Abstract
Continuity of care, a stated fundamental principle of family medicine, is reviewed in terms of its philosophy and definitions. A model of continuity in primary medical practice is proposed, consisting of five elements: the provider, consumer, encounter type, knowledge base, and environment of continuity. The elements are measurable, some more easily than others. There is need to define and operationalize the model more accurately in order to evaluate continuity in primary care medicine.
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- Alpert J. J., Kosa J., Haggerty R. J., Robertson L. S., Heagarty M. C. Attitudes and satisfactions of low-income families receiving comprehensive pediatric care. Am J Public Health Nations Health. 1970 Mar;60(3):499–506. doi: 10.2105/ajph.60.3.499. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Alpert J. J., Robertson L. S., Kosa J., Heagarty M. C., Haggerty R. J. Delivery of health care for children: report of an experiment. Pediatrics. 1976 Jun;57(6):917–930. [PubMed] [Google Scholar]
- Aylett M. J. Seeing the same doctor. J R Coll Gen Pract. 1976 Jan;26(162):47–52. [PMC free article] [PubMed] [Google Scholar]
- Becker M. H., Drachman R. H., Kirscht J. P. A field experiment to evaluate various outcomes of continuity of physician care. Am J Public Health. 1974 Nov;64(11):1062–1070. doi: 10.2105/ajph.64.11.1062. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Becker M. H., Drachman R. H., Kirscht J. P. Predicting mothers' compliance with pediatric medical regimens. J Pediatr. 1972 Oct;81(4):843–854. doi: 10.1016/s0022-3476(72)80118-5. [DOI] [PubMed] [Google Scholar]
- Bice T. W., Boxerman S. B. A quantitative measure of continuity of care. Med Care. 1977 Apr;15(4):347–349. doi: 10.1097/00005650-197704000-00010. [DOI] [PubMed] [Google Scholar]
- Boyle R. M., Rockhold F. W. An analysis of returning patients in family practice. J Fam Pract. 1979 May;8(5):1029–1036. [PubMed] [Google Scholar]
- Breslau N., Reeb K. G. Continuity of care in a university-based practice. J Med Educ. 1975 Oct;50(10):965–969. doi: 10.1097/00001888-197510000-00006. [DOI] [PubMed] [Google Scholar]
- Charney E., Bynum R., Eldredge D., Frank D., MacWhinney J. B., McNabb N., Scheiner A., Sumpter E. A., Iker H. How well do patients take oral penicillin? A collaborative study in private practice. Pediatrics. 1967 Aug;40(2):188–195. [PubMed] [Google Scholar]
- Cobb J. S., Baldwin J. A. Consultation patterns in a general practice. J R Coll Gen Pract. 1976 Aug;26(169):599–609. [PMC free article] [PubMed] [Google Scholar]
- Geyman J. P. Continuity of care in family practice. Part 4: implementing continuity in a family practice residency program. J Fam Pract. 1975 Dec;2(6):445–447. [PubMed] [Google Scholar]
- Gordis L., Markowitz M. Evaluation of the effectiveness of comprehensive and continuous pediatric care. Pediatrics. 1971 Nov;48(5):766–776. [PubMed] [Google Scholar]
- Hansen M. F. Continuity of care in family practice. Part 3: measurement and evaluation of continuity of care. J Fam Pract. 1975 Dec;2(6):439–444. [PubMed] [Google Scholar]
- Heagarty M. C., Robertson L. S., Kosa J., Alpert J. J. Some comparative costs in comprehensive versus fragmented pediatric care. Pediatrics. 1970 Oct;46(4):596–603. [PubMed] [Google Scholar]
- Hennen B. K. Continuity of care in family practice. Part 1: dimensions of continuity. J Fam Pract. 1975 Oct;2(5):371–372. [PubMed] [Google Scholar]
- Hill M., McAuley R. G., Spaulding W. B., Wilson M. Validity of the term "family doctor": a limited study in Hamilton, Ontario. Can Med Assoc J. 1968 Apr 13;98(15):734–738. [PMC free article] [PubMed] [Google Scholar]
- Hodge R. H., Jr, Reid R. A. A method for assuring continuity of care in residency training experience. J Med Educ. 1977 Sep;52(9):739–744. doi: 10.1097/00001888-197709000-00003. [DOI] [PubMed] [Google Scholar]
- Lewis C. What is the evidence? Am J Dis Child. 1971 Dec;122(6):469–474. doi: 10.1001/archpedi.1971.02110060039004. [DOI] [PubMed] [Google Scholar]
- Macdonald M. D., Morgan D. C., Tucker A. M. Patients' attitudes to the provision of medical care from a health centre. J R Coll Gen Pract. 1974 Jan;24(138):29–36. [PMC free article] [PubMed] [Google Scholar]
- Marsh G. N. The family doctor's responsibility to the individual. J R Coll Gen Pract. 1972 Mar;22(116):149–160. [PMC free article] [PubMed] [Google Scholar]
- McWhinney I. R. Continuity of care in family practice. Part 2: implications of continuity. J Fam Pract. 1975 Oct;2(5):373–374. [PubMed] [Google Scholar]
- Poland M. L. The effects of continuity of care on the missed appointment rate in a prenatal clinic. JOGN Nurs. 1976 Mar-Apr;5(2):45–47. doi: 10.1111/j.1552-6909.1976.tb02292.x. [DOI] [PubMed] [Google Scholar]
- SCHLESINGER R. H., DAVIS C. D., MILLIKEN S. O. Out-patient care--the influence of interrelated needs. Am J Public Health Nations Health. 1962 Nov;52:1844–1852. doi: 10.2105/ajph.52.11.1844. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Shorr G. I., Nutting P. A. A population-based assessment of the continuity of ambulatory care. Med Care. 1977 Jun;15(6):455–464. doi: 10.1097/00005650-197706000-00001. [DOI] [PubMed] [Google Scholar]
- Shortell S. M. Continuity of medical care: conceptualization and measurement. Med Care. 1976 May;14(5):377–391. doi: 10.1097/00005650-197605000-00001. [DOI] [PubMed] [Google Scholar]
- Starfield B. H., Simborg D. W., Horn S. D., Yourtee S. A. Continuity and coordination in primary care: their achievement and utility. Med Care. 1976 Jul;14(7):625–636. doi: 10.1097/00005650-197607000-00008. [DOI] [PubMed] [Google Scholar]
- Steinwachs D. M. Measuring provider continuity in ambulatory care: an assessment of alternative approaches. Med Care. 1979 Jun;17(6):551–565. doi: 10.1097/00005650-197906000-00001. [DOI] [PubMed] [Google Scholar]
- Stevenson J. S. Appointment systems in general practice. How patients use them. Br Med J. 1967 Jun 24;2(5555):827–829. doi: 10.1136/bmj.2.5555.827. [DOI] [PMC free article] [PubMed] [Google Scholar]