The effect of patient reassignment on future continuity in a pediatric resident continuity practice.
When residents complete their pediatric training, patients from their continuity practices in academic settings must be reassigned to either a known resident of their selection or an unknown, incoming intern.
To determine what antecedent factors were associated with patient reassignment to a known resident of their selection, whether such reassignment was associated with increased health care use, and what factors were associated with continuity with the new resident provider.
Nonconcurrent cohort study.
Hospital-based resident continuity clinic practice.
Patients of residents graduating in June 1993.
Seven hundred fifty-eight patients of 18 graduating residents required reassignment : 86 patients (11%) were assigned to a resident colleague, defined as the study group.
From the remaining 673 patients who were assigned to unknown, incoming interns, a control group was randomly selected (n=160), with approximately 2 patients for each study group subject.
Looking at antecedent factors, study group patients were more likely to have chronic medical problems and to have seen their graduating resident more often and more recently.
Univariate analysis explored the consequent factors of health care use and found that study group patients were more likely to return for a visit and to make more visits with the new provider. (...)
Mots-clés Pascal : Pédiatrie, Consultation hospitalière, Organisation hospitalière, Interne(étudiant), Assignation, Changement, Etude comparative, Choix, Antécédent, Relation médecin malade, Etats Unis, Amérique du Nord, Amérique, Nourrisson, Homme, Enfant
Mots-clés Pascal anglais : Pediatrics, Hospital consultation, Hospital organization, Resident(student), Assignment, Change, Comparative study, Choice, Antecedent, Physician patient relation, United States, North America, America, Infant, Human, Child
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0312209
Code Inist : 002B30A04D. Création : 16/11/1999.