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. 2007 Dec;7(3):197–206.

Table 2:

Summary of the advantages of different types of continuity

Area/discipline Type of continuity Advantages
Preventive medicine and general health Geographic Patients reported better screening of blood pressure, cholesterol, and cervical cytology. They reported ease of following advice for smoking cessation, exercise and diet
Longitudinal
  • Improvement in control of hypertension and more compliance with medication

  • Blood pressure and cholesterol are checked regularly

  • Decrease in illness visits

  • Improvement in diagnosis of bacterial meningitis

  • Fewer missed appointments

  • Less smoking, more exercise and weight control

Maternity and child health Relational (midwife)
  • Reduced risk of white coat hypertension, pre-eclampsia and use of epidural anaesthesia

  • Low rates of episiotomy, perineal lacerations and electronic foetal monitoring

Team (midwifery)
  • Low rate of Caesarean Section and reduction in analgesic requirements during delivery.

  • Higher birth weight of infants and fewer admissions of infants to a neonatal intensive care unit

Longitudinal
  • Good maintenance of the child’s developmental and immunisation profile

  • Reduced incidence of rheumatic fever in children

Behavioural, mental and psycho-social health Team
  • Reduced risk of re-admission of psychiatric patients and risk of suicide

Relational
  • Increased trust, confidence, and rapport between the patient and the healthcare professional; patient discloses psychosocial problems

  • Greater enablement in the consultation and increased patient satisfaction

  • Patients less likely to have drug and alcohol abuse behaviour

  • Healthcare professionals became better at understanding patients’ social and family context; they becomes better at identifying patients’ psychosocial problems and unspecific symptoms

Cancer Geographic
  • Better screening of cervical cytology

Longitudinal
  • Better cancer screening

Asthma Relational
  • Better emotional and mental well-being

Longitudinal
  • Good communication with the healthcare professional

Diabetes Relational
  • Better emotional and mental well-being

Longitudinal
  • Good preventive measurements (more foot examinations, blood glucose monitoring, retinal examinations, etc.) and usually better diabetic control

Team
  • Good diabetic control