Evaluation of Continuity of Care at a Health Service Organization

This study has been completed.
Sponsor:
Collaborators:
Canadian Health Services Research Foundation
Group Health Centre, Sault Ste Marie, ON
Group Health Centre
Ontario Ministry of Health and Long Term Care
Information provided by:
McMaster University
ClinicalTrials.gov Identifier:
NCT00182286
First received: September 13, 2005
Last updated: NA
Last verified: August 2005
History: No changes posted
  Purpose

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.


Condition Intervention
Diabetes Mellitus
Behavioral: Assessment of continuity of care from the patient perspective
Behavioral: Relationship between continuity of care, patient outcomes, and costs

Study Type: Observational
Study Design: Observational Model: Defined Population
Time Perspective: Cross-Sectional
Official Title: The Evaluation of the Continuity of Care at the Group Health Centre, A Unique Multi-Specialty, Multi-Disciplinary Health Service Organization

Resource links provided by NLM:


Further study details as provided by McMaster University:

Estimated Enrollment: 342
Study Start Date: September 1999
Estimated Study Completion Date: July 2001
Detailed Description:

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

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

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
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00182286

Locations
Canada, Ontario
Group Health Centre
Sault Ste. Marie, Ontario, Canada, P6B 1Y5
Sponsors and Collaborators
Hamilton Health Sciences Corporation
Canadian Health Services Research Foundation
Group Health Centre, Sault Ste Marie, ON
Group Health Centre
Ontario Ministry of Health and Long Term Care
Investigators
Principal Investigator: Hui Lee, MD FRCPC MSc Group Health Centre
  More Information

Additional Information:
Publications:
ClinicalTrials.gov Identifier: NCT00182286     History of Changes
Other Study ID Numbers: RC 1030106
Study First Received: September 13, 2005
Last Updated: September 13, 2005
Health Authority: Canada: Health Canada

Keywords provided by McMaster University:
Diabetes
Continuity of Care
Patient Perspective
Health Service Organization

Additional relevant MeSH terms:
Diabetes Mellitus
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases

ClinicalTrials.gov processed this record on July 20, 2014