{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T05:50:50Z","timestamp":1776750650386,"version":"3.51.2"},"reference-count":38,"publisher":"BMJ","issue":"10","funder":[{"DOI":"10.13039\/501100008736","name":"Fondo de Fomento al Desarrollo Cient\u00edfico y Tecnol\u00f3gico","doi-asserted-by":"publisher","award":["Magister Becas Chile, 2015, Folio 73161335."],"award-info":[{"award-number":["Magister Becas Chile, 2015, Folio 73161335."]}],"id":[{"id":"10.13039\/501100008736","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2019,6,24]]},"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Explore factors related to continuity of care and its association with diabetes and hypertensive care, and disease control.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Data from the Chilean Health National Survey 2009\u20132010.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Regular users of primary care services aged 15 or older.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary and secondary outcome measures<\/jats:title>\n                    <jats:p>Proportion of hypertensive and diabetic patients with a blood pressure &lt;140\/90\u2009mm Hg and HbA1c&lt;7.0% respectively, self-report of diagnosis, treatment and recent foot and ophthalmological exams. Associations between continuity of care, sociodemographic characteristics, and primary and secondary outcomes were explored using logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>3887 primary care service users were included. 14.7% recognised a usual GP, 82.3% of them knew their name. Continuity of care was positively associated with age &gt;65 years (OR 4.81, 95%\u2009CI 3.16 to 7.32), being female (OR 1.66, 95%\u2009CI 1.34 to 2.05), retired (OR 2.22, 95%\u2009CI 1.75 to 2.83), obese (OR 1.66, 95%\u2009CI 1.29 to 2.14), high cardiovascular risk (OR 2.98, 95%\u2009CI 2.13 to 4.17) and widowed (OR 1.50, 95%\u2009CI 1.13 to 1.99), and negatively associated with educational level (8\u201312 vs &lt;8 years OR 0.79, 95%\u2009CI 0.64 to 0.97), smoking (OR 0.65, 95%\u2009CI 0.52 to 0.82) and physical activity (OR 0.76, 95%\u2009CI 0.61 to 0.95). Continuity of care was associated with diagnosis awareness (OR 2.83, 95%\u2009CI 1.21 to 6.63), pharmacological treatment (OR 2.04, 95%\u2009CI 1.15 to 3.63) and a recent foot (OR 3.17, 95%\u2009CI 1.84 to 5.45) and ophthalmological exam (OR 3.20, 95%\u2009CI 1.66 to 6.18) in diabetic but not in hypertensive patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Continuity of care was associated with higher odds of having a recent foot and ophthalmological exam in patients with diabetes, but not with better diseases control. Findings suggest patients with chronic conditions have better continuity of care access.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2018-027830","type":"journal-article","created":{"date-parts":[[2019,10,29]],"date-time":"2019-10-29T06:45:02Z","timestamp":1572331502000},"page":"e027830","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":19,"title":["Continuity of care and delivery of diabetes and hypertensive care among regular users of primary care services in Chile: a cross-sectional study"],"prefix":"10.1136","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9315-4871","authenticated-orcid":false,"given":"Javiera","family":"Leniz","sequence":"first","affiliation":[{"name":"School of Population Health and Environmental Sciences, King\u2019s College London, Faculty of Life Sciences and Medicine, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin C","family":"Gulliford","sequence":"additional","affiliation":[{"name":"School of Population Health and Environmental Sciences, King\u2019s College London, Faculty of Life Sciences and Medicine, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,10,28]]},"reference":[{"key":"2025120618512286000_9.10.e027830.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)61689-4"},{"key":"2025120618512286000_9.10.e027830.2","doi-asserted-by":"publisher","DOI":"10.1111\/cen.12119"},{"key":"2025120618512286000_9.10.e027830.3","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.112.000500"},{"key":"2025120618512286000_9.10.e027830.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinthera.2006.03.005"},{"key":"2025120618512286000_9.10.e027830.5","doi-asserted-by":"crossref","unstructured":"Kontopantelis E , Springate D , Reeves D , et al . 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