Continuity Reexamined

The satisfaction with medical care of families with disabled children and of randomly selected families is compared to test the hypothesis that the impact of continuity of physician on parental satisfaction is greater when disabled children are patients than is the case among the general population of children. A multiple regression approach for the study of interaction was used. The results provide general confirmation for the hypothesis that the weights of continuity in producing change in all three patient satisfaction areas studied were greater in the sample of families with disabled children than in the random sample of families. Controlling for maternal education, family income, race and waiting time did not alter these results. It is suggested that a continuous doctor-patient relationship, conducive to the expression and resolution of psychological needs, is of special importance when a patient's illness is severe. Implications for the organization of medical care in specialty clinics, which serve the disabled and chronically ill, are discussed

Continuity of care · Family medicine · Health care · Population · Sample (material) · Specialty · Test (biology) · Child and Adolescent Health · Clinical Psychology · Healthcare Policy and Management · Medicine · Patient Satisfaction in Healthcare · Psychology

• Measuring the Continuity and Coordination of Medical Care in a System Involving Multiple Providers

  Robert H Fletcher, Michael S O??Malley et al.•Medical Care•1984

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• Patient Satisfaction and the Use of Health Services Explorations in Causality

  Thomas R Zastowny, Klaus J Roghmann et al.•Medical Care•1989

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• Use of Health Services by Chronically Ill and Disabled Children

  Kathleen Smyth-Staruch, Naomi Breslau et al.•Medical Care•1984

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• Development of Scales to Measure Satisfaction and Preferences Regarding Long-Term and Terminal Care

  Jane McCusker•Medical Care•1984

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• Satisfaction With Children??s Medical Care in Six Different Ambulatory Settings

  Diana Barbara Dutton, Deanna Gomby et al.•Medical Care•1985

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• Does continuity of care improve patient satisfaction? An instrumental variable approach

  Open Access•Chi-Chen Chen, Chi‐Chen Chen et al.•Health Policy•2023

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• Faithful patients

  L J Weiss, L Weiss et al.•American Journal of Public Health•1996

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• Planning for community physician services prior to deinstitutionalization of mentally retarded persons

  Paula M Minihan•American Journal of Public Health•1986

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• Barriers to the effectiveness of EPSDT for children with moderate and severe developmental disabilities

  Lewis H Margolis, Samuel J Meisels•American Journal of Orthopsychiatry•1987

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• Attitudes and satisfactions of low-income families receiving comprehensive pediatric care

  Joel J Alpert, John Kosa et al.•American Journal of Public Health…•1970

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• Measuring Provider Continuity in Ambulatory Care

  Donald M Steinwachs•Medical Care•1979

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• Seeing the Same Doctor

  Naomi Breslau, Edward A Mortimer•Medical Care•1981

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• Dimensions of Patient Attitudes Regarding Doctors and Medical Care Services

  John E Ware, Mary K Snyder•Medical Care•1975

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• The Walking Patient

  Julius A Roth, Julius Roth et al.•Journal of Health and Social…•1967

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• Consumer Satisfaction with Prepaid Group Practice

  Richard C Tessler, Richard Tessler et al.•Journal of Health and Social…•1975

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• Affective and Instrumental Components in the Physician-Patient Relationship

  Zeev Ben‐sira, Zeev Ben-Sira•Journal of Health and Social…•1980

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• Service Delivery Structure and Continuity of Care

  Naomi Breslau, Marie R Haug•Journal of Health and Social…•1976

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• The Function of the Professional's Affective Behavior in Client Satisfaction

  Zeev Ben‐sira, Zeev Ben-Sira•Journal of Health and Social…•1976

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