ArticleAnnals of family medicine
Validation of a generic measure of continuity of care: when patients encounter several clinicians.
Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02386189 (Dual Health Systems Users), which is not on this map. Cited by 62 papers, 5 of them syntheses 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.
Dual Health Systems Users: Strategies to Implement Optimal Care Coordination
Who cites it
62 citing papers in PubMed, 5 syntheses or guidelines pooled it, 115 citations in OpenAlex.
- Patient reported measures of continuity of care and health outcomes: a systematic review.BMC primary care · 2024Pooled it
- Pooled it
- Questionnaires that measure the quality of relationships between patients and primary care providers: a systematic review.BMC health services research · 2018Pooled it
- Measurement tools and outcome measures used in transitional patient safety; a systematic review.PloS one · 2018Pooled it
- A systematic review of the care coordination measurement landscape.BMC health services research · 2013Pooled it
- Low-touch, team-based care for co-morbidity management in cancer patients: the ONE TEAM randomized controlled trial.BMC family practice · 2021Trial
- Predictors of Older Adult Adherence With Emergency Department Discharge Instructions.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2021Trial
- Telehealth for patients at high risk of cardiovascular disease: pragmatic randomised controlled trial.BMJ (Clinical research ed.) · 2016Trial
- Trial
- Factors associated with unmet healthcare needs in patients using Primary Care Access Points for unattached patients in Quebec (Canada).PloS one · 2026Article
- Article
- Profiling patterns of patient experiences of access and continuity at team-based primary healthcare clinics (Canada): a latent class analysis.International journal for equity in health · 2024Article
- 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
- Factors affecting the experience of joined-up, continuous primary care in the absence of relational continuity: an observational study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Observational
- Inter-Establishment Complex Musculoskeletal Care Pathways in Montreal: Timeline of a Collaboration Involving a Research Team Within a Continuous Quality Improvement Initiative.Health services insights · 2024Article
- Article
- Developing and testing scales for home support service continuity (HSSC): cross-sectional studies in Canada and UK.BMJ open · 2023Article
- Patients Living with Social Vulnerabilities Experience Reduced Access at Team-Based Primary Healthcare Clinics.Healthcare policy = Politiques de sante · 2023Article
- From Identity to Ambugity: Exploring Interprofessional Collaboration Opportunities for Pharmacists in Rural and Remote Australia.Pharmacy (Basel, Switzerland) · 2023Article
2 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePatients who regularly see more than one clinician for health problems risk discontinuity and fragmented care. Our objective was to develop and validate a generic measure of management continuity from the patient perspective.
methodsThemes from 33 qualitative studies of patient experience with care from various clinicians were matched to existing instruments to identify potential measures and measurement gaps. Adapted and new items were tested cognitively, and the instrument was administered to 376 adult patients consulting in primary care for a variety of health conditions but seeing clinicians in a variety of settings. After initial psychometric analysis, the instrument was modified slightly and readministered after 6 months. The analysis identified reliable subscales and their association with indicators of continuity.
resultsObserved factors correspond to 8 intended constructs, with good reliability. Three subscales (12 items) relate to the principal clinician and cover management and relational continuity. Four subscales (13 items) are related to multiple clinicians and address team relational continuity and problems with coordination and gaps in information transfer. Two (11 items) pertain to the patient's partnership in care. Subscales correlate well and in expected directions with indicators of discontinuity (wanting to change clinicians, suffering, and sense of being abandoned, medical errors) and degree of care organization.
conclusionThe instrument reliably assesses both positive and negative dimensions of continuity of care across the entire system, and the subscales correlate with continuity effects. It supports patient-centered and relationship-based care and can be used as a whole or in part to assess coordination and continuity in primary 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.