Patient–Physician Connectedness and Quality of Primary Care
Annals of Internal MedicinePublished 3 March 2009
Steven J. Atlas, Richard W. Grant, Timothy G. Ferris, Yuchiao Chang, Michael J. Barry
Citations197
SJR quartileQ1
SJR score3.38
SNIP3.27
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Patients highly connected to a specific physician would be more likely to receive care consistent with guidelines, according to common performance measures and the association of connectedness with the performance of commonly used measures of health care quality was investigated.
Abstract
National Cancer Institute.
Keywords
Health ProfessionsEconomics, Econometrics and Finance
Journal of Chronic DiseasesA new method of classifying prognostic comorbidity in longitudinal studies: Development and validation
49,938 Citations1987Mary E. Charlson, Peter Pompei +2 more
The method of classifying comorbidity provides a simple, readily applicable and valid method of estimating risk of death fromComorbid disease for use in longitudinal studies and further work in larger populations is still required to refine the approach.
BiometricsLongitudinal Data Analysis for Discrete and Continuous Outcomes
7,834 Citations1986Scott L. Zeger, Kung‐Yee Liang
A class of generalized estimating equations (GEEs) for the regression parameters is proposed, extensions of those used in quasi-likelihood methods which have solutions which are consistent and asymptotically Gaussian even when the time dependence is misspecified as the authors often expect.
New England Journal of MedicineThe Quality of Health Care Delivered to Adults in the United States
5,116 Citations2003Elizabeth A. McGlynn, Steven M. Asch +5 more
The deficits the authors have identified in adherence to recommended processes for basic care pose serious threats to the health of the American public and strategies to reduce these deficits in care are warranted.
American Journal of NephrologyDialysis Dose and Intradialytic Hypotension: Results from the HEMO Study
2,699 Citations2013Finnian R. Mc Causland, Steven M. Brunelli +1 more
JAMAPoor Control of Risk Factors for Vascular Disease Among Adults With Previously Diagnosed Diabetes
1,367 Citations2004Sharon Saydah
Participants with previously diagnosed diabetes in NHANES 1999-2000 were similar by age and sex, were less likely to be non-Hispanic white, were diagnosed at an earlier age, had a higher body mass index, and were more likely to use insulin in combination with oral agents.
JAMAThe Urgent Need to Improve Health Care Quality<SUBTITLE>Institute of Medicine National Roundtable on Health Care Quality</SUBTITLE>
1,249 Citations1998Mark R. Chassin
New England Journal of MedicinePrimary Care Physicians Who Treat Blacks and Whites
996 Citations2004Peter B. Bach, Hoangmai H. Pham +3 more
A cross-sectional analysis of visits by black Medicare beneficiaries and white Medicare beneficiaries for medical "evaluation and management" who were seen by 4355 primary care physicians who participated in a biannual telephone survey found that the physicians treating black patients may be less well trained clinically and may have less access to important clinical resources than physicians treating white patients.
Milbank QuarterlyHow Good Is the Quality of Health Care in the United States?
920 Citations1998Mark A. Schuster, Elizabeth A. McGlynn +1 more
Efforts to measure quality and report routinely on the results to the public at large would allow more definitive assessments of the status of the nation's health care and would enable us to single out the areas in need of improvement.
New England Journal of MedicinePay-for-Performance Programs in Family Practices in the United Kingdom
757 Citations2006Tim Doran, Catherine Fullwood +5 more
English family practices attained high levels of achievement in the first year of the new pay-for-performance contract, and a small number of practices appear to have achieved high scores by excluding large numbers of patients by exception reporting.
PubMedNational Ambulatory Medical Care Survey: 2001 summary.
688 Citations2003Donald K. Cherry, Catharine W Burt +1 more
Physician estimates revealed that primary care physicians were twice as likely as specialists to make home visits during an average week of work; when they conducted them, they made twice as many (6 versus 2-3 visits per week) as specialists.
PubMedEffects of quality improvement strategies for type 2 diabetes on glycemic control: a meta-regression analysis.
667 Citations2006Kaveh G Shojania, Sumant R Ranji +5 more
Most QI strategies produced small to modest improvements in glycemic control, but team changes and case management showed more robust improvements, especially for interventions in which case managers could adjust medications without awaiting physician approval.
JAMAEarly Experience With Pay-for-Performance
627 Citations2005Meredith B. Rosenthal, Richard G. Frank +2 more
Paying clinicians to reach a common, fixed performance target may produce little gain in quality for the money spent and will largely reward those with higher performance at baseline.
