Open AccessPatients’ perceptions of safety if interpersonal continuity of care were to be disrupted
Author(s) -
Pandhi Nancy,
Schumacher Jessica,
Flynn Kathryn E.,
Smith Maureen
Publication year - 2008
Publication title -
health expectations
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.314
H-Index - 74
eISSN - 1369-7625
pISSN - 1369-6513
DOI - 10.1111/j.1369-7625.2008.00503.x
Subject(s) - feeling , interpersonal communication , deliberation , medicine , family medicine , marital status , odds ratio , preference , psychology , interpersonal relationship , social psychology , population , environmental health , pathology , politics , political science , law , economics , microeconomics
Objective To determine if patients vary in perceptions of safety if interpersonal continuity were to be disrupted. If so, which characteristics are associated with feeling unsafe? Background The extent to which patients’ preference for continuity with a personal physician is due to perceptions of safety is unclear. Design Observational study (Wisconsin Longitudinal Study Graduate and Sibling Survey). Setting and participants A total of 6827 respondents (most aged 63–66 years) who completed the 2003–06 survey round. Main variables studied Age, gender, marital status, education, health insurance type, illnesses, medications, length of relationship with provider and place, personality type, decision‐making preference and trust in physician deliberation. Main outcome measures Safety perception when visiting another doctor or clinic if own doctor were not available. Results Twelve percent of respondents felt unsafe. After adjustment, as compared to those who felt safe, those who felt unsafe were more likely to be women (Odds ratio = 1.65, 95% confidence interval = 1.35–2.01), have more chronic conditions (1.27, 1.08–1.50) and have a longer relationship with a usual provider: 5–9 years (1.53, 1.11–2.10) 10–14 years (1.41, 1.02–1.95) and 15 or more years (1.62, 1.20–2.17) compared to 0–4 years. Those who preferred active participation in decision making and had trust in their physician were less likely to feel safe (1.63, 1.10–2.41). Conclusions Certain older adults perceive being unsafe if not seeing their usual physician. Further research should investigate reasons for perceptions of safety if continuity were disrupted and any implications for care.