Evidence map›Paper›PMID 40626329›Full record

ArticleScandinavian journal of primary health care2026

Continuity of care in the context of a primary health care reform: a follow-up after the Swedish

Hannes Kohnke, Andrzej Zielinski, Anders Beckman, Henrik Ohlsson

Abstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Persistence and truth in research and practice.Scandinavian journal of primary health care · 2026
    Article
  4. 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.

Hannes KohnkeDepartment of Clinical Sciences, Faculty of Medicine, Lund University, Lund, Sweden.ORCID 0000-0002-6339-3599
Andrzej ZielinskiBlekinge Centre of Competence, Region Blekinge, Karlskrona, Sweden.
Anders BeckmanDepartment of Clinical Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
Henrik OhlssonDepartment of Clinical Sciences, Center for Primary Health Care Research, Lund University, Lund, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundContinuity of care (CoC) is essential for effective primary health care (PHC), yet Swedish PHC has historically exhibited low levels of continuity. The Swedish

methodsUsing register data from Region Skåne (2007-2017), we created three closed cohorts, each capturing three years of PHC utilization. Continuity with GPs was measured using the Continuity of Care Index (CoCI). Quantile regression assessed associations between continuity and individual characteristics, including age, sex, income, education and residence.

resultsAmong 322,641 individuals with 7,878,642 general practitioner (GP) visits, median CoCI declined from 0.17 (2007 cohort) to 0.13 (2015 cohort). Higher age, male sex and increased PHC utilization were linked to greater continuity in 2007, but these associations weakened by 2015.

conclusionsContinuity of care in Swedish PHC declined over time, particularly among older individuals and frequent PHC users. These findings highlight the need to address continuity deterioration in the context of the

Indexed as

Continuity of Patient CareHealth Care ReformPatient PreferencePrimary Health CareAdolescentAdultAgedAge FactorsFemaleFollow-Up StudiesHumansMaleMiddle AgedRegistriesSocioeconomic FactorsSwedenContinuity of patient carehealth care utilizationhealth policypatient choiceprimary health careprivatizationSweden

Identifiers

PMID40626329
PMCPMC12928609

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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.