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Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data
Published on: July 27, 2018
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Development of a novel GP continuity measurement for practices without personal lists
Kate Sidaway-Lee1, Denis Pereira Gray1, Jason Fearn-Smith2
1St Leonard's Research Practice, Exeter, United Kingdom of Great Britain and Northern Ireland.
Summary
A new measure, the modified SLICC (mSLICC), improves continuity of care assessment in general practices. This monthly tool has fewer limitations than existing methods and can be used without named GP lists.
Area of Science:
- Primary Care Research
- Health Services Research
- General Practice
Background:
- Continuity of General Practitioner (GP) care is recognized as crucial for effective healthcare delivery.
- Existing measures for assessing GP care continuity have limitations, necessitating improved methodologies.
- A universally applicable continuity measure is required for all general practices.
Purpose of the Study:
- To develop an improved measure for assessing continuity of GP care.
- To compare the performance of the new measure against established continuity indices.
- To evaluate the applicability of the new measure across different patient demographics.
Main Methods:
- Development of the modified St Leonard's Index of Continuity of Care (mSLICC) measure.
- A one-year pilot study conducted in two general practices utilizing audit data.
- Comparison of mSLICC performance with the St Leonard's Index of Continuity of Care (SLICC), Bice-Boxerman (BB), and Usual Provider of Care (UPC) indices.
Main Results:
- The mSLICC included a higher proportion of patients and appointments compared to UPC/BB in the pilot study.
- In Practice A, mSLICC was 52.0% and SLICC was 57.1%; in Practice B, mSLICC was 25.7% and SLICC was 25.1%.
- The mSLICC demonstrated a strong correlation with the SLICC (r=0.98, p<0.001) and showed fewer limitations than BB and UPC.
Conclusions:
- The modified SLICC (mSLICC) is a novel, monthly measure for assessing continuity of GP care.
- The mSLICC overcomes limitations of previous measures like BB and UPC and does not necessitate a named GP.
- With adequate IT infrastructure, the mSLICC can be implemented in practices lacking personal lists to monitor continuity of care effectively.
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