Continuity of care (COC) has been defined as seeing the same health care provider over time, and is one of the four main domains of primary care.1 Continuity of care…

Subscriber content

The full contents of this page is only available to subscribers.

To view this content please login or subscribe


  1. Starfield B. Primary Care: Concept, Evaluation, and Policy. New York: Oxford University Press, 1992.
  2. Blumenthal D, Mort E, Edwards J. The efficacy of primary care for vulnerable population groups. Health Services Research 1995;1995(30):253-273.
  3. Weiss LJ, Blustein J. Faithful patients: The effect of long-term physician-patient relationships on the costs and use of health care by older Americans. American Journal of Public Health 1996;86(12):1742-1747.
  4. Christakis DA, Wright JA, Zimmermann FJ, et al. Continuity of care is associated with high quality care by parental report. Pediatrics 2002;109(4):e54-e59.
  5. Becker MH, Drachman RH, Krischt JP. Continuity of pediatrician: new support for an old shibboleth. Journal of Paediatrics and Child Health 1974;84:599-605.
  6. Hjortdahl P, Borchgrevink CF. Continuity of care: influence of general practitioners' knowledge about their patients on use of resources in consultations. British Medical Journal 1991;303:1181-1184.
  7. Wasson JH, Sauvigne AE, Mogielnicki RP. Continuity of outpatient medical care in elderly men: a randomized trial. JAMA 1984;252:2413-2417.
  8. Christakis DA, Wright MD, Koepsell TD, Emerson S, Connell FA. Is greater continuity of care associated with less emergency department utilization? Pediatrics 1999;103(4):738-742.
  9. Gill JM, Mainous AG, Nsereko M. The effect of continuity of care on emergency department use. Archives of Family Medicine 2000;9:333-338.
  10. Gill JM, Mainous AG. The role of provider continuity in preventing hospitalizations. Archives of Family Medicine 1998;7:352-357.
  11. Mainous AG, Gill JM. The importance of continuity of care in the likelihood of future hospitalization: Is site of care equivalent to a primary clinician? American Journal of Public Health 1998;88(10):1539-1541.
  12. Gray DJP. The key to personal care. Journal of Royal College of General Practitioner 1979;29:666-678.
  13. Sweeney KG, Gray DP. Patients who do not receive continuity of care from their practitioner - are they a vulnerable group? British Journal of General Practice 1995;45:133-135.
  14. Bindman AB, Grumbach K, Osmond D, et al. Primary care and receipt of preventive services. Journal of General Internal Medicine 1996;11(5):269-76.
  15. Shi L, Starfield B, Xu J. Validating the adult Primary Care Assessment Tool. Journal of Family Practice 2001;50:161-175.
  16. Starfield B, Cassady CE, Nanda JP, et al. Consumer experiences and provider perceptions of the quality of primary care: implications for managed care. Journal of Family Practice 1998a(46):3.
  17. Jatrana S, Crampton P, Carter K, et al. SoFIE-Health Primary Care: Overview and Early Results: University of Otago, Wellington, 2008a.
  18. Carter K, Hayward M, Richardson K. SoFIE-Health Baseline Report: Study Design and Associations of Social Factors and Health in Waves 1 to 3. SoFIE-Health Report 2 University of Otago, Wellington, 2008.
  19. Hauck K, Rice N. A longitudinal analysis of mental health mobility in Britain. Health Economics 2004;13:981-1001.
  20. Watson N, Wooden M. The HILDA survey four years on. Australian Economic Review 2004;37:343-9.
  21. Forrest C, Starfield B. The effect of first-contact care with primary care clinicians on ambulatory health care expenditures Journal of Family Practice 1996;43:40-48.
  22. Deutchman ME, Sills D, Connor PD. Perinatal outcomes: a comparison between family physicians and obstetricians. Journal of American Board of Family Practice 1995;8:440-447.
  23. Jatrana S, Crampton P. Affiliation with a Primary Care Provider in New Zealand: Who is, Who isn’t. Health Policy 2009;91:286–296.
  24. Barnett R. "Wait till it's serious": health care costs and urban survival strategies of low income groups in Christchurch. New Zealand Medical Journal 2000;113:350-354.
  25. Barnett R, Coyle P. Social inequality and general practitioner utilisation: assessing the effects of financial barriers on the use of care by low income groups. New Zealand Medical Journal 1998;111:66-70.
  26. Malcolm L. Inequities in access to and utilisation of primary medical care services for Māori and low income New Zealanders. New Zealand Medical Journal 1996;109:356-358.
  27. Jatrana S, Crampton P. Primary health care in New Zealand: Who has access? Health Policy 2009b;93(1):1-10.


The downloadable PDF version of this article is only available to subscribers.

To view this content please login or subscribe