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Evaluation of Continuity of Care at a Health Service Organization

NCT ID: NCT00182286

Last Updated: 2005-09-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

342 participants

Study Classification

OBSERVATIONAL

Study Start Date

1999-09-30

Study Completion Date

2001-07-31

Brief Summary

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This project was conducted with patients at a multi-disciplinary, multi-specialty health services organization serving 44,000 rostered patients in Northern Ontario. It investigated continuity of care for patients with diabetes in the areas of barriers and potential solutions to, and correlates of continuity; and variability in costs associated with continuity of care and patient outcomes.

Detailed Description

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Continuity of care is a concept that has been garnering increased attention in the last few years. There have been multiple methods proposed by researchers for measuring continuity of care, most of which are based on proportions or ratios of visits to the same health care provider or centre. While a consistent method for measuring continuity of care is lacking, increased continuity of care using various definitions and measurement tools has been related to better well being, lower health care costs, better glucose control, and higher satisfaction but has also not been found to improve health outcomes in other scenarios. Whether a patient is better served by high sequential access to one provider or any provider within the same system or management team is controversial. Finally, patients' perceptions of continuity of care have not been generally evaluated or correlated with current measurement methods. This project was conducted with patients at the Group Health Centre in Sault Ste Marie, Ontario, a multi-disciplinary, multi-specialty health services organization serving 44,000 rostered patients

Conditions

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Diabetes Mellitus

Keywords

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Diabetes Continuity of Care Patient Perspective Health Service Organization

Study Design

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Observational Model Type

DEFINED_POPULATION

Study Time Perspective

OTHER

Interventions

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Assessment of continuity of care from the patient perspective

Intervention Type BEHAVIORAL

Relationship between continuity of care, patient outcomes, and costs

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Adults (\>18 years)
* Diagnosis of diabetes mellitus (according to the definition used in 1999 by the Canadian Diabetes Association

Exclusion Criteria

* Gestational diabetes
* Could not communicate in English
* Life expectancy or residency expectancy in Sault Ste Marie of less than three years
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Canadian Health Services Research Foundation

OTHER

Sponsor Role collaborator

Group Health Centre, Sault Ste Marie, ON

UNKNOWN

Sponsor Role collaborator

Group Health Centre

OTHER

Sponsor Role collaborator

Ontario Ministry of Health and Long Term Care

OTHER_GOV

Sponsor Role collaborator

Hamilton Health Sciences Corporation

OTHER

Sponsor Role lead

Principal Investigators

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Hui Lee, MD FRCPC MSc

Role: PRINCIPAL_INVESTIGATOR

Group Health Centre

Locations

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Group Health Centre

Sault Ste. Marie, Ontario, Canada

Site Status

Countries

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Canada

References

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Dolovich LR, Nair KM, Ciliska DK, Lee HN, Birch S, Gafni A, Hunt DL. The Diabetes Continuity of Care Scale: the development and initial evaluation of a questionnaire that measures continuity of care from the patient perspective. Health Soc Care Community. 2004 Nov;12(6):475-87. doi: 10.1111/j.1365-2524.2004.00517.x.

Reference Type RESULT
PMID: 15717895 (View on PubMed)

Nair KM, Dolovich LR, Ciliska DK, Lee HN. The perception of continuity of care from the perspective of patients with diabetes. Fam Med. 2005 Feb;37(2):118-24.

Reference Type RESULT
PMID: 15690252 (View on PubMed)

Related Links

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http://www.ghc.on.ca

Group Health Centre Website

Other Identifiers

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RC 1030106

Identifier Type: -

Identifier Source: org_study_id