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Related Experiment Videos

Does continuous care from a physician make a difference?

A J Dietrich, K I Marton

    The Journal of Family Practice
    |November 1, 1982
    PubMed
    Summary

    Continuity of care with a personal health care provider improves patient satisfaction, compliance, and disclosure of behavioral issues. This longitudinal care model shows no negative effects and may reduce costs, highlighting its benefits for the healthcare system.

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    Area of Science:

    • Healthcare delivery
    • Health services research
    • Patient-provider relationships

    Background:

    • Continuity of care with a personal health care provider is a recognized but debated concept.
    • The existing literature on longitudinal care's impact on quality of care requires rigorous review.

    Purpose of the Study:

    • To systematically review the literature on the effects of continuous, longitudinal care from a personal health care provider on the quality of care.
    • To identify methodological strengths and weaknesses in existing studies.

    Main Methods:

    • A literature search was conducted using specific selection criteria and methodological standards.
    • Sixteen studies were identified, with four providing the most substantial and valid information.

    Main Results:

    • Longitudinal care has demonstrated improvements in patient and staff satisfaction, medication and appointment adherence, and patient disclosure of sensitive behavioral issues.
    • No adverse effects associated with continuous care have been identified.
    • Some evidence suggests potential cost reductions in healthcare with ongoing provider relationships.

    Conclusions:

    • A consistent finding across reviewed studies is that longitudinal care can enhance various aspects of healthcare quality.
    • Methodological challenges, particularly inconsistent definitions of continuity, were noted.
    • Shifting away from provider-patient relationships may risk losing significant benefits of continuous care.

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