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The relationship between continuity and patient satisfaction: a systematic review.

Rhodes Adler¹, Athanasia Vasiliadis, Nina Bickell

¹Mt Sinai School of Medicine, New York, NY 10128, USA. rhodes.adler@mssm.edu

Family Practice

|January 8, 2010

Summary

Doctor-patient continuity has a variable effect on patient satisfaction. This systematic review assessed evidence on the relationship between continuity of care and patient satisfaction.

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Area of Science:

Health Services Research
Patient Experience
Primary Care

Background:

Continuity of care between doctors and patients is believed to influence patient satisfaction.
Understanding this relationship is crucial for improving healthcare delivery.

Purpose of the Study:

To systematically review existing evidence on the association between doctor-patient continuity and patient satisfaction.
To synthesize findings from studies conducted in general, family, and internal medicine practices.

Main Methods:

A systematic review was conducted using MEDLINE and Cumulative Index to Nursing and Allied Health Literature databases.
Studies published between 1981 and 2007 were included if they involved adults in primary care settings with ongoing physician contact.
The review examined various measures of continuity and patient satisfaction.

Main Results:

Out of 263 initially identified studies, 12 met the inclusion criteria for the review.
A wide array of 12 different continuity measures and 9 different patient satisfaction measures were utilized across the included studies.
The analysis revealed a variable impact of continuity on patient satisfaction.

Conclusions:

The relationship between doctor-patient continuity and patient satisfaction is not consistently positive or negative.
Healthcare providers should consider the multifaceted nature of continuity when aiming to enhance patient satisfaction.
Further research may be needed to clarify the specific aspects of continuity that most significantly impact patient satisfaction.