Summary of Definitions of Continuity of Care

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Author(s) Year Definition of Continuitycommunication between professionals and services and with patients (cross-boundary and team continuity). 4. Tobe flexible and adjust to the needs of the individual patient over time (flexible continuity). 5. Care from as fewprofessionals as possible, consistent with other needs (longitudinal continuity). 6. To provide one or more namedindividual professionals with whom the patient can establish and maintain a therapeutic relationship (relational orpersonal continuity).”Freeman G.K.2000 Longitudinal continuity: “Seeing the same doctor at each contact.”Fu J.C., Lou W.Y.W.Green J.M., Renfrew M.J., CurtisP.A.Guthrie B., Wyke S.Neal R.D., Heywood P.L., MorleyS.2000 “Continuity of care describes the extent to which information about the diagnosis and management of healthproblems is conveyed from one visit to the next….This definition includes not only provider continuity but alsoother dimensions such as continuity of medical records and of geographical treatment site.”2000 Continuity of carer: “Care given by just one person.” Continuity of care: “Consistency of care from a trustedprovider.”2000 Traditionally, continuity of care has meant “a patient visits the same doctor.” Personal continuity occurs when an“ongoing doctor-patient relationship ensures that care takes account of the patient’s personal and social context.”2000 “The provision of care by one practitioner over a defined time.”Newberry P. 2000 “A continuous relationship between one physician and one patient over extended periods of time.”Roussey M., Desrues B., Turck D.,et al.Sparbel K.J.,Anderson M.A.Sturmberg J.P.Waldenström U., Brown S.,McLachlan H., et al.Donaldson M.2000 [Transfer of clinical responsibility from pediatric to adult care for very long term childhood chronic conditions e.g.Cystic Fibrosis. The success with which care is transferred depends on many factors; especially the existence of acompetent team to take care of the adult so that the patient can “separate” from trusted pediatric team to adult care.][Fr.]2000 “Continuity of care is a series of connected patient-care events both within a health care institution and amongmultiple settings. It requires coordination and linkages across time, settings, providers, and consumers of healthcare.”2000 Continuity of care “requires a stable care environment, …good communication to build a responsible doctor-patientrelationship and…the goal of achieving an improvement of the patient’s overall health.”2000 “Attendance at birth by a known caregiver.” “ Continuity of care can also mean caregivers working with a sharedphilosophy and guildelines for practice.”2001 “The degree to which health care activities are structured to increase information available to a clinician and toincrease the likelihood of goal alignment between the patient and the clinician.”16
Author(s) Year Definition of ContinuityInstitute of Medicine2001 “Continuity is a characteristic that refers to care over time by a single individual or team of health professionals(“clinician continuity”) and to effective and timely communication of health information (about events, risks,advice, and patient preferences) (“record continuity”). It applies to both space and time. It combines events andinformation about events occurring in disparate settings, at different levels of care, and over time, preferablythroughout a person’s life span. Continuity encompasses patient and clinician knowledge of one another and theeffective and timely communication of health information that should occur among patients, their families, otherspecialists, and primary care clinicians.” (p.43)Lou W.Y.W.2001 “Describes the extent to which knowledge about the diagnosis and management of health problems is conveyedforward in time, and efficient transfer of such information between patient visits as well as providers is vital tooptimal usage of available health care resources.”Shi L., Starfield B.,2001 “Longitudinality presupposes the existence of a regular source of care and its use over time.”Xu J.Center to ImproveCare of the Dying∅ Record continuity: “whether information about a patient’s history, visits, tests, allergies, medications, andpreferences are available to all clinicians who care for the patient.” Clinician continuity: “the proportion of patientvisits that are with a given ‘index’ clinician who might be identified in a variety of ways…” Site continuity: “usualsource of care.” Continuum of care: “a client-oriented system composed of both services and integratingmechanisms that guides and tracks patients over time through a comprehensive array of healthy mental health andsocial services spanning all levels of intensity of care.” Contract of attitudes: “patients’ understanding about who isin charge of their care.”17
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Summary of Definitions of Continuity of Care

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