ArticleJournal of general internal medicine2008
The effect of physician continuity on diabetic outcomes in a resident continuity clinic.
Article in Journal of general internal medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
35 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.
- Effects of continuity of care on health outcomes among patients with diabetes mellitus and/or hypertension: a systematic review.BMC family practice · 2021Pooled it
- Understanding Low Breast Cancer Screening Rates by Resident Physicians.Journal of general internal medicine · 2026Article
- Differences in Ambulatory Care Outcomes Between Trainees and Faculty: A Multi-center Study.Journal of general internal medicine · 2025Article
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- Parsley Health: Feasibility and acceptability of a large-scale holistic telehealth program for chronic disease care.Frontiers in digital health · 2023Article
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- Continuity and Health Outcomes in Resident Clinics: A Scoping Review of the Literature.Cureus · 2022Article
- Integrating Interprofessional Trainees into a Complex Care Program for Veterans Experiencing Homelessness: Effects on Health Services Utilization.Journal of general internal medicine · 2021Article
- Residency Practice Transformation: Implementation of Team-Based Care in an Academic Continuity Clinic.Journal of graduate medical education · 2020Article
- Sports Medicine Staffing Across National Collegiate Athletic Association Division I, II, and III Schools: Evidence for the Medical Model.Journal of athletic training · 2020Article
- A Decade of Teaching and Learning in Internal Medicine Ambulatory Education: A Scoping Review.Journal of graduate medical education · 2019Article
- Utilization patterns of insulin for patients with type 2 diabetes from national health insurance claims data in South Korea.PloS one · 2019Article
- Article
- The Challenges of Iran's Type 2 Diabetes Prevention and Control Program.International journal of preventive medicine · 2019Article
- Continuity of Care in Resident Outpatient Clinics: A Scoping Review of the Literature.Journal of graduate medical education · 2018Article
- Patient Experiences in a Linguistically Diverse Safety Net Primary Care Setting: Qualitative Study.Journal of participatory medicine · 2018Article
- Gaps and barriers in health-care provision for co-morbid diabetes and chronic kidney disease: a cross-sectional study.BMC nephrology · 2017Article
- Factors Associated With Resident Continuity in Ambulatory Training Practices.Journal of graduate medical education · 2016Article
- Continuity of Care as an Educational Goal but Failed Reality in Resident Training: Time to Innovate.Journal of graduate medical education · 2016Article
- Continuity Clinic Model and Diabetic Outcomes in Internal Medicine Residencies: Findings of the Educational Innovations Project Ambulatory Collaborative.Journal of graduate medical education · 2016Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundConflicting data exists regarding the effect of continuity on diabetes care. Resident physicians frequently treat patients with diabetes in their continuity clinics; however, maintaining continuity in a resident clinic can be very challenging.
objectiveTo determine if resident continuity is associated with improvement in diabetic outcomes (HgA1c, LDL, blood pressure) in a resident clinic. DESIGN AND
settingRetrospective analysis of data obtained from a medical record review of diabetic patients seen in a resident physician clinic. MEASUREMENTS: We measured continuity, using the Usual Provider of Continuity Index (UPC) for residents and faculty preceptors. We measured changes in HgA1c, LDL, and blood pressure over a 3-year period. Using repeated measures analysis of variance (ANOVA), we assessed the relationship between UPC and change in these diabetic outcomes.
resultsThe resident UPC was 0.43, and the faculty preceptor UPC was 0.76. The overall change in HgA1c was -0.3. There was a statistically significant relationship between improvement in HgA1c and resident UPC (p = 0.02), but not faculty preceptor UPC. There was no association between resident or faculty preceptor continuity and change in LDL or blood pressure.
conclusionThis study showed a link between resident continuity and improvement in glycemic control in diabetic patients. Resident physicians have a greater opportunity to develop a personal relationship with their patients. This interpersonal continuity may be of benefit in patients with illnesses that requires a significant amount of self-management behaviors. Medical training programs should focus efforts on improving continuity in resident primary care clinics.
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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.