Management Continuity from the Patient Perspective: Comparison of Primary Healthcare Evaluation Instruments
Open accessAbstract
UNLABELLED: Management continuity, operationally defined as "the extent to which services delivered by different providers are timely and complementary such that care is experienced as connected and coherent," is a core attribute of primary healthcare. Continuity, as experienced by the patient, is the result of good care coordination or integration. OBJECTIVE: To provide insight into how well management continuity is measured in validated coordination or integration subscales of primary healthcare instruments. METHOD: Relevant subscales from the Primary Care Assessment Survey (PCAS), the Primary Care Assessment Tool - Short Form (PCAT-S), the Components of Primary Care Instrument (CPCI) and the Veterans Affairs National Outpatient Customer Satisfaction Survey (VANOCSS) were administered to 432 adult respondents who had at least one healthcare contact with a provider other than their family physician in the previous 12 months. Subscales were examined descriptively, by correlation and factor analysis and item response theory analysis. Because the VANOCSS elicits coordination problems and is scored dichotomously, we used logistic regression to examine how evaluative subscales relate to reported problems. RESULTS: Most responses to the PCAS, PCAT-S and CPCI subscales were positive, yet 83% of respondents reported having one or more problems on the VANOCSS Overall Coordination subscale and 41% on the VANOCSS Specialist Access subscale. Exploratory factor analysis suggests two dist…
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The intervention was a timely and complementary service making the care experienced as connected, coherent and responsive to the patient's changing needs.
“Comprehending the results from the management continuity point of view the intervention was a timely and a complementary service making the care experienced as connected, coherent and responsive to the patient's changing needs [30].”
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- Authors
- Haggerty, J., Burge, F., Pineault, R., Beaulieu, M.-D., Bouharaoui, F., Beaulieu, C., Santor, D., & Lévesque, J.-F.
- ORCID
- Venue
- Healthcare Policy | Politiques de Santé
- Publisher
- Longwoods Publishing
- Published
- 2011-12-26
- Volume
- 7
- Issue
- SP
- Pages
- 139-153
- ISSN
- 1715-6572 (ISSN-L)
- 1715-6580
- PMC
- PMC3399442
- OpenAlex
- W4322700640
- Cited by
- 27
- References
- 3
- Citations by year
- 2025: 1 · 2024: 5 · 2023: 3 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 2 · 2018: 2 · 2015: 2 · 2014: 3 · 2013: 2 · 2012: 1
- FWCI
- 4.16
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Healthcare policy (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- PubMed
- Topics
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
- Keywords
- management continuity, care coordination, integrated care, primary care, patient perspectives, assessment instruments, Primary Care Assessment Tool, access to specialist care, care transitions, patient satisfaction
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