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Interpersonal continuity of primary care of veterans with diabetes: A cohort study using electronic health record data

BMC Family Practice Aug 03, 2018

Everett CM, et al. - Among Veteran’s Health Administration (VHA) primary care patients with diabetes, researchers investigated patient, provider and contextual factors associated with interpersonal continuity of care (ICoC). They identified following patient characteristics which were associated with disruptions in ICoC: demographic factors, medical complexity, and social challenges. However, patients, whose providers left the clinic, most frequently experienced disruption in ICoC. One contextual factor impacting ICoC included nurse practitioner regulation. For the delivery of quality primary care to patients with diabetes, ICoC has been identified as an important mechanism. Via revealing patient, provider, and contextual factors that impact ICoC, this project may assist in developing interventions to improve continuity of chronic illness care.
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