NDLI: Measuring patient-perceived continuity of care for patients with long-term conditions in primary care

Content Provider	Springer Nature : BioMed Central
Author	Hill, Kate M Twiddy, Maureen Hewison, Jenny House, Allan O
Abstract	Background Continuity of care is widely acknowledged as important for patients with multi-morbidity but simple, service-orientated indices cannot capture the full impact of continuity in complex care delivery systems. The patient’s perspective is important to assess outcomes fully and this is challenging because generic measures of patient-perceived continuity are lacking. We investigate the Chao Perception of Continuity (Chao PC) scale to determine its suitability as a measure of continuity of care for patients with a long-term condition (stroke), and co-morbidity, in a primary care setting. Methods Design and Setting: A questionnaire study embedded in a prospective observational cohort study of outcomes for patients following acute stroke. Participants: 168 community dwelling patients (58% male) mean age 68 years a minimum one year post-stroke. Functional status: Barthel Index mean =16. Intervention: A 23-item questionnaire, the Chao Perception of Continuity (Chao PC) scale, sent by post to their place of residence or administered face to face as part of the final cohort study assessment. Results 310 patients were invited to participate; 168 (54%) completed a questionnaire. All 23 questionnaire items were entered into a Principal Component Analysis. Emergent factors from the exploratory analysis were (1) inter-personal trust (relational continuity); (2) interpersonal knowledge and information (informational and relational continuity) and (3) the process of care (managerial continuity). The strongest of these was inter-personal trust. Conclusion The context-specific items in the Chao PC scale are difficult for respondents to interpret in a United Kingdom Primary Care setting resulting in missing data and low response rates. The Chao-PC therefore cannot be recommended for wider application as a general measure of continuity of care without significant modification. Our findings reflect the acknowledged dimensions of continuity and support the concept of continuity of care as a multi-dimensional construct. We demonstrate the overlapping boundaries across the dimensions in the factor structure derived. Trust and interpersonal knowledge are clearly identified as valuable components of any patient-perceived measure of continuity of care.
Related Links	https://bmcprimcare.biomedcentral.com/counter/pdf/10.1186/s12875-014-0191-8.pdf
Ending Page	8
Page Count	8
Starting Page	1
File Format	HTM / HTML
ISSN	27314553
DOI	10.1186/s12875-014-0191-8
Journal	BMC Primary Care
Issue Number	1
Volume Number	15
Language	English
Publisher	BioMed Central
Publisher Date	2014-12-05
Access Restriction	Open
Subject Keyword	General Practice Family Medicine Primary Care Medicine Continuity of care Primary health care Long-term conditions Trust
Content Type	Text
Resource Type	Article
Subject	Family Practice
Journal Impact Factor	3.2/2023
5-Year Journal Impact Factor	3.3/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Measuring patient-perceived continuity of care for patients with long-term conditions in primary care

Experiences of care planning in England: interviews with patients with long term conditions

Long-term cardiovascular conditions: the role of primary care.

Long term condition morbidity in English general practice: a cross-sectional study using three composite morbidity measures

Community pharmacy integration within the primary care pathway for people with long-term conditions: a focus group study of patients’, pharmacists’ and GPs’ experiences and expectations

The association of patient trust and self-care among patients with diabetes mellitus

Patient-perceived barriers and facilitators to the implementation of a medication review in primary care: a qualitative thematic analysis

A motivational intervention for patients with COPD in primary care: qualitative evaluation of a new practitioner role

Telephone survey of private patients' views on continuity of care and registration with general practice in Ireland

Measuring patient-perceived continuity of care for patients with long-term conditions in primary care

Similar Documents

Measuring patient-perceived continuity of care for patients with long-term conditions in primary care

Experiences of care planning in England: interviews with patients with long term conditions

Long-term cardiovascular conditions: the role of primary care.

Long term condition morbidity in English general practice: a cross-sectional study using three composite morbidity measures

Community pharmacy integration within the primary care pathway for people with long-term conditions: a focus group study of patients’, pharmacists’ and GPs’ experiences and expectations

The association of patient trust and self-care among patients with diabetes mellitus

Patient-perceived barriers and facilitators to the implementation of a medication review in primary care: a qualitative thematic analysis

A motivational intervention for patients with COPD in primary care: qualitative evaluation of a new practitioner role

Telephone survey of private patients' views on continuity of care and registration with general practice in Ireland

Measuring patient-perceived continuity of care for patients with long-term conditions in primary care