Evidence map›Paper›PMID 34521712›Full record

ReviewCanadian family physician Medecin de famille canadien2021

Why does continuity of care with family doctors matter? Review and qualitative synthesis of patient and physician perspectives.

Dominik Alex Nowak, Natasha Yasmin Sheikhan, Sumana Christina Naidu, Kerry Kuluski, Ross E G Upshur

Abstract readReview
In one paragraph

Review in Canadian family physician Medecin de famille canadien, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 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

35 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Fragmentation by design.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
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  11. What makes general practice work: the role of continuity in efficient and sustainable primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Article
  12. Article
  13. Role of primary care in depression relapse: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
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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

5 authors.

Dominik Alex NowakFamily physician and adjunct faculty in the Department of Family and Community Medicine at the University of Toronto in Ontario.
Natasha Yasmin SheikhanDoctoral student in the Institute of Health Policy, Management and Evaluation at the University of Toronto, and a recent graduate of Johns Hopkins Bloomberg School of Public Health in Baltimore, MD.
Sumana Christina NaiduMedical student in the Temerty Faculty of Medicine at the University of Toronto.
Kerry KuluskiAssociate Professor in the Institute of Health Policy, Management and Evaluation at the University of Toronto, the inaugural Dr Mathias Gysler Research Chair in Patient & Family Centred Care, and a scientist in the Institute for Better Health at Trillium Health Partners.
Ross E G UpshurFamily physician and Professor in the Department of Family and Community Medicine and the Dalla Lana School of Public Health at the University of Toronto, Head of the Division of Clinical Public Health at the Dalla Lana School of Public Health, and Scientific Director of the Bridgepoint Collaboratory for Research and Innovation.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo summarize and synthesize qualitative studies that report patient and physician perspectives on continuity of care in family practice. DATA SOURCES: MEDLINE (Ovid), EMBASE (Ovid), and PsycInfo (Ovid) were searched for qualitative primary research reporting perspectives of patients, physicians, or both, on continuity of care in family practice. STUDY SELECTION: English-language qualitative studies were selected (eg, interviews, focus groups, mixed methods) that were conducted in Canada, the United States, the United Kingdom, the European Union, New Zealand, or Australia. SYNTHESIS: Themes were extracted, summarized, and synthesized. Six overarching themes emerged: continuity of care enables person-centred care; continuity of care increases quality of care; continuity of care leads to greater confidence in medical decision making; continuity of care comes with drawbacks; the absence of continuity of care may lead to medical and psychological harm; and continuity of care can foster greater joy and meaning in a physician's work. Out of the 6 themes, patients and physicians shared the first 5.

conclusionTo the authors' knowledge, this is the first qualitative review reporting the unique perspectives of both patients and family physicians on continuity of care. The findings add nuanced insight to the importance of continuity of care in family practice.

Indexed as

Family PracticePhysicians, FamilyContinuity of Patient CareFocus GroupsHumansQualitative ResearchUnited States

Identifiers

PMID34521712
PMCPMC9683367

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.