Summary of Definitions of Continuity of Care

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Author(s) Year Definition of ContinuityGill J.M., Mainous1998 “Seeing the same health care provider over time.”A.G.Hill J., Schofield P.F.1998 “Effective hand-over procedures and clear communication between doctors.”Saarento O., ÖiesvoldT., Sytema S., et al.Sahlberg-Blom E.,Ternestedt B.M.,Johansson J.E.Smith L.L., AldersonC., Bowser J., et al.Waldenström U.,Turnbull D.AIDS Policy LawBrekke J.S., Ansel M.,Long J., et al.Chaudry R.V., Brandon W.P.,Schoeps N.B.Downing A., Hatfield B.Hecht F.M., Wilson I.B., Wu A.W.,et al.Love M.M., MainousA.G.Perrin J.M.1998 “The degree to which the service system links episodes of treatment into a seamless, uninterrupted whole, inconformity with the needs of the patient.” “Continuity of care is a multidimensional concept including integrationand coordination of services, communication among the various service providers and the stability of patientcaregiverrelationship over time.”1998 “Continuity of care means that the patient receives adequate care and treatment on a regular basis, and that thedifferent care episodes are connected in such a way that care actions occur in a similar way and the care culture isthe same. Continuity of care is partially dependent on continuity of person, and means that as few people aspossible provide the care, while continuity of care site means that the patient stays at the same place for a longerperiod of time.”1998 Continuous treatment teams: “consistent group of care providers giving on-going care in whatever setting the clientis found.”1998 “[C]ontinuity of midwifery care…[is] that provided by a midwife or small group of midwives from early pregnancyto the postnatal period.”1999 “Continuity of care – which includes not only access to medications but also to education, prevention and supportservices – is a necessity given the fact that most inmates eventually return to the communities where they lived.”1999 Longitudinal continuity – “the extent to which clients are involved in treatment continuously over time withoutgaps in service.” Service intensity – “the number of service contacts or total duration of service contacts over aspecified period.”1999 “Access to a regular doctor.”1999 “No service user is lost to services.” “There is a named key worker (case manager) who both delivers andcoordinates care.”1999 “Maintaining consistent providers over time and planning for follow-up.”1999 “A continuous long-term relationship between a physician and a patient….”1999 Continuity is an “uninterrupted connection or succession; close union of parts.”14
Author(s) Year Definition of ContinuityPreston C., Cheater F., Baker R., etal.1999 “Receiving care from a particular professional throughout the care process, and receiving consistent, coordinatedcare from different staff working together.”Raddish M., Horn S.D., Sharkey 1999 “Number of providers caring for a patient in a managed care setting.”P.D.Sytema S., Burgess P.1999 2 dimensions: Cross-sectional continuity is “the comprehensiveness and accessibility of services required to meetthe range of needs of long term patients.” Longitudinal continuity includes “continuity of service provision(sustained contact with services), continuity of service provider (i.e. patients receive services across time from thesame staff), and continuity through discharges and transfers (i.e. flexible and rapid transfer between care levelsWare N.C., Tugenberg T.,Dickey B., et al.Anderson M.A.,Helms L.B.Bindman J., JohnsonS., Szmulker G., et al.Biró M.A., Waldenström U.,Pannifex J.H.according to varying needs of patients).”1999 “Management and treatment of [severe conditions that are chronic and debilitating] over time.” Continuum of care:“a system of interventions with multiple components of varying intensity.”2000 “Continuity requires coordination of patient information among providers involved in an episode of care.”2000 “Perceived accessibility of services and knowledge about them, the number of keyworkers in a defined period oftime, and the proportion of time out of contact with services.”2000 “Caregivers committed to a shared philosophy of care or care provided by a small group throughout thechildbearing episode.”Bull M.J., Hansen H.E., Gross C.R. 2000 “Consistency of information about a patient’s illness and care management.”Cassady C.E., Starfield B.,Hurtado M.P., et al.Chien C.F., Steinwachs D.M.,Lehman A., et alCook A., Lennox N.Fleming D.M.Freeman G., SheppardS., Robinson I., et al.2000 Longitudinality: “ongoing person-focused care.”2000 Continuity of care is “longitudinal care that is integrated and coordinated over time.” Provider continuity is “seeingthe same provider…for all mental health care over time.”2000 “Established ongoing doctor patient relationship.”2000 Hennen’s 7 dimensions: “chronological (i.e. longitudinal); geographically linked (organizational); interdisciplinary(integration of care between specialties and paramedical services); relationship (between the carer and the caredfor); information (records systems); accessibility (concerned with the organization of care rather than its location);stability (refers to the stability of a particular patient’s environment).2000 A multi-aspect definition of continuity with six elements: “1.The experience of a coordinated and smoothprogression of care from the patient’s point of view (experienced continuity). To achieve this central element theservice needs: 2. Excellent information transfer following the patient (continuity of information). 3. Effective15
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Summary of Definitions of Continuity of Care

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