Blankfield R P, Kelly R B, Alemagno S A, King C M
Department of Family Practice, Fairview General Hospital, Cleveland, OH.
J Fam Pract. 1990 Jul;31(1):69-73.
One of the primary benefits of continuity of care is its influence upon patient and physician satisfaction. This prospective pilot study involved a cohort of 14 second- and third-year family practice residents and 4 full-time faculty at a community hospital-based family practice residency in Cleveland, Ohio. Rates of continuity that physicians experience were calculated using the usual provider continuity (UPC) measure of continuity, and were correlated with physician satisfaction with outpatient care using a practice satisfaction scale (PSS) developed specifically for this purpose. Residents and faculty were also asked to rank order the importance of several aspects of outpatient care, including continuity of care. The results indicate that both residents and faculty value continuity of care highly compared with other aspects of outpatient care. The average continuity rates were 59% for second-year residents, 54% for third-year residents, and 82% for faculty. The UPC continuity measure correlated highly with the PSS scores (corrected r2 = .55; P less than .001). The data support the hypothesis that continuity of care with patients is an important determinant of resident and faculty physician satisfaction with their outpatient experience.
连续性医疗的主要益处之一在于其对患者和医生满意度的影响。这项前瞻性试点研究涉及俄亥俄州克利夫兰一家社区医院家庭医疗住院医师培训项目中的14名二、三年级家庭医疗住院医师以及4名全职教员。使用常规医疗服务连续性（UPC）测量方法计算医生的连续性医疗比例，并通过专门为此目的开发的医疗服务满意度量表（PSS），将其与医生对门诊医疗的满意度进行关联分析。住院医师和教员还被要求对门诊医疗的几个方面（包括连续性医疗）的重要性进行排序。结果表明，与门诊医疗的其他方面相比，住院医师和教员都高度重视连续性医疗。二年级住院医师的平均连续性医疗比例为59%，三年级住院医师为54%，教员为82%。UPC连续性测量与PSS得分高度相关（校正r2 = 0.55；P < 0.001）。这些数据支持了以下假设：与患者的连续性医疗是住院医师和教员对门诊体验满意度的重要决定因素。
