title: Continuity of Care Evaluation: The View of Patients and Professionals about Urban Family Physician Program.
abstract: BACKGROUND
  A responsibility of the family physician (FP) and one of the four aspects of the delivery of primary care services is continuity of care (COC). This study aimed to determine the COC of health care in urban health centers.
  
  
  METHODS
  Between September 2015 and March 2016, we conducted a cross-sectional study using Primary Care Evaluation Tool questionnaires with multistage stratified cluster sample of FPs (n= 141) and patients (n= 710) in two provinces in Iran, Fars and Mazandaran. The questionnaires contained essential dimensions of COC: Informational, interpersonal, and longitudinal COC.
  
  
  RESULTS
  Almost all FPs had a computer. The FPs hadn't kept their patients' medical records routinely. The software had some problems, so the FPs couldn't produce lists of patients based on their health risk and they couldn't monitor their population. Almost 88% of FPs have written referral letters for all referred patients but 57% of them got medical feedback from specialists. About 80% of patients' consultation times were up to 10 min. 29% of FPs knew the past problems and illnesses of the patients. From 40% to 50% of the patients stated that their FPs asked them for their desire about prescribed medicine and gave clear explanation about their illnesses. On average, patients visited their doctor 5.5 times during the previous year. Generally, patients and FPs in Mazandaran could summarize their experiences better than Fars in most topics of COC.
  
  
  CONCLUSIONS
  It seems that after 3 years of using urban FP program in two pilot provinces, there were still some problems in COC. Strengthen software program, introducing incentives for FPs, and promoting patients' responsibility can be used by policy-makers when they seek to enhance COC.
authors.affiliation: Department of Health Policy, Management and Economics, Kerman University of Medical Sciences, Kerman, Iran; Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
authors.forename: Vahid Kohpeima
authors.initials: VK
authors.lastname: Jahromi
authors.affiliation: Social Determinants of Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
authors.forename: Mohammad Hossein
authors.initials: MH
authors.lastname: Mehrolhassani
authors.affiliation: Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
authors.forename: Reza
authors.initials: R
authors.lastname: Dehnavieh
authors.affiliation: Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
authors.forename: Hosein Saberi
authors.initials: HS
authors.lastname: Anari
keywords: Continuity of care; Iran; Primary Care Evaluation Tool; family physician