Focus on continuity of care

I am writing to draw attention to a recent report in BMJ regarding general practice.¹ Regional general practice leaders from across the United Kingdom (UK) made a strong case for a shift in policy to promote continuity of care. We should learn from their experience. Although the National Health System has its own warts and blemishes, one of its strengths is the capitation funding model that traditionally promoted continuity of care. The resolution¹ is based on a recognition of both the value of continuity of care and the erosion of continuity of primary care in the UK over recent years.

I am concerned about the current focus in Canada on access to primary care rather than the importance of continuity of high-quality care. Care fragmentation has a huge impact on patient experience, cost of care, health outcomes, and physician burnout, all of which represent the Quadruple Aim.²

As a long-time preceptor of family medicine residents, I have witnessed how much even a short period of continuity contributes to improving the resident and patient experience. The physician-patient relationship (1 of the 4 principles of family medicine) is fundamental to high-quality primary care. That relationship is built through continuity of care. I am encouraged by this debate in the UK and hope family medicine in Canada can learn from the experience of our colleagues across the pond.

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