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Continuity of Care Impact Study: Patient Experiences & Influences on Healthcare Confidence

This research explores the significance of having the same primary care provider over time in healthcare settings. It delves into how high continuity of care affects patient-reported experiences and primary care impacts. The study highlights that continuity of care plays a crucial role in a doctor's knowledge of the patient, shared decision-making, and patient confidence and satisfaction. However, it may not directly influence interpersonal care processes or patient activation levels. The findings underscore the importance of continuity of care for shaping certain patient experiences and fostering confidence in accessing and utilizing healthcare services when needed.

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Continuity of Care Impact Study: Patient Experiences & Influences on Healthcare Confidence

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  1. The Research Question Continuity of care: does having the same primary care provider over time matter?S.T. Wong, A. Katz, Peterson, S., & Taylor, C. • Does high continuity of care predict: a) patient reported experiences of care? b) patient reported impacts of primary care? • Why this is important? • Important measure of primary care performance • Previous data: Associated with lower health care costs and improved outcomes (e.g. fewer hospitalizations, better medication adherence, disclosure of behavioral concerns)

  2. What the Researchers Did • Population/Subjects: • 2176 adults aged 18-90 years who spoke English, French, Chinese, or Punjabi living across British Columbia and Manitoba • Design: retrospective population-based cohort • Methods: • Random digit dial survey (patient experience) • Linked survey to patient’s administrative data (to derive a continuity of care -CC- index), N=1609 agreed to linkage

  3. What the Researchers Found • Majority of patients have high CC; CC associated with older age, chronic conditions, higher score on ADG and female gender • CC predictive of • doctor’s knowledge of patient • shared decision-making • confidence & satisfaction • No predictive for interpersonal processes of care or patient activation

  4. What This Means for Clinical Practice • Higher continuity of care is important for influencing: • Some patient experiences • Confidence that people can obtain and use care when needed • Higher continuity of care won’t necessarily help patients acquire the skills, knowledge, or confidence to manage their health on a day-to-day basis

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