New England Journal of MedicineCare Patterns in Medicare and Their Implications for Pay for Performance
509 Citations2007Hoangmai H. Pham, Deborah Schrag +3 more
In fee-for-service Medicare, the dispersion of patients' care among multiple physicians will limit the effectiveness of pay- for-performance initiatives that rely on a single retrospective method of assigning responsibility for patient care.
American Journal of Public HealthReceipt of Preventive Care Among Adults: Insurance Status and Usual Source of Care
376 Citations2003Jennifer E. DeVoe, George E. Fryer +2 more
Having a usual source of care and health insurance are both important to achieving national prevention goals.
Health Services ResearchThe Contribution of Insurance Coverage and Community Resources to Reducing Racial/Ethnic Disparities in Access to Care
334 Citations2003J. Lee Hargraves, Jack Hadley
Lack of health insurance was the single most important factor in white-Hispanic differences for all three measures and for two of the white-African American differences.
PubMedNational Ambulatory Medical Care Survey: 2007 summary.
329 Citations2010Chun‐Ju Hsiao, Donald K. Cherry +2 more
This report describes ambulatory care visits made to physician offices in the United States and indicates that from 1997 to 2007, the percentage of visits to physicians who were solo practitioners decreased 21 percent and during the same period, visits to Physicians who were part of a group practice with 6-10 physicians increased 46 percent.
Journal of General Internal MedicinePrimary care and receipt of preventive services
276 Citations1996Andrew B. Bindman, Kevin Grumbach +3 more
A regular source of care is the single most important factor associated with the receipt of preventive services, but optimal primary care from a regular place increases the likelihood that women will receive preventive care.
PubMedSwitching doctors: predictors of voluntary disenrollment from a primary physician's practice.
276 Citations2001Dana Gelb Safran, Jana E. Montgomery +3 more
These findings highlight the importance of relationship quality in determining patients' loyalty to a physician's practice and suggest that in the race to the bottom line medical practices and health plans cannot afford to ignore that the essence of medical care involves the interaction of one human being with another.
Medical CareThe Effects of Having a Regular Doctor on Access to Primary Care
273 Citations1996Jeanne M. Lambrew, Gordon H. DeFriese +3 more
The results suggest that policies that promote the doctor-patient relationship will increase access, although the gains may be negligible for individuals who use mainstream primary care sites (physician's office, clinic, or health maintenance organization) versus sites such as walk-in clinics or emergency rooms.
JAMAInsurance Status and Access to Urgent Ambulatory Care Follow-up Appointments
268 Citations2005Brent R. Asplin
JAMARegular Source of Ambulatory Care and Medical Care Utilization by Patients Presenting to a Public Hospital Emergency Department
248 Citations1994David W. Baker
Patients who identify an emergency department as their regular source of ambulatory care used physician services less frequently than patients with access to providers in other settings, and these issues require further evaluation with population-based surveys.
Archives of Internal MedicineMechanisms for Racial and Ethnic Disparities in Glycemic Control in Middle-aged and Older Americans in the Health and Retirement Study
238 Citations2007Michele Heisler
Latino and African American respondents had worse glycemic control than white respondents and Socioeconomic, clinical, health care, and self-management measures explained approximately a fifth of the HbA(1c) differences.
JAMAPhysician Clinical Performance Assessment
236 Citations2003Bruce E. Landon, Sharon‐Lise T. Normand +2 more
It is concluded that important technical barriers stand in the way of using physician clinical performance assessment for evaluating the competency of individual physicians and that overcoming these barriers will require considerable additional research and development.
Archives of Internal MedicineContinuity of Care and the Use of Breast and Cervical Cancer Screening Services in a Multiethnic Community
188 Citations1997Ann S. O’Malley
There is a linear trend in increasing breast and cervical cancer screening rates when one goes from having no usual source of care, toHaving a usual source, and to having a regular clinician at that usual source.
Closing the Divide: How Medical Homes Promote Equity in Health Care—Results from the Commonwealth Fund 2006 Health Care Quality Survey
187 Citations2007Anne C. Beal, Michelle M. Doty +3 more
The survey found that rates of cholesterol, breast cancer, and prostate screening are higher among adults who receive patient reminders, and that when minority patients have medical homes, they are just as likely as whites to receive these reminders.
