Evidence map›Paper›PMID 28379827›Full record

ArticleJournal of the American Board of Family Medicine : JABFM

Association between Continuity of Care and Health-Related Quality of Life.

Elizabeth A Bayliss, Jennifer L Ellis, Jo Ann Shoup, Deanna B McQuillan, John F Steiner, Chan Zeng

Abstract read
In one paragraph

Article in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
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

6 authors.

Elizabeth A BaylissFrom the Institute for Health Research, Kaiser Permanente Colorado, Denver (EAB, JLE, JAS, DBM, JFS, CZ); the Department of Family Medicine, University of Colorado School of Medicine, Aurora (EAB); and the Department of Internal Medicine, University of Colorado School of Medicine, Aurora (JFS). elizabeth.bayliss@kp.org.
Jennifer L EllisFrom the Institute for Health Research, Kaiser Permanente Colorado, Denver (EAB, JLE, JAS, DBM, JFS, CZ); the Department of Family Medicine, University of Colorado School of Medicine, Aurora (EAB); and the Department of Internal Medicine, University of Colorado School of Medicine, Aurora (JFS).
Jo Ann ShoupFrom the Institute for Health Research, Kaiser Permanente Colorado, Denver (EAB, JLE, JAS, DBM, JFS, CZ); the Department of Family Medicine, University of Colorado School of Medicine, Aurora (EAB); and the Department of Internal Medicine, University of Colorado School of Medicine, Aurora (JFS).
Deanna B McQuillanFrom the Institute for Health Research, Kaiser Permanente Colorado, Denver (EAB, JLE, JAS, DBM, JFS, CZ); the Department of Family Medicine, University of Colorado School of Medicine, Aurora (EAB); and the Department of Internal Medicine, University of Colorado School of Medicine, Aurora (JFS).
John F SteinerFrom the Institute for Health Research, Kaiser Permanente Colorado, Denver (EAB, JLE, JAS, DBM, JFS, CZ); the Department of Family Medicine, University of Colorado School of Medicine, Aurora (EAB); and the Department of Internal Medicine, University of Colorado School of Medicine, Aurora (JFS).
Chan ZengFrom the Institute for Health Research, Kaiser Permanente Colorado, Denver (EAB, JLE, JAS, DBM, JFS, CZ); the Department of Family Medicine, University of Colorado School of Medicine, Aurora (EAB); and the Department of Internal Medicine, University of Colorado School of Medicine, Aurora (JFS).

Funding

AHRQ HHS R01 HS018404
6 · The paper itself

Abstract

backgroundPatient-reported outcomes (PROs) are considered potential quality metrics for patients with multiple chronic medical conditions (MCC). Although continuity of care (COC) is an essential MCC care process, the association between common PROs and COC is unknown.

methodsWe assessed baseline and two-year follow-up self-reported health status, physical, and emotional well-being, and COC in seniors with MCC. Using mixed effects models with repeated measures adjusting for age, gender, and morbidity, we assessed each outcome as a function of COC.

resultsOf 2,078 seniors, 961 completed the initial survey and 806 completed follow-up. On a 0-100 scale, mean (sd) baseline self-reported health status, physical well-being, and emotional well-being were 48.7 (22.0), 36.4 (11.4), and 54.8 (9.0). On a 0 to 1 scale, mean baseline and 2-year COC were 0.24 (sd 0.22) and 0.22 (0.18). Follow-up self-reported health status, physical well-being, and emotional well-being were 48.8 (23.1), 36.5 (11.5), and 55.3 (8.8). In adjusted primary and secondary analyses using all available data, there were no associations between any outcomes and COC.

conclusionGiven the measurement burden of quality assessment, negative associations between potential quality metrics and care processes are informative. Systematic assessment of PROs can inform patient-centered MCC care. However, PRO scores should be used with caution as quality measures.

Indexed as

Continuity of Patient CareHealth StatusPatient Reported Outcome MeasuresQuality of LifeAgedAged, 80 and overChronic DiseaseFemaleFollow-Up StudiesHumansMalePatient-Centered CareProspective StudiesSelf ReportTelephoneChronic DiseaseComorbidityContinuity of CareFollow-up StudiesHealth StatusPatient-Reported Outcome MeasuresQuality of Health CareQuality of LifeSelf ReportSurveys and Questionnaires

Identifiers

PMID28379827
PMCPMC8565337

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.