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Comparison of continuity in a resident versus private practice
1Division of General Pediatrics, Department of Pediatrics, Medical University of South Carolina, Charleston, South Carolina 29425, USA. dardenpm@musc.edu
Pediatrics
|December 4, 2001
Summary
Pediatric resident continuity of care was lower overall than in private practices but surprisingly high given limited resident clinic time. Continuity for health maintenance visits was excellent, matching one private practice and exceeding another.
Area of Science:
- Pediatric healthcare delivery
- Medical education and training
- Continuity of care metrics
Background:
- Continuity of care is recognized as crucial in pediatric education.
- Following patients longitudinally is a key aspect of pediatrician training.
Purpose of the Study:
- To quantify continuity of care within a pediatric residency practice.
- To compare resident practice continuity with nearby private pediatric groups.
- To evaluate established continuity measurement indices.
Main Methods:
- Utilized visit data from July 1992 to June 1995 for resident and private practices.
- Measured continuity using five indices, including usual provider and patient/physician continuity.
- Compared resident continuity practice (RCP) with two private practices (PP1, PP2).
Main Results:
- Overall continuity in RCP (53%) was lower than in PP1 (70%) and PP2 (77%).
- Continuity exceeded 50% for most measures, except the Continuity of Care Index (COC).
- Health maintenance visit continuity in RCP (96%) matched PP2 and surpassed PP1 (82%).
- Resident practice had the lowest percentage of patients not seen for health maintenance (15%).
Conclusions:
- Despite limited clinic time, pediatric resident continuity of care was notably high.
- Continuity for essential health maintenance visits was comparable or superior to private practices.
- Findings support the value of continuity in resident training programs.
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