Chao J
Department of Family Medicine, Case Western Reserve University, Cleveland, Ohio 44106.
Fam Med. 1988 Sep-Oct;20(5):333-7.
Continuity of medical care has been conceptualized by some researchers as an attitude on the part of the patient and provider rather than as a succession of visits to the same provider. A perception of continuity (PC) scale containing 23 statements was developed to empirically test this conceptualization. A cross-sectional, random sample survey of adult patients in an established suburban family practice utilized a chart review and mailed patient questionnaire to assess the potential value of this scale. The PC scale had a high degree of internal reliability and a greater correlation with patient satisfaction than two commonly used provider continuity measures, even after controlling for demographic variables. The cost of ambulatory primary medical care was not significantly related to any of the continuity measures. The measurement of patient attitudes to define continuity provided information distinct from provider continuity formulas.
一些研究人员将医疗服务的连续性概念化为患者和提供者的一种态度，而非对同一提供者的一系列就诊。为了实证检验这一概念化，开发了一个包含23条陈述的连续性感知（PC）量表。在一个成熟的郊区家庭医疗诊所对成年患者进行了横断面随机抽样调查，利用病历审查和邮寄患者问卷来评估该量表的潜在价值。即使在控制了人口统计学变量之后，PC量表仍具有高度的内部可靠性，并且与患者满意度的相关性比两种常用的提供者连续性测量方法更高。门诊初级医疗护理的成本与任何连续性测量方法均无显著关联。通过测量患者对连续性的态度所提供的信息，与提供者连续性公式所提供的信息不同。
