Measuring Provider Continuity in Ambulatory Care: An Assessment of Alternative Approaches

A comparison is made of existing measures of provider continuity in ambulatory care to assess differences and limitations. New measures are proposed that complement and improve upon certain limitations of existing measures. These measures are applied to a pilot study of hypertensive patients being s...

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Bibliographic Details
Published in:Medical care 1979-06, Vol.17 (6), p.551-565
Main Author: Steinwachs, Donald M.
Format: Article
Language:English
Subjects:
Adult
Aged
Ambulatory Care - statistics & numerical data
Continuity of Patient Care
Cost efficiency
Diseases
Episodes of care
Hospital Bed Capacity, 500 and over
Humans
Hypertension - therapy
Lost to follow up
Maryland
Mathematical constants
Middle Aged
Models, Theoretical
Outcome and Process Assessment (Health Care)
Outpatient Clinics, Hospital - statistics & numerical data
Patient care
Pediatrics
Physicians
Pilot Projects
Primary health care
Primary Health Care - organization & administration
Time Factors
Zero
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Description
Summary:A comparison is made of existing measures of provider continuity in ambulatory care to assess differences and limitations. New measures are proposed that complement and improve upon certain limitations of existing measures. These measures are applied to a pilot study of hypertensive patients being seen in a medical outpatient clinic of a teaching hospital. The need for further development and refinement of continuity measures is indicated, and a unifying framework for measuring provider continuity is suggested.
ISSN:0025-7079
1537-1948
DOI:10.1097/00005650-197906000-00001