How this fits in

Longitudinal continuity of care is associated with lower mortality, fewer hospital admissions, better care for chronic disease, and greater patient satisfaction. In spite of these benefits few practices measure continuity and measurement is not supported by health policy. Using the Usual Provider of Care (UPC) index this study found a strong correlation between patient measures of continuity and practice UPC scores. It illustrates GP continuity across a whole health economy and demonstrates that patient age and practice size are the strongest predictors. Improving continuity will require incentivisation, and regular measurement to support change.