ArticleHealth expectations : an international journal of public participation in health care and health policy2006
Patients' perceptions and experiences of 'continuity of care' in diabetes.
Article in Health expectations : an international journal of public participation in health care and health policy, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
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The trial behind it
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Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 83 citations in OpenAlex.
- The role of hospitals in bridging the care continuum: a systematic review of coordination of care and follow-up for adults with chronic conditions.BMC health services research · 2017Pooled it
- The breadth of primary care: a systematic literature review of its core dimensions.BMC health services research · 2010Pooled it
- An exercise programme for community-dwelling, mobility-restricted and chronically ill older adults with structured support by the general practitioner's practice (HOMEfit). From feasibility to evaluation.Zeitschrift fur Gerontologie und Geriatrie · 2013Trial
- Exploring the Intensity and Continuity of Hospital Care for Patients With Long Covid: Evidence From an English Urban Healthcare System.Health expectations : an international journal of public participation in health care and health policy · 2026Observational
- Linkage to HIV care and hypertension and diabetes control in rural South Africa: Results from the population-based Vukuzazi Study.PLOS global public health · 2022 · on this mapArticle
- Why does continuity of care with family doctors matter? Review and qualitative synthesis of patient and physician perspectives.Canadian family physician Medecin de famille canadien · 2021Review
- Diabetes care provided by national standards can improve patients' self-management skills: A qualitative study of how people with type 2 diabetes perceive primary diabetes care.Health expectations : an international journal of public participation in health care and health policy · 2021Article
- Review
- Impact on health and provision of healthcare services during the COVID-19 lockdown in India: a multicentre cross-sectional study.BMJ open · 2021Article
- Prioritizing Community-Based Intervention Programs for Improving Treatment Compliance of Patients with Chronic Diseases: Applying an Analytic Hierarchy Process.International journal of environmental research and public health · 2021Article
- Attitudes, perceptions, and behaviours associated with hospital admission avoidance: a qualitative study of high-risk patients in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Article
- Infinicare framework for integrated understanding of health-related activities in clinical and daily-living contexts.Health systems (Basingstoke, England) · 2018Article
- Continuity of care with physicians and risk of subsequent hospitalization and end-stage renal disease in newly diagnosed type 2 diabetes mellitus patients.Therapeutics and clinical risk management · 2018Article
- Survey Instruments to Assess Patient Experiences With Access and Coordination Across Health Care Settings: Available and Needed Measures.Medical care · 2017Review
- Defining continuity of care from the perspectives of mental health service users and professionals: an exploratory, comparative study.Health expectations : an international journal of public participation in health care and health policy · 2016Article
- "It is not possible for me to have diabetes"-community perceptions on diabetes and its risk factors in Rural Purworejo District, Central Java, Indonesia.Global journal of health science · 2014Article
- Assessing patients' experience of integrated care: a survey of patient views in the North West London Integrated Care Pilot.International journal of integrated care · 2014Article
- A tool for assessing continuity of care across care levels: an extended psychometric validation of the CCAENA questionnaire.International journal of integrated care · 2013Article
- General practitioner advice on physical activity: analyses in a cohort of older primary health care patients (getABI).BMC family practice · 2011Article
- Living with diabetes: quality of care and quality of life.Patient preference and adherence · 2011Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background'Continuity of care' is an important aspect of quality. However, definitions are broad and existing models of continuity are not well grounded in empirical data.
objectiveTo identify patients' experiences and values with respect to continuity in diabetes care.
methodsIn-depth semi-structured interviews with 25 type 2 diabetic patients from 14 general practices in two inner London boroughs. Interviews were transcribed and responses analysed thematically and grouped into dimensions of continuity of care.
resultsPatients' accounts identified aspects of care they valued that were consistent with four dimensions of experienced continuity of care. These were receiving regular reviews with clinical testing and provision of advice over time (longitudinal continuity); having a relationship with a usual care provider who knew and understood them, was concerned and interested, and took time to listen and explain (relational continuity); flexibility of service provision in response to changing needs or situations (flexible continuity); and consistency and co-ordination between different members of staff, and between hospital and general practice or community settings (team and cross-boundary continuity). Problems of a lack of experienced continuity mainly occurred at transitions between sites of care, between providers, or with major changes in patients' needs.
conclusionsThe study develops a patient-based framework for assessing continuity of care in chronic disease management and identifies key transition points with problems of lack of continuity. It is important that service 'redesign' and developments in vertically integrated services for chronic disease management take account of impacts on patients' experience of continuity of care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.