Continuity of care is associated with well-coordinated care

Ambul Pediatr. Mar-Apr 2003;3(2):82-6. doi: 10.1367/1539-4409(2003)003<0082:cociaw>;2.


Context: The importance of continuity of care as a means to promote care coordination remains controversial.

Objective: To determine if there is an association between having an objective measure of continuity of care and parental perception that care is well coordinated.

Design: Cross-sectional study.

Setting and population: Seven hundred fifty-nine patients presenting to a primary care clinic completed surveys that included 5 items from the Components of Primary Care Index (CPCI) that relate to care coordination. MAIN PREDICTOR VARIABLE: A continuity of care index (COC) that quantifies the degree of dispersion of care among providers.

Main outcome measures: Likelihood of parents reporting high scores on the care coordination domain as well as each of the 5 individual CPCI items related to care coordination.

Results: Greater continuity of care was associated with higher scores on the CPCI care-coordination domain (P <.001). Continuity of care was also specifically associated with increased odds of agreeing with all 5 individual CPCI items, including reporting that their child's provider "always knows about care my child received in other places" (OR 3.97 [2.11-7.49]), "communicates with the other health care providers my child sees" (OR 2.98 [1.63-5.44]), "knows the results of my child's visits to other doctors" (OR 2.02 [1.08-3.80]), and "always follows up on a problem my child has had, either at the next visit or by phone" (OR 6.20 [2.88-13.35]) and wanting one provider to coordinate all of the health care that the child receives (OR 3.28 [1.48-7.27]).

Conclusions: Greater continuity of primary care is associated with better care coordination as perceived by parents. Efforts to improve and maintain continuity may be justified.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Child
  • Child Health Services / standards*
  • Child, Preschool
  • Continuity of Patient Care / organization & administration*
  • Cross-Sectional Studies
  • Female
  • Health Care Surveys
  • Humans
  • Male
  • Outcome Assessment, Health Care
  • Parents / psychology
  • Patient Satisfaction / statistics & numerical data
  • Primary Health Care / standards*
  • Quality Indicators, Health Care
  • Washington