Factors in Maintaining a Stable Patient–Physician Relationship among Individuals with Schizophrenia

Hsin Hui Huang, Chuan Yu Chen, Jen Huoy Tsay, Yiing Jenq Chou, Nicole Huang*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


This study aimed to determine whether adequate continuity of care (COC) existed among individuals with schizophrenia, and what the associated determinants were. The National Health Insurance Research Database of Taiwan was used to identify individuals with newly diagnosed schizophrenia from 2000 to 2009. Two outcome indicators were first derived to conduct the continuity assessment based on the usual provider continuity (UPC) index and the continuity of care index (COCI). The average scores of the UPC and COCI were 0.78 and 0.67, respectively. Patients who have been hospitalized, with lower income, and unemployed had significantly poorer continuity of care. In addition, patients were cared for by higher caseload physicians, treated at mental health specialty institutions, and at hospital outpatient settings also experienced significantly poorer continuity. Patients cared for by middle-aged physicians, psychiatrists, and treated at private institutions had significantly better continuity of mental health care.

Original languageEnglish
Pages (from-to)578-588
Number of pages11
JournalCommunity Mental Health Journal
Issue number5
StatePublished - 1 Jul 2017


  • Continuity of care
  • Patient characteristics
  • Provider characteristics
  • Schizophrenia


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