Summary of Definitions of Continuity of Care

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Author(s) Year Definition of Continuityand interprofessional relationships.”McWhinney I.R.1975 Continuity of care in family practice: “is not delineated by the nature of the disease” and is a “continuity of personalresponsibility”, “terminated only by death, by mutual agreement, or by decision of one of the parties.”Amyot A., Lavoie J.G. 1976 [Commitment to the patient and his/her changing needs regardless of site of care; can only be provided by a team –that acts as a substitute mother. Preferably team should be assigned on a geographic basis to be able to transcendorganizational barriers.] [Fr.]Breslau N., Haug M.R. 1976 “Continuity of seeing one’s ‘own’ physician.” “ The extent to which pediatric care was given to a family by a single(‘own’) pediatrician.”McGuire H.D. 1976 “…[A]n uninterrupted succession of care, a planned effort on the part of providers to assure patients continuity ofservices, if not by the same individual on all occasions, at least by health professionals who are familiar with thepatient’s condition and treatment program. This also implies uninterrupted succession when the patient’s needsrequire a transfer to another source of care…”Shortell S.M.1976 “Continuity of medical care can be defined as the extent to which medical care services are received as acoordinated and uninterrupted succession of events consistent with the medical care needs of patients.” Underlyingtraits implied by the definition include: “1) the extent to which the provider seen for the first visit is also seen in thenext and subsequent visits; 2) the extent to which broken appointments, whether due to provider or patient, areminimized; 3) the extent to which duplication of tests, examinations, history taking, and procedures is minimized;4) the extent to which appropriate follow-up care, including patient compliance, is maximized; and 5) the extent towhich medical care can be received in a single location.”Starfield B.H., SimborgD.W., Horn S.D., et al.Bice, T.W.,Boxerman, S.B.Shorr G.I., NuttingP.A.Shortell S.M.,Richardson W.C.,LoGerfo J.P., et al.Starfield B., SimborgD., Johns C., et al.1976 Continuity of medical record: “having the patient seek care from the same facility.”Continuity of practitioner: “patients saw the same physician on repeated visits.”1977 Continuity if care is “the extent to which a given individual’s total number of visits for an episode of illness of aspecific time period are with a single or group of providers.”1977 Transition rates of the population among critical elements of the process. Primary prevention to secondaryprevention to intervention. Specific illness, care process (succession of events over time), not provider specific.1977 “Number of different contact points (e.g., emergency room, physician’s office, outpatient clinic, etc.) for receivingcare out of total number of contact points available… . The two percentages are standardized to take into accountdifferences in the denominator. The scoring is then reversed by subtracting from 100 so that the higher numberindicates greater continuity.”1977 Continuity of practitioner: “When the same practitioner saw the patient on follow-up.”2
Author(s) Year Definition of ContinuityHinman E.J.1978 3 elements for a continuity of care system: “first, there must be an organized system within which the care isprovided; second, there must be providers with the training and motivation to assure that the proper care is given(the principal provider of this care will be the primary physician); and third, there must be extensive patientinvolvement in the delivery process.”Cook, R.L.1979 “Continuity involves (1) patient participation in the planning, implementation, evaluation, and revision of hi/hernursing care based on reliable information; and (2) the continuous flow of relevant information about the patientbetween appropriate health-team members.”Hadac R.R., SmithC.K., Gordon M.J.1979 “Continuity of medical care can be defined as the extent to which medical care services are received as acoordinated and uninterrupted succession of events consistent with the medical care needs of patients.” (Shortell)Pereira Gray D.J.1979 Distinguishes between "personal" and "continuous" care. Personal refers to trusting and committed relationship.Continuous care refers to seeing same physician over time.Rosenthal J.M., Miller1979 “Effective inter-institutional communication.”D.B.Steinwachs D.M.1979 “Provider continuity” is “the extent to which individuals only one provider for their medical care.”Test M.A.Davis M.Z.Horan M.J., Steinwachs D.M.,Smith C.R., et al.Patten R.C., FribergR.1979 Dimensions of continuity: 1. “Cross-sectional care” – “at any given point in a chronically mentally ill person’streatment, the person must be involved in a system of care that is comprehensive (in meeting unmet needs) andintegrated.” 2. “Longitudinal continuity” – “care that is continuous and integrated over time.”1980 Continuity of care refers to “the integration over time of staff and patient information and actions directed towardfurthering the physical and social-psychological rehabilitation of the patient, beginning in the hospital andcontinuing after discharge.”1980 “The receipt of coordinated and uninterrupted health care services.”1980 Several definitions: 1. “Seeing the same physician over a period of time.” 2. “Receiving care in the same locationand having a single medical record.” 3. “The number of physicians seen in a single spell of illness.” 4. “The rate ofcomplete immunization, the number of hospitalizations supervised by the regular provider.” 5. “The number offamily members seeing the same physician.”Phillips W.R., Little T.L. 1980 “All visits with their own family physician.”Rogers J., Curtis P.1980 Model of Continuity includes: 1. Elements – Provider (“physicians and nurses, paramedical workers, socialworkers, etc.”) Consumer (“individuals, nuclear families and even larger cohorts of people (schools, industrialunits, etc.”) Medical interaction (direct – “May occur visually, verbally, or by the written word i.e., face-to-face,through the telephone or via medical records, messages, etc.”; indirect – “uses the same communication method but3
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Summary of Definitions of Continuity of Care

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