Emeritus Professor of General Practice, Imperial College London.
Int J Integr Care. 2012 Apr-Jun;12:e128. doi: 10.5334/ijic.975. Epub 2012 Jun 29.
This perspective paper makes a brief conceptual review of continuity and argues that relationship continuity is the most controversial type. Plentiful evidence of association with better satisfaction and outcomes urgently needs to be supplemented by studies of causation. The scope of these has been outlined in this paper. Evidence strongly suggests that patients generally want more relationship continuity than they are getting and that relationship continuity is linked with better patient and staff satisfaction. This is reason enough to justify improving relationship continuity for patients.
这篇观点文章对连续性进行了简要的概念回顾,并认为关系连续性是最具争议的类型。大量与更好的满意度和结果相关的证据迫切需要通过因果关系研究来补充。本文概述了这些研究的范围。有强有力的证据表明,患者通常希望与医生保持更多的关系连续性,而这种连续性与患者和医务人员的满意度提高有关。这足以说明为患者改善关系连续性是合理的。