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Personal Continuity of Care in a University-Based Primary Care Practice: Impact on Blood Pressure Control

Overview of attention for article published in PLOS ONE, July 2015
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Personal Continuity of Care in a University-Based Primary Care Practice: Impact on Blood Pressure Control
Published in
PLOS ONE, July 2015
DOI 10.1371/journal.pone.0134030
Pubmed ID

Nik Sherina Hanafi, Adina Abdullah, Ping Yein Lee, Su May Liew, Yook Chin Chia, Ee Ming Khoo


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.

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Mendeley readers

The data shown below were compiled from readership statistics for 78 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 78 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 10 13%
Student > Bachelor 8 10%
Student > Ph. D. Student 7 9%
Student > Master 7 9%
Student > Doctoral Student 5 6%
Other 14 18%
Unknown 27 35%
Readers by discipline Count As %
Medicine and Dentistry 22 28%
Nursing and Health Professions 11 14%
Social Sciences 3 4%
Agricultural and Biological Sciences 2 3%
Unspecified 2 3%
Other 11 14%
Unknown 27 35%