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Personal continuity of care in a university-based primary care practice: impact on blood pressure control

Continuity of care is an important quality outcome of patient care. This study aimed to investigate the relationship between personal continuity and blood pressure (BP) control among the patients with hypertension in an academic primary care centre. Between January and May 2012, we conducted a retro...

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Main Authors: Hanafi, Nik Sherina Haidi, Abdullah, Adina, Lee, Ping Yein, Liew, Su May, Chia, Yook Chin, Khoo, Ee Ming
Format: Article
Language:English
Published: Public Library of Science 2015
Online Access:http://psasir.upm.edu.my/id/eprint/29626/1/journal.pone.0134030.PDF
http://psasir.upm.edu.my/id/eprint/29626/
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spelling my.upm.eprints.296262016-08-03T03:37:03Z http://psasir.upm.edu.my/id/eprint/29626/ Personal continuity of care in a university-based primary care practice: impact on blood pressure control Hanafi, Nik Sherina Haidi Abdullah, Adina Lee, Ping Yein Liew, Su May Chia, Yook Chin Khoo, Ee Ming Continuity of care is an important quality outcome of patient care. This study aimed to investigate the relationship between personal continuity and blood pressure (BP) control among the patients with hypertension in an academic primary care centre. Between January and May 2012, we conducted a retrospective review of medical records of patients with hypertension who had been followed up for at least 1 year in the Primary Care Clinic, University of Malaya Medical Centre, Malaysia. In this setting, doctors who provided care for hypertension included postgraduate family medicine trainees, non-trainee doctors and academic staff. Systematic random sampling (1:4) was used for patient selection. BP control was defined as less than 130/80 mm Hg for patients with diabetes mellitus, proteinuria and chronic kidney disease and less than 140/90 mm Hg for all other patients. Continuity of care was assessed using the usual provider continuity index (UPCI), which is the ratio of patient visits to the usual provider to the total number of visits to all providers in 1 year. A UPC index of zero denotes no continuity while an index of one reflects perfect continuity with only the usual provider. We reviewed a total of 1060 medical records. The patients’ mean age was 62.0 years (SD 10.4). The majority was women (59.2%) and married (85.7%). The mean number of visits in a year was 3.85 (SD 1.36). A total of 72 doctors had provided consultations (55 postgraduate family medicine trainees, 8 non-trainee doctors and 9 academic staff). The mean UPCI was 0.43 (SD 0.34). Target BP was achieved in 42% of the patients. There was no significant relationship between BP control and personal continuity after adjustment for total number of visits. Continuity of care was not associated with BP control in our centre. Further studies are needed to explore the reasons for this. Public Library of Science 2015 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/29626/1/journal.pone.0134030.PDF Hanafi, Nik Sherina Haidi and Abdullah, Adina and Lee, Ping Yein and Liew, Su May and Chia, Yook Chin and Khoo, Ee Ming (2015) Personal continuity of care in a university-based primary care practice: impact on blood pressure control. PLOS ONE, 10 (7). art. no. e0134030. pp. 1-7. ISSN 1932-6203 10.1371/journal.pone.0134030
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
description Continuity of care is an important quality outcome of patient care. This study aimed to investigate the relationship between personal continuity and blood pressure (BP) control among the patients with hypertension in an academic primary care centre. Between January and May 2012, we conducted a retrospective review of medical records of patients with hypertension who had been followed up for at least 1 year in the Primary Care Clinic, University of Malaya Medical Centre, Malaysia. In this setting, doctors who provided care for hypertension included postgraduate family medicine trainees, non-trainee doctors and academic staff. Systematic random sampling (1:4) was used for patient selection. BP control was defined as less than 130/80 mm Hg for patients with diabetes mellitus, proteinuria and chronic kidney disease and less than 140/90 mm Hg for all other patients. Continuity of care was assessed using the usual provider continuity index (UPCI), which is the ratio of patient visits to the usual provider to the total number of visits to all providers in 1 year. A UPC index of zero denotes no continuity while an index of one reflects perfect continuity with only the usual provider. We reviewed a total of 1060 medical records. The patients’ mean age was 62.0 years (SD 10.4). The majority was women (59.2%) and married (85.7%). The mean number of visits in a year was 3.85 (SD 1.36). A total of 72 doctors had provided consultations (55 postgraduate family medicine trainees, 8 non-trainee doctors and 9 academic staff). The mean UPCI was 0.43 (SD 0.34). Target BP was achieved in 42% of the patients. There was no significant relationship between BP control and personal continuity after adjustment for total number of visits. Continuity of care was not associated with BP control in our centre. Further studies are needed to explore the reasons for this.
format Article
author Hanafi, Nik Sherina Haidi
Abdullah, Adina
Lee, Ping Yein
Liew, Su May
Chia, Yook Chin
Khoo, Ee Ming
spellingShingle Hanafi, Nik Sherina Haidi
Abdullah, Adina
Lee, Ping Yein
Liew, Su May
Chia, Yook Chin
Khoo, Ee Ming
Personal continuity of care in a university-based primary care practice: impact on blood pressure control
author_facet Hanafi, Nik Sherina Haidi
Abdullah, Adina
Lee, Ping Yein
Liew, Su May
Chia, Yook Chin
Khoo, Ee Ming
author_sort Hanafi, Nik Sherina Haidi
title Personal continuity of care in a university-based primary care practice: impact on blood pressure control
title_short Personal continuity of care in a university-based primary care practice: impact on blood pressure control
title_full Personal continuity of care in a university-based primary care practice: impact on blood pressure control
title_fullStr Personal continuity of care in a university-based primary care practice: impact on blood pressure control
title_full_unstemmed Personal continuity of care in a university-based primary care practice: impact on blood pressure control
title_sort personal continuity of care in a university-based primary care practice: impact on blood pressure control
publisher Public Library of Science
publishDate 2015
url http://psasir.upm.edu.my/id/eprint/29626/1/journal.pone.0134030.PDF
http://psasir.upm.edu.my/id/eprint/29626/
_version_ 1643829817044369408
score 13.211869

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