Continuity of care: a multidisciplinary review

Continuity of care: a multidisciplinary review

22 NOVEMBER 2003 | Jeannie L Haggerty, Robert J Reid, George K Freeman, Barbara H Starfield, Carol E Adair, Rachael McKendry
The article "Continuity of Care: A Multidisciplinary Review" by Jeannie L Haggerty, Robert J Reid, George K Freeman, Barbara H Starfield, Carol E Adair, and Rachael McKendry explores the concept and reality of continuity of care across different healthcare disciplines. The authors aim to develop a common understanding of continuity to facilitate its measurement in various settings. They conducted a comprehensive literature review, searching multiple databases and sources from 1966 to November 2001, and presented the findings to a workshop in Vancouver in 2001. The review identified five common themes of continuity, with two core elements: care over time and care of individual patients. These elements distinguish continuity from other healthcare attributes like integration and coordination. The authors also identified three types of continuity: informational, management, and relational. Each type is valued differently depending on the context and providers involved. In primary care, continuity is seen as the relationship between a single practitioner and a patient, fostering trust and sustained responsibility. In mental health, continuity emphasizes coordination of services and stability over time, often involving a team of professionals. Nursing literature focuses on information transfer and coordination, while disease management emphasizes the delivery of coherent and timely care. The article concludes that continuity is achieved by bridging discrete elements in the care pathway and supporting enduring aspects like patients' values and care plans. It highlights the importance of understanding how different disciplines perceive continuity to improve communication and measurement. The authors hope their synthesis will help healthcare providers avoid confusion and contribute to better quality of care.The article "Continuity of Care: A Multidisciplinary Review" by Jeannie L Haggerty, Robert J Reid, George K Freeman, Barbara H Starfield, Carol E Adair, and Rachael McKendry explores the concept and reality of continuity of care across different healthcare disciplines. The authors aim to develop a common understanding of continuity to facilitate its measurement in various settings. They conducted a comprehensive literature review, searching multiple databases and sources from 1966 to November 2001, and presented the findings to a workshop in Vancouver in 2001. The review identified five common themes of continuity, with two core elements: care over time and care of individual patients. These elements distinguish continuity from other healthcare attributes like integration and coordination. The authors also identified three types of continuity: informational, management, and relational. Each type is valued differently depending on the context and providers involved. In primary care, continuity is seen as the relationship between a single practitioner and a patient, fostering trust and sustained responsibility. In mental health, continuity emphasizes coordination of services and stability over time, often involving a team of professionals. Nursing literature focuses on information transfer and coordination, while disease management emphasizes the delivery of coherent and timely care. The article concludes that continuity is achieved by bridging discrete elements in the care pathway and supporting enduring aspects like patients' values and care plans. It highlights the importance of understanding how different disciplines perceive continuity to improve communication and measurement. The authors hope their synthesis will help healthcare providers avoid confusion and contribute to better quality of care.
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