Steven J. Atlas, MD, MPH; Richard W. Grant, MD, MPH; Timothy G. Ferris, MD; Yuchiao Chang, PhD; Michael J. Barry, MD
Acknowledgment: The authors thank Jeffrey Ashburner, MPH, for manuscript preparation and statistical analyses.
Grant Support: By the National Cancer Institute (grant NCI 1 R21 CA121908) and institutional funding from the Massachusetts General Hospital Primary Care Operations Improvement Program. Dr. Grant is supported by a National Institute of Diabetes and Digestive and Kidney Diseases Career Development Award (K23 DK067452), and Dr. Ferris was supported in part by the Agency for Healthcare Research and Quality (grant 5R01 HS015002).
Potential Financial Conflicts of Interest: None disclosed.
Reproducible Research Statement:Study protocol: Patient–physician connected algorithm and methods available from Dr. Atlas (e-mail, email@example.com). Statistical code: Available from Dr. Atlas (e-mail, firstname.lastname@example.org). Data set: Not available.
Requests for Single Reprints: Steven J. Atlas, MD, MPH, General Medicine Division, Massachusetts General Hospital, 50 Staniford Street, 9th Floor, Boston, MA 02114; e-mail, email@example.com.
Current Author Addresses: Drs. Atlas, Grant, Chang, and Barry: General Medicine Division, Massachusetts General Hospital, 50 Staniford Street, 9th Floor, Boston, MA 02114.
Dr. Ferris: Massachusetts General Hospital, 55 Fruit Street, Bulfinch 205, Boston, MA 02114.
Author Contributions: Conception and design: S.J. Atlas, R.W. Grant, T.G. Ferris, M.J. Barry.
Analysis and interpretation of the data: S.J. Atlas, R.W. Grant, T.G. Ferris, Y. Chang, M.J. Barry.
Drafting of the article: S.J. Atlas, T.G. Ferris.
Critical revision of the article for important intellectual content: R.W. Grant, T.G. Ferris, M.J. Barry.
Final approval of the article: S.J. Atlas, R.W. Grant, T.G. Ferris, Y. Chang, M.J. Barry.
Provision of study materials or patients: S.J. Atlas.
Statistical expertise: Y. Chang.
Obtaining of funding: S.J. Atlas, M.J. Barry.
Administrative, technical, or logistic support: M.J. Barry.
Atlas S., Grant R., Ferris T., Chang Y., Barry M.; Patient–Physician Connectedness and Quality of Primary Care. Ann Intern Med. 2009;150:325-335. doi: 10.7326/0003-4819-150-5-200903030-00008
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Published: Ann Intern Med. 2009;150(5):325-335.
Persistent deficiencies exist in the quality of health care in the United States (1–4). Because primary care physicians are the first source of health care for most patients to receive preventive and chronic illness care, efforts to measure and improve quality of care have often focused on these physicians (5–7). In practice, however, many patients receive episodic care from different physicians (8–12). Patients without a regular source of care are less likely to receive care consistent with guidelines (13–20). Continuity of care is a shared responsibility between physicians and patients. Even if physicians or practices treated all patients similarly, patients vary in their ability and willingness to adhere to recommendations.
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Hematology/Oncology, Hospital Medicine, Healthcare Delivery and Policy, Breast Cancer, Prevention/Screening.
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