American Journal of Public HealthThe timing of preventive services for women and children: the effect of having a usual source of care.
184 Citations1996Susan L. Ettner
Delivery systems that encourage the development of long-term relationships with medical providers may increase cancer screening rates among women and children and the relationship appears to be causal for Pap smears, breast exams, and mammograms.
Health Services ResearchUsual Source of Care in Preventive Service Use: A Regular Doctor versus a Regular Site
168 Citations2002Kai Xu
Promoting a stable physician-patient relationship can improve patients' timely receipt of clinical prevention and have a greater impact than having a regular site on discretional preventive services, such as blood pressure and cholesterol level checkups.
Journal of the Royal Society of MedicineTowards a theory of continuity of care
156 Citations2003Denis Pereira Gray, Philip Evans +6 more
Medical CareThe Relationship Between Continuity of Care and the Health Behaviors of Patients
152 Citations1999Susan L. Ettner
This work has identified associations of usual source of care with medical utilization, its relations with medical utilization, and its relations with freedom of choice legislation.
PubMedA security architecture for query tools used to access large biomedical databases.
143 Citations2002Shawn N. Murphy, Henry C. Chueh
A model for obfuscation of data when served to a client application, that will make it extremely unlikely that an individual will be identified, is proposed that could allow general usage of large biomedical databases of patient information without risk to patient privacy.
American Journal of Public HealthInsurance or a regular physician: which is the most powerful predictor of health care?
137 Citations1998Colin M. Sox, Karen Swartz +2 more
Health AffairsGeneral Internists’ Views On Pay-For-Performance And Public Reporting Of Quality Scores: A National Survey
113 Citations2007Lawrence P. Casalino, G. Caleb Alexander +2 more
Public and private policymakers might avoid a physician backlash and better succeed at improving health care quality if they consider concerns about rank-and-file physicians' views on pay-for-performance (P4P) and public reporting programs.
New England Journal of MedicinePaying for Performance in the United States and Abroad
110 Citations2006Arnold M. Epstein
The initial operation and effect of a British policy that bases a substantial portion of salary payments to general practitioners on their success in meeting 146 criteria for high-quality performance, each of which is tied to a variable number of .
PubMedThe quality of physician-patient relationships. Patients' experiences 1996-1999.
102 Citations2001Julia Murphy, Hong Chang +3 more
The declines in access and 3 of the 4 indexes of physician-patient relationship quality are of concern, especially if they signify a trend.
Journal of Women s HealthDepressive Symptom Burden as a Barrier to Screening for Breast and Cervical Cancers
101 Citations2004Paul A. Pirraglia, Pallabi Sanyal +2 more
The presence of a high depressive symptom burden is a modest independent risk factor for lack of subsequent mammography and Pap smear testing, and ensuring that depressed patients receive regular cancer screening services is important.
Journal of General Internal MedicineThe Effects of Primary Care Physician Visit Continuity on Patients’ Experiences with Care
89 Citations2007Hector P. Rodríguez, William H. Rogers +2 more
Improvements in physician-patient relationship quality can be achieved by targeting visit continuity improvement efforts to patients who benefit most, particularly those in early stages of a PCP–patient relationship and/or perceive their health as poor.
Medical CareDifferences in Rates of Cancer Screening by Usual Source of Medical Care: Data from the 1987 National Health Interview Survey
85 Citations1991Amy B. Bernstein, Grey B. Thompson +1 more
Results indicate that for five of six screening tests examined, members of HMOs are significantly more likely to have received the test within the last 3-year period than those who receive it in the fee-for-service sector.
New England Journal of MedicineThe Rise of In-Store Clinics — Threat or Opportunity?
78 Citations2007Richard M.J. Bohmer
Dr. Richard Bohmer discusses the business model behind in-store clinics, quality and continuity of care, and the factors contributing to this trend in primary care delivery.
BMC Family PracticeLength of patient-physician relationship and patients' satisfaction and preventive service use in the rural south: a cross-sectional telephone study
76 Citations2005Katrina E Donahue, Evan Ashkin +1 more
Characteristics of rural adults who have had longer relationships with their physicians are examined and if the length of relationship is associated with patients' satisfaction and likelihood of receiving recommended preventive services is assessed.
Medical CareThe Effect of Access and Satisfaction on Regular Mammogram and Papanicolaou Test Screening in a Multiethnic Population
74 Citations2004Carol P. Somkin, Stephen J. McPhee +5 more
Access and satisfaction are important predictors of screening but do little to explain racial/ethnic variation, and tailored interventions to improve regular mammography and Papanicolaou test screening in multiethnic populations are needed.
