Evidence map›Paper›PMID 21841115›Full record

ArticleCanadian family physician Medecin de famille canadien2011

Continuity of care: differing conceptions and values.

Dianne Delva, Jonathan Kerr, Karen Schultz

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. The impact of role modelling on the future general practitioner workforce: a systematic review.Education for primary care : an official publication of the Association of Course Organisers, National Association of GP Tutors, World Organisation of Family Doctors · 2022
    Pooled it
  2. Pooled it
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  4. Review
  5. Observational
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  10. Depth of the patient-doctor relationship and content of general practice consultations: cross-sectional study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015
    Article
  11. Article
  12. Article
  13. Why continuity matters: Ian McWhinney's insights for 21st-century medical education.Canadian family physician Medecin de famille canadien · 2014
    Article
  14. Resident physician perspectives on outpatient continuity of care.Journal of graduate medical education · 2013
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Dianne DelvaDalhousie University, Undergraduate Medical Education, Room C-125, 5849 University Ave, Halifax, NS B3H 4H7. Dianne.Delva@dal.ca
Jonathan Kerr
Karen Schultz

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo understand how the conception of continuity of care can influence family physician trainees by exploring the perspectives of established family physicians, physicians working in episodic care who had been trained in family medicine, and family medicine trainees.

designQualitative analysis of focus group data.

settingSoutheastern Ontario.

participantsSeven focus groups consisting of members from 3 groups: established family physicians, physicians working in episodic care who had been trained in family medicine, or family medicine trainees.

methodsSemistructured focus group interviews were taped and transcribed. Using constant comparison, the transcripts were analyzed for themes related to continuity of care and how these were valued among the 3 groups of physicians. MAIN

findingsThe 3 groups differed on how they valued continuity of the relationship, how they valued informational continuity, and how these concepts affected their perceptions of difficult clinician-patient relationships. Experienced family physicians described long-term relationships as a core value in their practices. In contrast, episodic care physicians valued informational continuity. Family medicine trainees learned about continuity of care through role models and theoretical teaching. They valued the efficiency gained by knowing patients and the reward of being recognized by patients. Family medicine trainees expressed greater distress with difficult clinician-patient interactions than experienced family physicians expressed. It was unclear whether the challenges of difficult relationships were offset by the trainees' appreciation of continuity of care.

conclusionDifferent perceptions, settings, and skills can influence how continuity of care is valued, which might affect career and practice decisions among trainees.

Indexed as

Attitude of Health PersonnelContinuity of Patient CareInternship and ResidencyPhysician-Patient RelationsPhysicians, FamilyAdultAgedFamily PracticeFemaleFocus GroupsHumansMaleMiddle AgedOntarioQualitative ResearchSocial Values

Identifiers

PMID21841115
PMCPMC3155449

What OpenQuestion holds

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Registered trials

None linked

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.