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Research ArticleOriginal Article

Continuity of Care and Patient Satisfaction in a Family Practice Clinic

Eric D. Morgan, Michael Pasquarella and John R. Holman
The Journal of the American Board of Family Practice September 2004, 17 (5) 341-346; DOI: https://doi.org/10.3122/jabfm.17.5.341
Eric D. Morgan
MC, USA
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Michael Pasquarella
MC, USA
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John R. Holman
MC, USN
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    Figure 1.

    Long-term continuity rates for patient groups based on satisfaction with FP care.

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    Table 1.

    Differences between Survey Participants and Nonparticipants

    Variable (Patient Groups)Participants (n = 192)Nonparticipants(n = 256)P
    Active duty8.3%16.8%.008
    Spouse of active duty24.5%23.8%.87
    Child of active duty8.9%21.1%.0004
    Retired23.4%10.5%.0002
    Spouse of retired29.2%21.1%.06
    Child of retired5.7%4.3%.49
    Seeing PCP that day44.2%39.1%.48
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    Table 2.

    Descriptive Analysis of Survey Responses for All Patient Groups

    PatientFPC SatisfactionPercentageContinuityEase of App’tContinuity ImportancePCP Satisfaction
    All patients8.750.08.18.49.1
    AD8.949.78.28.99.5
    Spouses of AD8.252.18.18.09.0
    Children of AD7.437.08.18.68.2
    Retired9.149.08.18.79.5
    Spouse of retired9.153.38.18.48.9
    Children of retired9.146.58.17.79.0
    ANOVAP=.003P= .73P > .99P=.56P=.22
    • FPC, family practice clinic; AD, active duty; ANOVA, analysis of variance.

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    Table 3.

    Linear Regression for FPC Patient Satisfaction after Adjusting for Other Patient Preferences and Characteristics

    VariableUnivariate RegressionβPMultivariate RegressionβP
    Continuity1.736<.00011.172.002
    Ease of appointment0.196.00030.166.0003
    PCP satisfaction0.338<.00010.251.0008
    Active duty (1)/Retired (0)−0.907.0005−0.779.0007
    No. of yearly appointments−0.029.1480−0.035.03
    • Outcome variable=Global FPC Satisfaction (on 10 point scale); R2=0.316.

    • View popup
    Table 4.

    Linear Regression for FPC Satisfaction after Stratifying for Amount of Annual Usage

    VariableAll PatientsLow Usage (n = 47)Mid Usage (n = 87)High Usage (n = 52)
    βPβPβPβP
    Continuity1.21.0011.03.101.23.0022.15.02
    Ease of appointment0.17<.0010.18.040.16.0060.15.16
    PCP satisfaction0.23.0020.28.070.19.050.56.007
    Active duty (1)/Retired (0)−0.75.001−0.40.39−0.46.14−1.77<.001
    • Outcome variable=Global FPC Satisfaction (on 10 point scale); R2 for all patients=0.295; R2 for low usage=0.335; R2 for mid usage=0.302; R2 for high usage=0.421.

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The Journal of the American Board of Family Practice: 17 (5)
The Journal of the American Board of Family Practice
Vol. 17, Issue 5
1 Sep 2004
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Continuity of Care and Patient Satisfaction in a Family Practice Clinic
Eric D. Morgan, Michael Pasquarella, John R. Holman
The Journal of the American Board of Family Practice Sep 2004, 17 (5) 341-346; DOI: 10.3122/jabfm.17.5.341

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Continuity of Care and Patient Satisfaction in a Family Practice Clinic
Eric D. Morgan, Michael Pasquarella, John R. Holman
The Journal of the American Board of Family Practice Sep 2004, 17 (5) 341-346; DOI: 10.3122/jabfm.17.5.341
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