ArticleJournal of primary care & community health2017
How Preferences for Continuity and Access Differ Between Multimorbidity and Healthy Patients in a Team Care Setting.
Article in Journal of primary care & community health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 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
15 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Access or continuity: a zero sum game? A systematic review of the literature examining the relationship between access and continuity in primary healthcare.BMC primary care · 2025Pooled it
- Multimorbidity and consultation time: a systematic review.BMC family practice · 2020Pooled it
- Pooled it
- Timeliness, continuity or travel time: results of a choice-based analysis exploring public preferences for access to primary care in Canada.BMC primary care · 2026Article
- A Dual-Perspective Comparison of Classical and Clinic-Based Multidisciplinary Team Models in Cancer Care: A Cross-Sectional and Qualitative Study.Health science reports · 2026Article
- Can multidisciplinary teams improve the quality of primary care? A scoping review.EClinicalMedicine · 2025Review
- Task Shifting, eHealth and Shared Decision-Making-Preference Heterogeneity in the Adult Population for Developments in Outpatient Primary Healthcare.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- An unclear partnership: key questions about physician and advanced practice provider collaboration in primary care.Health affairs scholar · 2025Article
- Continuity of Care: A Primer for Family Medicine Residencies.Family medicine · 2024Review
- Patient perspectives on primary care for multimorbidity: An integrative review.Health expectations : an international journal of public participation in health care and health policy · 2022Review
- Assessing the experience of person-centred coordinated care of people with chronic conditions in the Netherlands: Validation of the Dutch P3CEQ.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Priorities and preferences for care of people with multiple chronic conditions.Health expectations : an international journal of public participation in health care and health policy · 2021Article
- Self-scheduling Medical Visits in a Multispecialty, Multisite Medical Practice: Complexity, Challenges, and Successes.Health services research and managerial epidemiologyArticle
- Review
- Observational
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.
Funding
Abstract
introductionTeam-based care has become an essential part of modern medical practice. Patient-centered medical homes often struggle to balance the dual competing goals of acute access and continuity of care. Multimorbidity patients may value continuity more than healthy patients, and thus may prefer to wait to see their primary care physician (PCP).
methodsA total of 1700 randomly selected healthy adults and multimorbidity patients were asked to rate satisfaction with care and presented with 4 acute and 4 chronic scenarios to choose an access and continuity preference in an anonymous mailed survey.
resultsIn all, 770 responses were obtained. All respondents preferred to be seen 2.5 days sooner for acute appointments. Multimorbidity patients preferred to wait 0.28 days longer for acute issues to see their PCP. Patients who were not satisfied with their care team preferred to wait 0.75 days to see their PCP. Those not satisfied with their PCP choose to be seen 0.38 days sooner by their care team or any physician.
conclusionsAll patients prefer continuity of care with their PCP for chronic disease management and value quick access to care for acute problems. For acute visits, multimorbidity patients prefer to wait longer to see their PCP than healthy adults. Satisfaction also plays an important role in patients' willingness to wait for an appointment with their PCP.
Indexed as
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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.