Evidence map›Paper›PMID 34536072›Full record

Observational studyFamily practice2022

Continuity of care for patients with chronic disease: a registry-based observational study from Norway.

Sahar Pahlavanyali, Øystein Hetlevik, Jesper Blinkenberg, Steinar Hunskaar

Abstract readObservational Study
In one paragraph

Observational study in Family practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
  2. Article
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  4. Observational
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  6. Observational
  7. Team-based continuity of care for patients with hypertension: a retrospective primary care cohort study in Hong Kong.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
    Article
  8. Article
  9. Article
  10. Observational
  11. 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

4 authors.

Sahar PahlavanyaliDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.ORCID 0000-0002-8401-7592
Øystein HetlevikDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.ORCID 0000-0001-8912-3426
Jesper BlinkenbergDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.ORCID 0000-0002-1713-4350
Steinar HunskaarDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.ORCID 0000-0001-9602-6034

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundContinuity of care (CoC) is accepted as a core value of primary care and is especially appreciated by patients with chronic conditions. Nevertheless, there are few studies investigating CoC for these patients across levels of healthcare.

objectiveThis study aims to investigate CoC for patients with somatic chronic diseases, both with regular general practitioners (RGPs) and across care levels.

methodsWe conducted a registry-based observational study by using nationwide consultation data from Norwegian general practices, out-of-hours services, hospital outpatient care, and private specialists with public contracts. Patients with diabetes mellitus (type I or II), asthma, chronic obstructive pulmonary disease, or heart failure in 2012, who had ≥2 consultations with these diagnoses during 2014 were included. CoC was measured during 2014 by using the usual provider of care (UPC) index and Bice-Boxerman continuity of care score (COCI). Both indices have a value between 0 and 1.

resultsPatients with diabetes mellitus comprised the largest study population (N = 79,165) and heart failure the smallest (N = 4,122). The highest mean UPC and COCI were measured for patients with heart failure, 0.75 and 0.77, respectively. UPC increased gradually with age for all diagnoses, while COCI showed this trend only for asthma. Both indices had higher values in urban areas.

conclusionsOur findings suggest that CoC in Norwegian healthcare system is achieved for a majority of patients with chronic diseases. Patients with heart failure had the highest continuity with their RGP. Higher CoC was associated with older age and living in urban areas.

Indexed as

AsthmaHeart FailureChronic DiseaseContinuity of Patient CareHumansNorwayRegistriesRetrospective Studieschronic diseasecontinuity of caregeneral practicehealthcare systemNorwayobservational study

Identifiers

PMID34536072
PMCPMC9295609

What OpenQuestion holds

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Registered trials

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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.