Hennelly V D, Boxerman S B
Med Care. 1979 Oct;17(10):1012-8. doi: 10.1097/00005650-197910000-00004.
Past research in continuity of medical care has generally examined its determinants or its consequences. A model is proposed which combines these lines of research and incorporates a continuity measure as a process and specifying variable. The validity of this model is tested with a set of data consisting of 1,410 persons with major illness episodes. Results show that the model is supported, at least in part. Variables that significantly influence the number of ambulatory visits to a physician include the patient's payment method, the severity of his illness and his referral status. Moreover, the practice type of the usual physician emerges as a significant determinant of physician utilization when the level of continuity is controlled. The use of this more comprehensive model in future studies on continuity is indicated.
过去关于医疗连续性的研究通常考察其决定因素或后果。本文提出了一个模型，该模型将这些研究方向结合起来，并将连续性度量作为一个过程和特定变量纳入其中。使用一组由1410名患有重大疾病发作的人员组成的数据对该模型的有效性进行了检验。结果表明，该模型至少在一定程度上得到了支持。对医生门诊就诊次数有显著影响的变量包括患者的支付方式、疾病严重程度及其转诊状态。此外，当连续性水平得到控制时，普通医生的执业类型成为医生利用情况的一个重要决定因素。文中指出了在未来连续性研究中使用这种更全面模型的必要性。
