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Related Experiment Videos

Why do patients continue to see the same physician?

L L Gabel1, J B Lucas, R C Westbury

  • 1Department of Family Medicine, Ohio State University, Columbus 43212.

Family Practice Research Journal
|June 1, 1993
PubMed
Summary
This summary is machine-generated.

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Patients value long-term relationships with their family physicians, emphasizing familiarity and trust. Key factors for maintaining continuity of care include physician knowledge and patient satisfaction.

Area of Science:

  • Primary Care Medicine
  • Family Practice
  • Patient-Physician Relationship Studies

Background:

  • Continuity of care is a cornerstone of effective family and primary care.
  • Understanding patient perceptions of continuous care is crucial for improving healthcare delivery.
  • Long-term patient-physician relationships foster trust and facilitate better health outcomes.

Purpose of the Study:

  • To explore the meaning patients ascribe to continuity of care.
  • To identify key factors that sustain long-term relationships with family physicians.
  • To understand patient perspectives on continuous primary care.

Main Methods:

  • Conducted structured oral interviews with 60 patients aged 35+ with a single family physician for 15+ years.
  • Analyzed interview data using ethnographic techniques to identify 10 domains of patient perception.

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  • Focused on patients' lived experiences within continuous care relationships.

    • Main Results:

    • Patient familiarity with the physician and physician's knowledge of the patient were primary factors.
    • Patient satisfaction with care and confidence in the physician significantly contributed to relationship maintenance.
    • Physician's personal attributes, communication ease, and professional growth also played a role.

    Conclusions:

    • Continuity of care is deeply valued by patients, built on trust and mutual understanding.
    • Physician knowledge, patient satisfaction, and familiarity are critical for sustained primary care relationships.
    • Practice location and physician availability are more influential in initiating care than in maintaining long-term relationships.