Diabetes CareA Controlled Trial of Population Management
70 Citations2004Richard W. Grant, Enrico Cagliero +9 more
Journal of General Internal MedicineRandomized controlled trial of an informatics-based intervention to increase statin prescription for secondary prevention of coronary disease
67 Citations2005William Lester, Richard W. Grant +2 more
A visit-independent disease management tool resulted in significant improvement in secondary prevention of hyperlipidemia at 1-month postintervention and showed a trend toward improvement at 1 year.
Journal of General Internal MedicineManaged care, primary care, and the patient-practitioner relationship
65 Citations2002Christopher B. Forrest, Leiyu Shi +2 more
Managed health plans that loosen restrictions on provider choice, relax gatekeeping arrangements, or promote access to and continuity with PCPs, are likely to experience higher patient satisfaction with their primary care practitioner relationships.
Journal of General Internal MedicinePreventive care
64 Citations2004Mark P. Doescher, Barry G. Saver +2 more
Having site continuity was associated with increased receipt of influenza vaccination and mammography and, compared to having site continuity, having provider continuity wasassociated with further increases in the receipt of these two preventive services.
Archives of Internal MedicineQuality of US Outpatient Care
62 Citations2005Jun Ma, Randall S. Stafford
Although significant racial disparities have been described in a variety of settings, it is observed that similar, although less than optimal, care is being provided on a per-visit basis regardless of patient racial/ethnic background.
PubMedPrimary care and patient perceptions of access to care.
57 Citations1997Anita L. Stewart, Kevin Grumbach +4 more
Results support promotion of primary care as a model of health care that encourages good access, although providing insurance to the uninsured is the most effective means of improving self-rated access, the other elements each improve access as well.
Obstetrics and GynecologyEarly Experience With Pay-For-Performance: From Concept to Practice
53 Citations2006Rosenthal, Meredith, Frank, Richard G. +2 more
Journal of General Internal MedicineIs this “My’ patient? Development and validation of a predictive model to link patients to primary care providers
51 Citations2006Steven J. Atlas, Yuchiao Chang +4 more
A simple model with logistic regression modeling was developed and validated to link specific patients and PCPs to help effectively target interventions to improve primary care quality.
Journal of General Internal MedicineIs This "My" Patient? Development and Validation of a Predictive Model to Link Patients to Primary Care Providers
50 Citations2006Steven J. Atlas, Yuchiao Chang +4 more
Evaluating the quality of care provided by individual primary care physicians (PCPs) may be limited by failing to know which patients the PCP feels personally responsible for.
PubMedPrimary care practice coordination versus physician continuity.
45 Citations2004Patricia H. Parkerton, Dean G. Smith +1 more
While physician continuity was not associated with patient outcomes, primary care practice structure was, and practice coordination should be assessed to identify mechanisms to support improved care.
JAMARegular source of ambulatory care and medical care utilization by patients presenting to a public hospital emergency department
44 Citations1994David W. Baker
ACC Current Journal ReviewPoor control of risk factors for vascular disease among adults with previously diagnosed diabetes
38 Citations2004Sharon Saydah, Judith Fradkin +1 more
Archives of Family MedicinePeriodic health examinations and the provision of cancer prevention services
37 Citations1997C Sox
If clinicians and policymakers decrease emphasis on the periodic health examination as a major opportunity to provide indicated preventive services, they should ensure that a satisfactory alternative strategy is in place.
The American Journal of CardiologyRisk Factors for Coronary Artery Disease in Patients With Elevated High-Density Lipoprotein Cholesterol
31 Citations2006Doreen DeFaria Yeh, Mason W. Freeman +2 more
Medical CarePatient Samples for Measuring Primary Care Physician Performance
22 Citations2007Hector P. Rodríguez, Ted von Glahn +3 more
In Initiatives measuring patients' experiences with individual primary care physicians will achieve different results if samples include any patient who has seen the physician versus those whom administrative data indicate as established members of the physician's panel.
Journal of the American Medical Informatics AssociationAutomated Identification of a Physician's Primary Patients
21 Citations2005Thomas A. Lasko, Steven J. Atlas +2 more
A statistical model using a minimal set of commonly available electronic data can accurately predict the set of patients for whom a physician holds primary clinical responsibility.