Indices for continuity of care: A systematic review of the literature
Indices for continuity of care: A systematic review of the literature
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DOI：
10.1177/1077558705285294
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发表时间：
2006-04-01
影响因子：
2.5
通讯作者：
Cabana, MD
中科院分区：
文献类型：
--
作者：
Jee, SH;Cabana, MD
本文系统地回顾了已发表的文献，不同的连续性护理（COC）指数，评估医患关系和适用性，这些指数的儿科和慢性病患者人群。儿童和慢性病患者与健康成人患者的频率和访视类型可能不同。两名研究者独立审查了5，070篇候选文章，并确定了246篇与COC相关的文章。44篇文章被确定，包括32个不同的指标来衡量COC。将计算COC的指标分为主要基于提供者关系持续时间（n = 2）、访问密度（n = 17）、提供者分散度（n = 8）、提供者顺序（n = 1）和主观估计（n = 4）的指标。COC指数的多样性反映了这一衡量标准概念化的差异。没有索引考虑访问类型。需要一个独特的指数，反映儿科和慢性病人群的医患关系的连续性。
This article systematically reviews published literature on different continuity of care (COC) indices that assess the physician-patient relationship and the applicability of such indices to pediatric and chronic-disease patient populations. Frequency and visit type may vary for pediatric and chronically ill patients versus healthy adult patients. Two investigators independently examined 5,070 candidate articles and identified 246 articles related to COC. Forty-four articles Were identified that include 32 different indices used to measure COC. Indices were classified into those that calculated COC primarily based on duration of provider relationship (n = 2), density of visits (n = 17), dispersion of providers (n = 8), sequence of providers (n = 1), of subjective estimates (n = 4). The diversity of COC indices reflect differences in how this measure is conceptualized. No index takes into account the visit type. A unique index that reflects continuity in the physician patient relationship for pediatric and chronic disease populations is needed.