Evidence map›Paper›PMID 40127983›Full record

ArticleAnnals of family medicine2025

Convenience or Continuity: When Are Patients Willing to Wait to See Their Own Doctor?

Gregory Shumer, Dongru Chen, John Holkeboer, Lauren Marshall, Devon Kinney, Ananda Sen, Michael Klinkman, Katherine J Gold

Abstract read
In one paragraph

Article in Annals of family medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

8 authors.

Gregory ShumerUniversity of Michigan, Michigan Medicine, Ann Arbor, Michigan gdshumer@med.umich.edu.
Dongru ChenUniversity of Michigan, Ann Arbor, Michigan.
John HolkeboerUniversity of Michigan, Ann Arbor, Michigan.
Lauren MarshallUniversity of Michigan, Ann Arbor, Michigan.
Devon KinneyUniversity of Michigan, Ann Arbor, Michigan.
Ananda SenUniversity of Michigan, Ann Arbor, Michigan.
Michael KlinkmanUniversity of Michigan Health System, Ann Arbor, Michigan.
Katherine J GoldUniversity of Michigan, Ann Arbor, Michigan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMuch of the literature on team-based primary care has focused on physician productivity, workload, and burnout. Less is known about how team-based care influences patient satisfaction and perceptions of the trade-off between continuity and access. This study assessed the preferences of family medicine patients for seeing their primary care physician (PCP) vs other team clinicians based on visit type and wait time.

methodsOur cross-sectional online survey asked patients about their primary care clinics, PCP, portal use, self-reported health, and demographics. For multivariate analysis, we used weighted logistic regression analysis with survey data to calculate maximum likelihood estimates and converted these to odds ratios. We controlled for age and self-reported health as continuous variables and for demographics as categorical variables.

resultsWe surveyed 4,795 adult patients and received responses from 2,516 (52.5%). More than one-half of patients preferred to see only their PCP for an annual checkup (52.6%), follow-up of a chronic condition (54.6%), or follow-up for a mental health condition (56.8%). Similarly, the majority of patients preferred to wait 3 to 4 weeks to see their PCP for issues possibly requiring a sensitive examination (68.2%), a new mental health concern (58.9%), or a new concern about a chronic condition (61.1%).

conclusionsOur findings show that patients value having a PCP and maintaining continuity with their PCP. They also provide insight on when patients would prefer to wait to see their own PCP vs being seen more quickly by another clinician. As health care delivery and scheduling continue to evolve, these findings provide guidance for leaders in primary care.

Indexed as

Continuity of Patient CareHealth Services AccessibilityPatient PreferencePrimary Health CareAdultAgedCross-Sectional StudiesFamily PracticeFemaleHumansLogistic ModelsMaleMiddle AgedPatient SatisfactionSurveys and QuestionnairesTime Factorsallied health personnelchronic care: patient preferenceshealthcare teamprimary care issues: access to care/barriers to accessprimary care issues: clinician-patient communication/relationshipprimary care issues: continuity of careprimary care issues: patient-centered care

Identifiers

PMID40127983
PMCPMC11936363

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.