Factors Associated With Resident Continuity in Ambulatory Training Practices

Continuity of care is a critical element of residents' educational experience in primary care programs. We examined how continuity in resident practices compares to nonteaching practices, identified factors associated with increased continuity, and explored the association between continuity an...

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Bibliographic Details
Published in:Journal of graduate medical education 2016-10, Vol.8 (4), p.532-540
Main Authors: Fortuna, Robert J, Garfunkel, Lynn, Mendoza, Michael D, Ditty, Megan, West, Julia, Nead, Karen, Robbins, Brett W
Format: Article
Language:English
Subjects:
Adolescent
Age Factors
Aged
Ambulatory Care Facilities - organization & administration
Continuity of Patient Care - statistics & numerical data
Family Practice - education
Female
Humans
Internal Medicine - education
Internship and Residency - organization & administration
Male
Middle Aged
New York
Original Research
Patient Care - statistics & numerical data
Pediatrics - education
Young Adult
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Summary:Continuity of care is a critical element of residents' educational experience in primary care programs. We examined how continuity in resident practices compares to nonteaching practices, identified factors associated with increased continuity, and explored the association between continuity and quality measures. We analyzed 117 235 patient visits to 4 resident practices (26 resident teams in internal medicine, pediatrics, family medicine, and medicine-pediatrics) and 270 242 visits to nonteaching community practices between July 2013 and May 2014. We defined continuity from both clinician and patient perspectives, and used logistic regression models to examine the influence of factors on continuity while controlling for postgraduate year, patient age, gender, race, and insurance. Continuity was greater at nonteaching sites compared to resident practices (87.3% versus 56.2%,  
ISSN:1949-8349
1949-8357
DOI:10.4300/JGME-D-15-00755.1