physician A and 4 were with family physician B. Example B: the patient had 10 contacts, of which 6 were with family physician A, 3 were with family physician B, and 1 was with family physician C.