Continuity of care is one of the fundamental building blocks of high-performing primary care1 and is associated with improved preventive and chronic care services, patient and clinician satisfaction, lower hospital utilization, lower costs, and for elderly patients, lower mortality.2- 4 For patients, continuity means seeing their own clinician, year after year, every time they need care. Patients place high value on continuity of care, though for some patients a trade-off exists between continuity and access. Younger patients with acute illnesses may value prompt access over continuity, preferring to see any clinician today rather than their own clinician in a week, whereas older patients and those with chronic conditions tend to choose continuity over access.3
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