Logistic regression showing the relationship between patient’s ethnocultural group, patient–clinician concordance and continuity of care
| Characteristic | Relational continuity | Informational continuity | Management continuity | ||
|---|---|---|---|---|---|
| Concentrated care with regular provider OR (95% CI) | Accumulated knowledge OR (95% CI) | Information transfer OR (95% CI) | No duplication of tests OR (95% CI) | Primary care follow-up OR (95% CI) | |
| Patient’s ethnocultural group | |||||
| European descent | Reference (–) | Reference (–) | Reference (–) | Reference (–) | |
| Chinese | 1.27 (0.64–2.50) | 0.18 (0.12–0.27)* | 0.34 (0.19–0.59)* | 3.26 (1.32–8.02)* | 0.49 (0.30–0.79)* |
| South Asian | 3.47 (1.66–7.23)* | 0.87 (0.58–1.31) | 0.78 (0.47–1.28) | 1.33 (0.68–2.61) | 0.72 (0.47–1.10) |
| Indigenous | 0.65 (0.38–1.11) | 1.29 (0.86–1.94) | 1.04 (0.67–1.62) | 0.68 (0.38–1.220 | 1.19 (0.78–1.80) |
| Patient–clinician concordance | |||||
| Ethnocultural | 1.41 (1.05–1.88)* | 1.50 (1.26–1.79)* | 1.20 (0.96–1.50) | 1.41 (1.04–1.91)* | 1.16 (0.96–1.40) |
| Language | 1.81 (1.00–3.28) | 0.92 (0.62–1.37) | 1.37 (0.83–2.27) | 0.75 (0.35–1.161) | 0.94 (0.58–1.52) |
| Ethnocultural and language | 1.57 (1.18–2.07)* | 1.47 (1.24–1.74)* | 1.25 (1.00–1.55) | 1.46 (1.08–1.96)* | 1.14 (0.95–1.38) |
Note: CI = confidence interval, OR = odds ratio (adjusted for patient sociodemographic characteristics [sex, age, level of education, annual household income and born in Canada], self-rated health status and province, in addition to patient-reported experiences of care [first-contact accessibility and interpersonal communication] and patient–clinician sex concordance).
↵* Statistically significant (p < 0.05). Responses of continuity of care were recoded into a dichotomous measure, where e.g., 0 = good/fair/poor and 1 = excellent/very good.