Summary of Definitions of Continuity of Care

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Author(s) Year Definition of Continuity(currency of medical knowledge)” 8) “availability of physician” 9) “location of physician's office” 10) “ease ofcommunication with physician.”O'Hare P.A., YostL.S., McCorkle R.Beddar, S.M., Aikin,J.L.Bostrom, J., Tisnado, J.,Zimmerman, J., et al.Brown L., Cox G.B., JonesW.E., et al.Cameron B.Freeman G.K.,Richards S.C.Holzman M.D., Elkins C.C., NeuzilD.F., et al.Shern D.L., Wilson N.Z., CoenA.S. et al.1993 “The continuity of care process is ‘…directed to the problems associated with the initial phases of the disease andto the continuing management of those not cured of the disease’. Attention to educational, psychosocial, andrehabilitation needs is part of the ongoing process of comprehensive care for patients and families. Continuity ofcare as a process includes cognitive, management, and relational elements.”1994 “[C]ontinuity of care is a philosophy and standard of care that involves patient, family , and health care providersworking together to provide a coordinated, comprehensive continuum of care.”1994 Continuity of nursing care: “how often patients are actually cared for by the same nurse during hospitalization.”1994 “A process involving the orderly, uninterrupted movement of patients among the diverse elements of the servicedelivery system” (Bachrach 1991).1994 “Continuity of care is the desired end product of the discharge process, which enables clients to maximize theirpotential for wellness in a dignified manner while minimizing discomfort and stress.”1994 Personal continuity: “seeing the same doctor”. “An on-going doctor-patient relationship built up over time.”1994 “…[W]orking with a critically ill patient and serially observing response to therapy for complex problems.”1994 “The likelihood that an individual saw a case manager, therapist or psychiatrist some time during the year and thenumber of times that this person reported being terminated from mental health care during the same period.”Spooner S.A. 1994 “[T]he extent to which same provider is seen during sequence of visits.” (Eriksson, Mattsson 1983)Volpe F. 1994 “[H]ealth care…provided in a manner that includes constant awareness of the patient’s past medical history, signs,symptoms, findings, treatments, and responses to treatments, all the while with interrelationships being seen whenthey exist.” “Being attuned to the patient’s feelings about the care provided, because a patient’s cooperation isneeded to achieve maximum continuity.”Buetow S.A.1995 “Longitudinality refers to care from the same doctor, group of doctors or facility over time, regardless of thepatient’s health problem.”Emanuel E.J., Dubler N.N. 1995 “Once established, a patient’s relationship with a competent and compassionate physician who is providing most ofhis or her care should endure over time.”Farrell S.P.1995 “The successful initiation and maintenance of face-toface contact by CSB (Community Service Board) staff withclients in state hospitals, and the provision of services post-discharge.”10
Author(s) Year Definition of ContinuityHospital Food Nutrition Focus 1995 “A component of patient care quality consisting of the degree to which the care needed by a patient is coordinatedamong practitioners and across organizations and time.”Prendergast P.J.1995 “A process that involves the orderly, uninterrupted movement of patients among the diverse elements of the servicedelivery system.” (Bachrach 1991) “Continuity of treatment refers to the maintenance of specific treatmentstrategies over time; continuity of caregivers refers to the specific relationship between the patient and the treatmentproviders; continuity of caring refers to the use of that caregiving relationship to provide longitudinal support toVivier P.M.,Lewander W.J., BlockS.H., et al.Achterberg, T.V.,Stevens, F.C.,Crebolder, H.F., et al.Alberta Association of RegisteredNursesAnsel M.G.Bell, R.vulnerable individuals.” (Harris & Bergman 1998)1995 Longitudinality is “’the presence and use of a regular source of care over time.’”Continuity is “’the means by which separate parts of (an illness) episode (either the follow-up of an acute illness orthe ongoing care of a chronic one) are joined.’”1996 “Interdisciplinary continuity can be seen as continuity in complex, multidisciplinary services. Appropriate referralsand coordination of services are examples of interdisciplinary continuity. Interpersonal continuity involves thequality and the endurance of relationships between clients and care providers. …Informational continuity refers tothe completeness of information available to and documented by care givers, thus preventing unnecessary orduplicate care or treatment.”1996 “Continuity of care is the comprehensive, coordinated, and integrated provision of appropriate health services.”1996 Cross-sectional continuity is “the comprehensiveness and level of integration of a client at any given point of timethey are involved in the community support system.” Longitudinal continuity is “care that is provided continuouslyin an integrated fashion.”1996 Continuity is provided by “having the same nurse visits the same client at the same time as often as possible.”Bickman L.1996 Continuum of care: “availability (and accessibility) to the full range and level of mental health services required tomeet the changing needs of children with mental health disorders.” Continuity of care: “The delivery of coordinatedservices on an individualized basis.”Escott-Stump S. 1996 “Coordination of health care activities by all disciplines within and outside the institution before admission, duringadmission, before discharge and at discharge.”Mustard C.A., MayerT., Black C., et al.O'Malley A.S., Forrest C.B.1996 Continuity of care and regular source of care: “The longitudinal characteristic of patient-provider affiliation overtime.”1996 Continuity with a community health care facility is “identification of a CHC as the site for both routine and sickcare.” Continuity with a specific clinic is “identification of a specific clinician for sick care needs.”11
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Summary of Definitions of Continuity of Care

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