Summary of Definitions of Continuity of Care

More documents

Recommendations

Info

Author(s) Year Definition of Continuityis undertaken by an intermediary, i.e., a mother discussion her absent child’s problem with a nurse, or a nursegiving the physician a message from a patient.”; 2. Knowledge Base – “The consumer element does not usuallypossess recorded prior knowledge about the provider, but may have unrecorded first or secondhand knowledgeabout this person (i.e., a physician’s reputation for kindness, medical skill, willingness to do home visits, etc.).”“The provider will usually have some recorded knowledge concerning the summer – medical records, hospitalsummaries, laboratory tests and correspondence (i.e., the script of direct and indirect encounters between thecontinuity elements). In addition the provider may have considerable unrecorded knowledge from multiple sources,both first and secondhand. The completeness and use of this knowledge has direct implications on the quality andlevel of continuity” 3. Continuity Environment – Hennen’s dimensions: “chronological, geographical,interdisciplinary, relationship, informational, accessibility and stability.”Roos L.L., Roos N.P.,Gilbert P., et al.Starfield B.Bachrach, L.Banahan Jr. B.F.,Banahan B.F.Breslau N., et al.1980 Multiple definitions: 1. “The extent to which medical services are received as a succession of coordinated anduninterrupted events.” 2. “Care received by a patient from a single physician (provider continuity).” 3. “Carereceived from multiple but related physicians such as those practicing as a group (site continuity).” 4. “Care linkedby a referral (Referral continuity).”1980 Longitudinality: “Care over time regardless of the presence of specific pathology.” Implies regular source of careand use of regular source of care over time. Continuity: “the way in which information about diagnosis andmanagement of a problem is conveyed from one visit to the next.”1981 “Continuity of care may be understood as a process involving the orderly, uninterrupted movement of patientsamong the diverse elements of the service delivery system.” Dimensions of continuity: temporal (longitudinal),individual (patient-centred), cross-sectional (comprehensive), flexibility (not a linear progression), relationship(between patient and providers), accessibility, and communication (between patient and providers)1981 “Continuity of care is a phenomenon that exists when (1) the patient perceives a dependency on the physician formedical care, and (2) the physician perceives a responsibility for the patient’s medical care.”1981 “[C]ontinuous care from the same physician.”Dietrich, A.J., Olson,A.L.Dorsky D.L., Housley C.E.Joseph B., Ryan C.F., BoudrealtT.M.M.A., Rice C.A.1981 “A continuing relationship with a personal physician.”1981 “To provide a patient’s transfer protocol and shared service agreement delineating the cooperation between the twoinstitutions in order to facilitate and insure efficient and effective patient care.”1981 “Passage of patients from inpatient to community care.”1981 “Continuous care by one provider.”4
Author(s) Year Definition of ContinuityWall E.M.1981 Multiple definitions: 1. “Personal responsibility neither limited by the nature of the illness nor by the time spentwith the patient.” 2. “The extent to which services are received as part of a coordinated and uninterruptedsuccession of events consistent with the medical care needs of patients.” 3. “The expectation of an enduringrelationship.” 4. “The amount of prior knowledge possessed by the elements (consumers and providers) involved inmedical care.” 5. “A process variable that accounts in part for the relationship between system organization andphysician utilization.” 6. “The extent to which a single physician manages the health needs of a patient.”Breslau N. 1982 “Continuous care from a single physician.”Dietrich A.J., MartonK.I.McWhinney I.Nassif D., Garfink C.,Greenfield C.Eriksson E.A.,Mattsson L.Fletcher R.H., O'Malley M.S.,Earp J, et al.Honovich D.Ejlertsson G., Berg S.Fletcher R.H.,O'Malley M.S.,Fletcher S.W., et al.Freeman G.K.1982 “Ongoing care from a person (such as a physician or other health professional) or from an institution (such as ahealth maintenance organization, hospital, or clinic).”1982 Hennen’s four dimensions of the “continuity environment”: “chronological, geographic, interdisciplinary, andinterpersonal.” Rogers and Curtis’ model of continuity includes Hennen’s dimensions, as well as: “informational,accessibility, and stability dimensions”.1982 “Structural continuity”: “pertains to the site of medical encounter and the way in which the delivery of services isorganized”. This definition assumes “that patients who receive all routine and nonemergent, nonroutine care at onesite are more likely to been seen by one physician or team of health care workers, and will, at least, have anintegrated medical record.” “Process continuity”: “the coordinated delivery of care over a period of time orthroughout an illness episode".1983 “The extent to which the same provider is seen during a sequence of visits.”1983 Strength of belief in the following statement, “You should see the same doctor on every visit.”1983 “Taking responsibility for your patients after discharge from your facility.”1984 “Seeing one's own physician on all visits.”1984 “Percent of all visits to the primary care physician.” Coordination is defined as “written evidence that the otherphysician was aware of the primary physician’s involvement, and that 1) the primary physician arranged visit to theother physician or knew about it beforehand; or 2) the primary physician was aware of the patient’s visit to theother physician after the visit.”1984 Personal/longitudinal continuity: “where one doctor may look after the same patient for many years ‘acrosssignificant life cycle changes of the patient.’”5
Page 1 and 2: APPENDIX G - SUMMARY OF DEFINITIONS
Page 3: Author(s) Year Definition of Contin
Page 7 and 8: Author(s) Year Definition of Contin
Page 17: Author(s) Year Definition of Contin

Summary of Definitions of Continuity of Care

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?