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Arch G. Mainous, III, PhD, Richelle J. Koopman, MD, James M. Gill, MD, MPH, Richard Baker, MD and William S. Pearson, MHA

Arch G. Mainous III, Richelle J. Koopman, and William S. Pearson are with the Department of Family Medicine, Medical University of South Carolina, Charleston. James M. Gill is with the Department of Family and Community Medicine, Christiana Care Health Services, Wilmington, Del. Richard Baker is with the Department of General Practice, University of Leicester, Leicester, United Kingdom.

Correspondence: Requests for reprints should be sent to Arch G. Mainous III, PhD, Department of Family Medicine, Medical University of South Carolina, PO Box 250192, 295 Calhoun St, Charleston, SC 29425 (e-mail: mainouag{at}musc.edu).

Objectives. We examined the relationship between continuity of care and diabetes control.

Methods. We analyzed data on 1400 adults with diabetes who took part in the Third National Health and Nutrition Examination Survey. We examined the relationship of continuity of care with glycemic, blood pressure, and lipid control.

Results. Continuity of care was associated with both acceptable and optimal levels of glycemic control. Continuity was not associated with blood pressure or lipid control. There was no difference between having a usual site but no usual provider and having a usual provider in any of the investigated outcomes.

Conclusions. Continuity of care is associated with better glycemic control among people with diabetes. Our results do not support a benefit of having a usual provider above having a usual site of care.

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