Table 3.

Summary of findings

StudyMortality measureSummary finding (95% CI)
Selected populations
Wolinsky et al (2010)19All-causeHR 0.84 (0.77 to 0.91) for high continuity
Worrall and Knight (2011)20All-causeHR 0.50 for high continuity
Leleu and Minvielle (2013)21All-causeHR 0.96 (0.95 to 0.96) for high continuity
McAlister et al (2013)22All-causeHR 1.00 for death within 12 months, no visits with familiar physician HR 0.77 (0.70 to 0.86)a for all visits with familiar physician
Bentler et al (2014)23All-cause, time to deathPatient-reported (provider duration) measure: HR 0.54 (0.37 to 0.80) for highest tertile versus lowest tertile of continuity
Nelson et al (2014)24All-causeOR 0.94 (0.91 to 0.96) for high continuity
Shin et al (2014)25All-cause, 5-year survival rateHR 1.12 (1.04 to 1.21) for continuity below the median
Lustman et al (2016)26All-causeOR 0.59 (0.50 to 0.70) for high continuity
Maarsingh et al (2016)27All-causeLowest continuity category showed 20% more mortality than the highest category, HR 1.20 (1.01 to 1.42)
McAlister et al (2016)28All-causeHR 0.72 (0.63 to 0.81) with ≥1 follow-up visits with familiar physician
HR 1.00 for no visits
HR 0.98 (0.80 to 1.20) for visits with unfamiliar physician onlya
Geroldinger et al (2018)31All-causePrimary care continuity: comparison of COCI of 1.0 with COCI of 0.74, HR 0.95 (0.87 to 1.03)
Entire primary care population
Levene et al (2012)29All-causePatient-reported measure: IRR 0.999 (0.997 to 1.01) for high continuity
Honeyford et al (2013)30CHD mortalityPatient-reported measure: IRR 0.994 (0.989 to 1.000) for high continuity
  • a Additional data provided by study authors. CHD = coronary heart disease. COCI = Continuity of Care Index. HR = hazard ratio. IRR = incidence rate ratio. OR = odds ratio.