Ambulatory Pediatrics
Volume 4, Issue 4 , Pages 336-339 , July 2004

Can Continuity of Care Be Improved? Results From a Randomized Pilot Study

  • Dimitri A. Christakis, MD, MPH

      Affiliations

    • Corresponding Author InformationAddress correspondence to Dimitri A. Christakis, MD, MPH, Child Health Institute, 6200 NE 74th St, Suite 210, Seattle, WA 98115-8160
    • ,
  • Jeffrey A. Wright, MD

      Affiliations

    • Department of Health Services (Dr Christakis), Seattle, Wash, and Children's Hospital and Regional Medical Center (Dr Christakis), Seattle, Wash

REFERENCES 

  1. Christakis DA , Wright JA , Zimmerman FJ , et al.   Continuity of care is associated with high-quality care by parental report . Pediatrics . 2002;109:e54
  2. Christakis DA , Mell L , Koepsell TD , et al.   Association of lower continuity of care with greater risk of emergency department use and hospitalization in children . Pediatrics . 2001;107:524–529
  3. Christakis DA , Mell L , Wright JA , et al.   The association between greater continuity of care and timely measles-mumps-rubella vaccination . Am J Public Health . 2000;90:962–965
  4. Christakis DA , Feudtner C , Pihoker C , Connell FA . Continuity and quality of care for Medicaid children . Ambul Pediatr . 2001;1:99–103
  5. Mainous AG , Gill JM . The importance of continuity of care in the likelihood of future hospitalization: is site of care equivalent to a primary clinician? . Am J Public Health . 1998;88:1539–1541
  6. Institute of Medicine. Defining Primary Care: An Interim Report Washington, DC; 1994
  7. Wasson JH , Sauvigne AE , Mogielnicki RP , et al.   Continuity of outpatient medical care in elderly men . JAMA . 1984;252:2413–2417
  8. Gill JM . Mainous AG 3rd . The role of provider continuity in preventing hospitalizations. Arch Fam Med . 1998;7:352–357
  9. Gill JM , Mainous AG , Nsereko M . The effect of continuity of care on emergency department use . Arch Fam Med . 2000;9:333–338
  10. Szilagyi P , Vann J , Bordley C , et al.   Interventions aimed at improving immunization rates . Cochrane Database of Systematic Rev. . 2002; CD003941
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  14. Murphy DJ, Gross R, Buchanan J. Computerized reminders for five preventive screening tests: generation of patient-specific letters incorporating physician preferences Presented at: AMIA Annual Symposium. 2000; 600–604
  15. Christakis DA , Zimmerman FJ , Wright JA , et al.   A randomized controlled trial of point of care evidence to improve antibiotic use for otitis media . Pediatrics . 2001;107:e15
  16. Bice TW , Boxerman SB . A quantitative measure of continuity of care . Med Care . 1977;15:347–349
  17. Rosner B . Fundamentals of Biostatistics . Belmont, Calif: Wadsworth; 1995;
  18. Donald A , Donner A . Adjustments to the Mantel-Haenszel chi-square statistic and odds ratio variance estimator when the data are clustered [Erratum appears in Stat Med. 1997;16:2927– 2928] . Stat Med . 1987;6:491–499
  19. Becker MH , Drachman RH , Kirscht JP . A field experiment to evaluate various outcomes of continuity of physician care . Am J Public Health . 1974;64:1062–1070
  20. Alpert JJ , Robertson LS , Kosa J , et al.   Delivery of health care for children: report of an experiment . Pediatrics . 1976;57:917–930
  21. Breslau N , Haug M . Service delivery structure and continuity of care: a case study of a pediatric practice in process of reorganization . J Health Soc Behav . 1976;17:339–352
  22. DeWitt TG , Roberts KB . Teaching residents about patient and practice termination in community-based continuity settings . Arch Pediatr Adolesc Med . 1995;149:1367–1370
  23. Dumont-Driscoll MC , Barbian LT , Pollock BH . Pediatric residents' continuity clinics: how are we really doing? . Pediatrics . 1995;96:616–621
  24. Garfunkel LC , Byrd RS , McConnochie KM , Auinger P . Resident and family continuity in pediatric continuity clinic: nine years of observation . Pediatrics . 1998;101:37–42
  25. Irigoyen M , Wedemeyer E , McCord M . Integration of residents' continuity clinic with a faculty practice . Acad Med . 1994;69:322–431

PII: S1530-1567(05)60321-8

doi: 10.1367/A03-166R.1

Ambulatory Pediatrics
Volume 4, Issue 4 , Pages 336-339 , July 2004

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