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Related Experiment Videos

Preventive care.

Mark P Doescher1, Barry G Saver, Kevin Fiscella

  • 1Department of Family Medicine, University of Washington School of Medicine, Seattle, Washington 98195-4696, USA. mdoesche@u.washington.edu

Journal of General Internal Medicine
|June 24, 2004
PubMed
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Having a consistent healthcare provider and regular care site significantly increases the use of preventive services like flu shots and mammograms. Provider continuity offers further improvements in preventive care receipt.

Area of Science:

  • Health Services Research
  • Preventive Medicine
  • Health Outcomes

Background:

  • Continuity of care is crucial for effective preventive service delivery.
  • Understanding the distinct impacts of site versus provider continuity is essential for optimizing healthcare access.

Purpose of the Study:

  • To investigate how provider continuity and site continuity influence the uptake of key preventive services among adults with regular care.
  • To determine if these continuity factors are independently associated with receiving influenza vaccinations, mammograms, and smoking cessation advice.

Main Methods:

  • Logistic regression analyses were performed on data from the 1996/1997 Community Tracking Study (CTS) household survey.
  • The study included 42,664 adults with various insurance statuses, examining no regular care, site continuity, and provider continuity.

Related Experiment Videos

  • Preventive services analyzed included influenza vaccination, mammography, and smoking cessation advice, adjusted for demographic and health need factors.

    • Main Results:

    • Site continuity was linked to a 10.4% increase in influenza vaccinations and a 12.6% increase in mammography compared to no regular site of care.
    • Provider continuity showed an additional 6.0% increase in influenza vaccinations and a 6.2% increase in mammography compared to site continuity.
    • Neither site nor provider continuity significantly increased smoking cessation advice receipt.

    Conclusions:

    • Both provider continuity and site continuity are independently associated with higher receipt of preventive services.
    • Establishing site continuity increases the likelihood of receiving influenza vaccinations and mammograms.
    • Provider continuity further enhances the uptake of these two critical preventive services.