Eriksson E A, Mattsson L G
Med Care. 1983 Sep;21(9):858-75. doi: 10.1097/00005650-198309000-00003.
Continuity of care is a frequently used concept without a commonly accepted definition. Proposed measures reflect different aspects of continuity, the concentration-of-care aspect playing a key role. Almost all previously proposed measures are individual-based. As an alternative we propose a visit-based approach. The visit-based measures are easy to handle technically and, because of immediate interpretations, conceptually. They are more flexible than individual-based measures regarding time perspective and ways of forming subpopulations for different kinds of comparisons. Furthermore, it is possible to derive every individual-based measure hitherto proposed from visit-based measures. When forming population measures from visit-based ones, equal weighting of visits rather than individuals seems natural. We argue that the same weighting scheme is appropriate in many situations when equal weighting of individuals has been used.
连续性医疗是一个常用概念，但没有被普遍接受的定义。所提出的衡量方法反映了连续性的不同方面，其中医疗集中度方面起着关键作用。几乎所有先前提出的衡量方法都是基于个体的。作为一种替代方法，我们提出了一种基于就诊的方法。基于就诊的衡量方法在技术上易于处理，并且由于能够立即解读，在概念上也易于理解。在时间视角和形成不同类型比较的亚人群的方式方面，它们比基于个体的衡量方法更灵活。此外，迄今为止提出的每一种基于个体的衡量方法都可以从基于就诊的衡量方法中推导出来。当从基于就诊的衡量方法形成总体衡量方法时，对就诊而非个体进行同等加权似乎是自然的。我们认为，在许多使用个体同等加权的情况下，相同的加权方案也是合适的。
