ArticleScandinavian journal of primary health care2017
Association between continuity of care in Swedish primary care and emergency services utilisation: a population-based cross-sectional study.
Article in Scandinavian journal of primary health care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.
What it found
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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
44 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Personal GP continuity improves healthcare outcomes in primary care populations: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Pooled it
- GP turnover in a multiprofessional team-based primary care system: evidence from Sweden.Scandinavian journal of primary health care · 2026Observational
- Continuity of care in the context of a primary health care reform: a follow-up after the SwedishScandinavian journal of primary health care · 2026Article
- Barriers to satisfactory primary care contacts for Swedish cancer survivors: a cross-sectional survey.Scandinavian journal of primary health care · 2026Article
- 'We can go hand in hand' - patients with COPD and their experiences of relational continuity of care in Swedish primary care: a qualitative study.Scandinavian journal of primary health care · 2026Article
- Association of General Practice Continuity With Hospital Admissions and Costs: A Retrospective Study.Annals of family medicine · 2026Article
- Continuity of care and patient-reported experiences in Norwegian general practice: are they linked, and does the measurement of continuity matter?Family practice · 2026Article
- Effect of Continuity of Care on Emergency Care and Hospital Admissions Among Patients Receiving Home-Based Care: A Population-Based Cohort Study.Annals of family medicine · 2026Article
- Experiences of Continuity of Care Among Registered Nurses Caring for Patients With Chronic Obstructive Pulmonary Disease in Primary Care: A Qualitative Study.Journal of advanced nursing · 2025Article
- Patient perceptions of relational continuity in England: insights from two cross-sectional surveys.BJGP open · 2025Article
- Sociodemographic and Health Behaviour of Frequent, Avoidable Emergency Department Users in Ontario, Canada: A Population-based Descriptive Study.The western journal of emergency medicine · 2025Article
- Article
- Variation in emergency department visits among residents of Swedish nursing homes between 2019 and 2020, a population-based cohort study.BMC health services research · 2025Article
- Adverse working conditions in Romanian out-of-hours primary care (OOH-PC): an interview study.Human resources for health · 2025Article
- Large Variation in Adherence to Diagnostic Guidelines in Hypertension Management in Swedish Primary Healthcare.Journal of clinical hypertension (Greenwich, Conn.) · 2025Article
- Conditions for and potential solutions associated with continuity of care for patients with complex care needs across Swedish regions with differing population densities.BMC health services research · 2025Article
- Association between continuity of primary care and preventable hospitalization in adults with asthma: A cohort study.PloS one · 2025Article
- Continuity of primary care and avoidable hospitalization in a young population with asthma: a population-based cohort study.Scientific reports · 2024Article
- Relationship between continuity of primary care and hospitalisation for patients with COPD: population-based cohort study from South Korea.BMJ open respiratory research · 2024Article
- Patient Experience With Resident Versus Staff Physicians: Results From a Cross-Sectional Patient Survey From Canadian Family Medicine Residencies.Family medicine · 2024Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe primary objective of this study was to determine the association between longitudinal continuity of care (CoC) in Swedish primary care (PC) and emergency services (ES) utilisation. STUDY
designA cross-sectional analysis of longitudinal population data.
settingPC centres, out-of-hours PC facilities and emergency departments (EDs) in Blekinge County in southern Sweden. SUBJECTS: People of all ages who lived in Blekinge County and who had made two or more visits per year to a general practitioner (GP) during office hours from 1 January 2012 to 31 December 2014.
main outcome measureES utilisation.
resultsEight-thousand one-hundred and eighty-five people were included in the study. CoC was quantified using three different indices-Usual Provider of Care index (UPC), Continuity of Care index (CoCI), and Sequential Continuity index (SECON). The CoC that the PC centres could offer their enrolled patients varied significantly between the different centres, ranging from 0.23-0.57 for UPC, 0.12-0.43 for CoCI, and 0.25-0.52 for SECON. Association between the three CoC indices and ES utilisation was computed as an incidence rate ratio which ranged between 0.50 and 0.59.
conclusionLongitudinal CoC was shown to have a negative association with ES utilisation. The association was significant and of a magnitude that implies clinical relevance. Computed incidence rate ratios suggest that patients with the lowest CoC had twice as many ES visits compared to patients with the highest CoC.
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