Summary of Definitions of Continuity of Care

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Author(s) Year Definition of ContinuityOwen C. 1996 “The relationship between general practitioner and patient in the long temporal axis.”Pilotto L.S.,McCallum J.,Raymond C., et al.Weiss L.J., Blustein J.Weyrauch K.F.Alegria M.,Pescosolido B.A.,Santo D., et al.Anderson M.A., Foreman M.D.,Theis S.L., et al.Castledine G.Chung R.S., Verghese J., DiazJ., et al.Elder W.G.1996 “The uninterrupted responsibility of one doctor for a patient’s care”. Dimensions that affect the quality and level ofcontinuity (the continuity environment): “Chronological – continuity of care over time; geographical – continuity ofcare at different sites; interdisciplinary – holistic or specialized care; relationship – relationships with health careproviders; informational – medical information supporting continuity; accessibility – continuity improved by easyaccess to care and advice; and stability – continuity affected by stability or mobility of health care provider andpatient’s family and community”.1996 “The maintenance of enduring patient-provider relationships over a period of time.”1996 “Patients seeing their own physician versus someone else.”1997 “Single provider continuity occurs when 1) one provider is seen in three of more visits within a six month period, 2)for the same problem (as defined by the respondent) and 3) without a gap of more than two months within thatperiod unless the problem is reported to be solved.” “Multiple provider continuity occurs when 1) at least onemember in a team of providers is seen in three or more visits within a six month period, 2) for the same problem (asdefined by the respondent), 3) without a gap of more than two months within that period unless the problem isreported to be solved and 4) with an explicit referral or sharing of in formation among the providers.” “Systemcontinuity is the situation in which 1) 3 or more visits occur within a six month period, 2) for the same problem (asdefined by the respondent), 3) without a gap of more than two months within that period, 4) within the same system(public or private) of care.” “Sector continuity represents the situation where there are 1) 3 or more visits occurwithin a six month period, 2) for the same problem (as defined by the respondent), 3) without a gap of more thantwo months within that period unless the problem is reported to be solved and 4) within the same sector of care.”1997 “Involves a series of comprehensive, coordinated linkages across time, settings, providerse, and consumers ofhealth.”1997 “Continuity suggests something which is unbroken, uninterrupted and continuous, a linkage between a sequence ofevents or related factor. In the case of nursing care, the expectation is that the same nurse will follow the patientthrough the key stages of his/her hospitalization or during a specific period in the community setting.”1997 “A programmatic provision for the trainee to participate in all phases of surgical experience (pre operative,operative, post operative and return follow-up).”1997 Continuity of care: “continuous relationship with a provider or clinic throughout an episode of care.” Continuum ofcare: “matching patient need with appropriate type and intensity of care over trajectory of illness.”12
Author(s) Year Definition of ContinuityFlocke S.A.1997 “Continuous care by a physician or team over time.” “Longitudinality is defined as the length of the relationshipwith the physician.”Flocke, S.A., Stange,K.C., Zyzanski, S.J.Freeman G., HjortdahlP.Hawton K.1997 “Development of an ongoing relationship with communication, trust, and partnership with patients is a centralelement to providing quality of care.”1997 Longitudinal continuity: “Care given by one practitioner over a defined time. Personal: “an ongoing therapeuticrelationship between patient and practitioner.”1997 “Patient being seen by the same therapist for both initial assessment and subsequent treatment.”Hundley V.A., Milne J.M.,Glazener C.M. et al.Johnson S., ProsserD., Bindman J.Meijer W.J., VermeijD.J.B.Schultz A.A., Geary P.A., CaseyF.S., et al.Smith T.E., Hull J.W., Hedayat-Harris A., et al.Stewart A.L., Grumbach K.,Osmond D.H., et al.Zurek E.L.Bickman L., Salzer M.S., LambertE.W., et al.Citro, R., Ghosh S.,Churgin P.G.Forrest C.B., StarfieldB.1997 “Continuity of carer” is the same midwife “both during labour, at delivery and after delivery.”1997 Cross-sectional aspects: “continuity between service providers, comprehensiveness, and accessibility.”Longitudinal aspects: “continuity of contact (does the service stay in contact with the patient), continuity ofprovider, continuity through discharges and transfers, implementation of service plans.”1997 “Continuity of care implies continuity of caregiver or coordination among practitioners, among organizations, andover time.”1997 Continuum of care: “Coordinated process of activities that results when patients and health care providers worktogether to facilitate the transition from one level of care to another.” (Zarle 1989)1997 “The same clinicians provide clients with core services for the duration of their treatment in the program.”1997 “Length of time the person has been coming to the place.”1997 “Coordination of activities involving patients, providers and payers to promote the delivery of health care.”1998 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.”1998 “The delivery of care in an uninterrupted and coordinated manner and in accordance with the patient's needs.”1998 A “’sustained partnership’” between patients and providers that addresses the ‘majority of a populations’ healthneeds.’” “Continuity implies that individuals use their primary source of care over time for most of their health careneeds.”13
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Summary of Definitions of Continuity of Care

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