ArticleBMJ open2021
Continuity of care, measurement and association with hospital admission and mortality: a registry-based longitudinal cohort study.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
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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
19 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
- Fragmentation by design.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- AI in Psychiatry for Improving Continuity of Patient Care: Protocol for a Mixed Methods Systematic Review.JMIR research protocols · 2026Article
- Bridging success in the labour market: does continuity of general practitioners' care matter for individuals with common mental disorders?The European journal of health economics : HEPAC : health economics in prevention and care · 2026Article
- Categorizing continuity of care measures and why you have (probably) been doing it wrong: a methodological discussion and recommendations for researchers.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Article
- Continuity of Primary Care in Community Health Centers.Annals of family medicine · 2026Article
- Primary Care Continuity and Utilization Patterns for Veterans With Homeless Experience.JAMA network open · 2026Observational
- 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
- Continuity of care in primary care: is it time to demand it?The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- The hidden impact of workforce instability on patient trust.Frontiers in health services · 2026Article
- Continuity of care for all? Associations between migration background and personal continuity among persons aged 50 and older in Dutch primary care: a registry-based observational study.Family practice · 2025Observational
- Improving continuity of care in Finnish primary health care: Insights from a nationwide qualitative study of primary care physicians.The European journal of general practice · 2025Article
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- Preadmission morbidity and healthcare utilization among older adults with potentially avoidable hospitalizations: a Danish case-control study.European geriatric medicine · 2024Article
- Continuity of primary care for type 2 diabetes and hypertension and its association with health outcomes and disease control: insights from Central Vietnam.BMC public health · 2024Article
- How to support caregivers in general practice: development of the Caregiver Care Model.Palliative care and social practice · 2024Article
- Continuity of care and mortality for patients with chronic disease: an observational study using Norwegian registry data.Family practice · 2023Observational
- Appointments aren't Access: The Hidden Work of Getting Care.Journal of primary care & community healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess whether continuity of care (COC) with a general practitioner (GP) is associated with mortality and hospital admissions for older patients We argue that the conventional continuity measure may overestimate these associations. To better reflect COC as a GP quality indicator, we present an alternative, service-based measure.
designRegistry-based, population-level longitudinal cohort study.
settingLinked data from Norwegian administrative healthcare registries, including 3989 GPs.
participants757 873 patients aged 60-90 years with ≥2 contacts with a GP during 2016 and 2017.
main outcome measureAll-cause emergency hospital admissions, emergency admissions for ambulatory care sensitive conditions, and mortality, in 2018.
resultsWe assessed COC using the conventional usual provider of care index (UPC
conclusionsA continuity measure based on each patient's contacts with own preferred GP may overestimate the importance of COC as a feature of the GP practice. An alternative, service-based measure of continuity could be suitable as a quality measure in primary healthcare. Facilitating continuity should be considered a health policy measure to reduce inequalities in health.
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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.