ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2025
Patient characteristics and degrees of discontinuity of care in Danish general practice: a cohort study.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Continuity of Primary Care in Community Health Centers.Annals of family medicine · 2026Article
- Association between continuity of care and detection of hypertension in Dutch general practice: a 10-year cohort study.BMJ open · 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
- Beyond headcount: four dimensions of Canada's primary care access crisis and a three-level agenda for action.Frontiers in medicine · 2025Article
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3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundContinuity of care is crucial for effective health care, but patients often experience discontinuity of care. Understanding the patterns and associated patient characteristics can guide interventions to improve continuity of care.
aimTo investigate longitudinal provider discontinuity of care to identify disparities in patient characteristics across degrees of discontinuity of care in Danish general practice. DESIGN &
settingCohort study using data from all Danish general practice patients aged ≥12 years, who were alive between 2007 and 2018.
methodLogistic regression was employed to estimate discontinuity of care at level 0 versus: 1-2 shifts, 3-4 shifts, 5-6 shifts, 7-8 shifts, and ≥9 shifts. Five regression models were used to analyse the odds of different levels of discontinuity of care relative to demographic, regional, municipal, socioeconomic, and morbidity factors.
resultsThe majority of males were likely to have lower levels of discontinuity of care than females; however, males in the subgroup with the most shifts had a higher likelihood of experiencing the highest level of discontinuity. Younger adults aged 25-44 years had a higher likelihood of moderate-to-high discontinuity of care compared to those aged 12-24 years, whereas older adults had a lower probability. Discontinuity of care was higher among residents of the Capital and Zealand Regions, and varied by municipality type - being lowest in intermediate areas and highest in peripheral and rural municipalities at the most severe levels. Individuals who were unemployed, those in the lower income quartiles, and those classified as being of 'other ethnicities' and single status had increased probability of discontinuity of care. Patients with lower or moderate-to-high morbidity were also more likely to experience discontinuity of care than patients with no chronic diseases.
conclusionThis study revealed disparities in discontinuity of care linked to lower socioeconomic status and higher morbidity, with varying odds by region, municipality type, age, and gender.
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