Importance of continuity of care from a patient perspective - a cross-sectional study in Swedish health care.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-03-01 Epub Date: 2024-02-07 DOI:10.1080/02813432.2023.2299119

Ebba Cohen, Ida Lindman

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Abstract

Objective: The primary objective of this study was to evaluate the patients' view on continuity of care (CoC), including preference for a certain general practitioner (GP) and importance and access to a regular general practitioner (RGP).

Design: Cross-sectional study.

Setting: Primary care center in Halland County, in the western part of Sweden.

Subjects: Patients ≥18 years old and having at least one appointment at the primary care center during October-December 2022.

Main outcome measures: Preference for a certain GP and importance of and accessibility for an RGP.

Results: The study included 404 patients. Importance of having an RGP was considered by 86% of the patients. Preference for a certain GP was thought by 73% of the patients, and when asked as a bivariate question, 69% considered having an RGP. Both the importance of an RGP and preference for a certain GP were more often considered by patients ≥65 years (p < .0001). Regarding accessibility, 67% of the patients reported having access to their RGP 'always/most of the time or a lot of the time' and 62% reported seeing their RGP at last visit.

Conclusions: In conclusion, this study showed that the majority of patients value CoC in terms of importance of having an RGP. Older patients were more likely to have a preference for a certain GP. Two-third of the patients succeeded in seeing their RGP always or a lot of the time. The results in this study provide evidence that CoC is important for most patients, regardless of age and gender.Key pointsPrevious studies have showed that continuity of care (CoC) is important regarding mortality and morbidity. In primary care, there is a current debate regarding CoC, accessibility and the strive for CoC. This study showed that the majority of patients, regardless of age and gender, value CoC and consider it being important. However, there was a statistically significant difference regarding age, where patients above 65 years old thought it was more important to have a regular general practitioner and more often had a preference for a certain GP.

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从患者角度看持续护理的重要性--瑞典医疗保健横断面研究。

研究目的本研究的主要目的是评估患者对连续性护理（CoC）的看法，包括对某位全科医生（GP）的偏好以及获得固定全科医生（RGP）服务的重要性和途径：设计：横断面研究：地点：瑞典西部哈兰德县的初级医疗中心：主要结果指标：对某位全科医生的偏好以及对全科医生的重视程度：主要结果指标：对某一全科医生的偏好，RGP的重要性和可及性：研究包括404名患者。86%的患者认为配戴角膜塑形镜很重要。73%的患者倾向于选择某位全科医生，当被问及双变量问题时，69%的患者认为需要配一副角膜塑形镜。年龄≥65 岁的患者更常考虑 RGP 的重要性和对某位全科医生的偏好（p 结论：RGP 的重要性和对某位全科医生的偏好在年龄≥65 岁的患者中更为普遍：总之，这项研究表明，大多数患者都从拥有 RGP 的重要性角度来看待 CoC。老年患者更倾向于选择某个 GP。有三分之二的患者总是或经常能见到他们的全科医生。这项研究的结果证明，无论年龄和性别如何，持续护理对大多数患者都很重要。在初级医疗领域，目前存在着关于连续性、可及性和争取连续性的争论。这项研究表明，大多数患者，无论年龄和性别，都重视连续性护理，并认为它很重要。然而，在年龄方面存在着显著的统计学差异，65 岁以上的患者认为拥有一名固定的全科医生更为重要，并且更倾向于选择某位全科医生。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.

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