ArticleAnnals of family medicine
Measuring continuity of care in diabetes mellitus: an experience-based measure.
Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Interventions to improve continuity of care in the follow-up of patients with cancer.The Cochrane database of systematic reviews · 2012Pooled it
- Measurement properties of questionnaires measuring continuity of care: a systematic review.PloS one · 2012Pooled it
- Trial
- Rental assistance impacts on diabetes: Insights from a longitudinal mixed-methods analysis.SSM. Qualitative research in health · 2026Article
- Outcome of Follow-Up Care Frequency on the Glycemic Control of Diabetic Patients in Qassim, Saudi Arabia.Cureus · 2025Article
- Cross-cultural adaptation of the Quebecois Patient-Centered Coordination by a Care Team Questionnaire for use in France.BMC primary care · 2024Article
- Content validity of patient-reported measures evaluating experiences of the quality of transitions in healthcare settings-a scoping review.BMC health services research · 2024Article
- COVID-19 pandemic has disrupted the continuity of care for chronic patients: evidence from a cross-sectional retrospective study in a developing country.BMC primary care · 2023Article
- Continuity of care among diabetic patients in Accra, Ghana.Frontiers in public health · 2023Article
- Primary Healthcare Nurses' Views on Digital Healthcare Communication and Continuity of Care: A Deductive and Inductive Content Analysis.Nursing reports (Pavia, Italy) · 2022Article
- Ghrelin Receptor Signaling Is Not Required for Glucocorticoid-Induced Obesity in Male Mice.Endocrinology · 2020Article
- Patients' views on interactions with practitioners for type 2 diabetes: a longitudinal qualitative study in primary care over 10 years.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Article
- Effect of continuity of care on health-related quality of life in adult patients with hypertension: a cohort study in China.BMC health services research · 2016Article
- Do claims-based continuity of care measures reflect the patient perspective?Medical care research and review : MCRR · 2014Article
- Evaluation of a patient-reported continuity of care model for older adults.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2014Article
- Article
- A tool for assessing continuity of care across care levels: an extended psychometric validation of the CCAENA questionnaire.International journal of integrated care · 2013Article
- Heart failure patients' experiences with continuity of care and its relation to medication adherence: a cross-sectional study.BMC family practice · 2012Article
- How should continuity of care in primary health care be assessed?The British journal of general practice : the journal of the Royal College of General Practitioners · 2009Article
- [Big mysteries. Can you see the loch Ness monster? The biopsychosocial model and community activities].Atencion primaria · 2007Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeContinuity is an important attribute of health care, but appropriate measures are not currently available. We developed an experience-based measure of continuity of care in type 2 diabetes.
methodsA 19-item measure of experienced continuity of care for diabetes mellitus (ECC-DM) was developed from qualitative patient interview data with 4 continuity subdomains: longitudinal, flexible, relational, and team and cross-boundary continuity. The measure was implemented in a survey of 193 patients with type 2 diabetes from 19 family practices. Associations of ECC-DM scores with clinician organizational characteristics were estimated.
resultsPotential ECC-DM scores ranged from 0 to 100 with an observed mean of 62.1 (SD 16.0). The average inter-item correlation was 0.343 and Cronbach's alpha was 0.908. Factor analysis found 4 factors that were generally consistent with the proposed subdomains. Patients' mean scores varied significantly between practices (P = .001), ranging from 46 to 78 at different family practices. Experienced continuity was lower for patients receiving only hospital clinic care than for those receiving some diabetes care from their family practice (difference 13.7; 95% confidence interval [CI], 8.2-19.2; P <.001). Patients had higher ECC-DM scores if their family practice had a designated lead doctor for diabetes (difference 8.2; 95% CI, 2.7-13.6; P = .003).
conclusionsThe results provide evidence for the reliability, construct validity, and criterion validity of the experienced continuity-of-care measure. The measure may be used in research and monitoring to evaluate patient-centered outcomes of diabetes care. Patients' experiences of continuity of care vary between health care organizations and are influenced by the organizational arrangements for care.
Indexed as
Identifiers
What OpenQuestion holds
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.