Consistent use of the same family doctor (doctor continuity) | HQCA Focus

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Consistent use of the same family doctor (doctor continuity)

The proportion of all visits to family doctors that are to the same family doctor. (see data definition)

*Data courtesy of Alberta Health Services and Alberta Health 

What do you see?

  • Are there differences between zones or PCNs that are mainly urban (e.g., Calgary, Edmonton) compared to those that are mainly rural (e.g., North, Central, South)? What factors could account for this?
  • Is the percentage of patients who see the same family doctor for most of their visits increasing over time?

Why is it meaningful?

  • Is there a relationship between this data and another healthcare area?
  • Do you see successes worth highlighting or opportunities for improvement?

Understanding doctor continuity

Continuity of care is a pillar of the Patient’s Medical Home. Family doctor continuity refers to how consistently a patient visits the same family doctor. Doctor continuity can improve health outcomes for patients. Patients who see one family doctor for most of their visits tend to have better outcomes for chronic conditions that are managed mainly in primary care. They also tend to have fewer visits to the emergency department, fewer hospitalizations, decreased length of stay in hospital, and lower mortality.

  • ‘High continuity’: Continuity is ‘high’ when a patient sees the same doctor for 80 per cent or more of their family doctor visits. Achieving 100 per cent continuity is difficult for a few reasons. Patients or doctors may move. Patients may need to seek treatment from another family doctor for certain conditions or when their regular family doctor is not available.
  • ‘Low continuity’: Continuity is ‘low’ when less than 50 per cent of a patient’s family doctor visits are to one doctor. These patients typically visit many family doctors, often in different locations.

Considerations when viewing the results

  • A goal of our primary care system is to increase the consistency of patient visits to the same family doctor.
  • Some patients are cared for by a team of family doctors who work out of one clinic and will see whichever family doctor is available at the time. These patients may have ‘low continuity’ to one family doctor, but will have ‘high continuity’ to the clinic. These patients can experience the same benefits (trust, satisfaction, improved outcomes) as patients with ‘high continuity’ to one family doctor.

Alberta Quality Matrix for Health

The Health Quality Council of Alberta uses the Alberta Quality Matrix for Health as a way of organizing information and thinking around the complexity of the healthcare system. This measure can be used as input to assess primary healthcare’s performance in these dimensions of quality: Acceptability, Appropriateness, Effectiveness, and Safety.