Summary of Definitions of Continuity of Care

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Author(s) Year Definition of ContinuityGodkin M.A., Rice1984 “[T]he degree to which the medical care of an individual patient is provided by a single physician.”C.A.Wasson J.H., Sauvigne A.E.,Mogielnicki R.P., et al.1984 Provider continuity: “the ongoing relationship between a patient and a health care provider, independent of thepatient’s particular medical problem.”Austin E. 1985 Continuity of care is “the frequency of visit utilization.”Berg. SCoyle N., MonzilloE., Loscalzo M., et al.Ejlertsson G., Berg S.Given C.W., BransonM., Zemach R.Brody S.J.Gruppen, L.D., Wolf, F.M.,Voorhees, C.V., et al.Quartier, F.Roland M., Mayor V.,Morris R.Tessler R.C., WillisG., Gubman G.D.Torrey EFZweig S., Kruse J.,LeFevre M.1985 “In comprehensive health services organizations, the continuity dimension tends to reflect the orchestration ofmedical services, while in a specialized medical organization continuity usually refers to the extent to which thecare of patients is given consistently by a single physician.”1985 “Continuity of care implies a stable therapeutic relationship between patient and care provider, the care beingappropriate to the patient’s needs. Implicit in this system is a necessity for the primary health care provider toremain involved with the patient and family throughout the course of the disease.”1985 “Maintaining a long-term patient/doctor relationship, regardless of that the problem may be.”1985 Ideal continuity: “where the patient receives care from the same physician at each visit.”1986 “Continuity of care embraces all providers with as many of the services delivered in concert or separately asrequired.”1986 The physician's preference for “maintaining full responsibility for the patient’s care and only consult with aspecialist.”1986 Long-term therapeutic relationship between a patient and provider(s). [French]1986 “Identification of one doctor as the provider of primary care for an individual patient over a long period of time.”1986 3 dimensions: Discharge planning – “the transition from hospital to the community”; Successful and rapid transfer– “services which are recommended are actually received, and…delivery of services begins in a timely fashion”;Implementation of individualized service plans – “services should be consecutive and related, with clientsexperiencing few if any breaks.”1986 “A process involving the orderly, uninterrupted movement of patients among the diverse elements of the servicedelivery system.”1986 Continuity of care: “whether patients had none, some, or most prenatal care with a delivering physician.”6
Author(s) Year Definition of ContinuityBachrach, L.1987 “Continuity of care means that the patient will be able to receive all of the different services that he or she needs,even through the service system is fragmented and even though many different service delivery agencies must beinvolved in his or her treatment.” It also means that “the service system must be accessible to the patient, accessiblein many different ways” including psychological access, financial access, geographic access and access over longperiods.Freeman G.K.1987 “The patient seeing the same doctor at each visit”Mattsson L.G., Westman G. 1987 “The extent to which each individual sees only one physician.”Ruane T.J., Brody H. 1987 “Continuity of care related to those aspects of medical care outside the present time, that is past and future.” Threeelements: “Cognitive elements include the knowledge that the physician must have to provide good continuingcare.” “Management elements…include those structural aspects of the medical care system in which the physician’spractices can facilitate or hinder optimal continuing care.” The relationship elements of continuity consist of“expectations about the physician’s personal availability and responsibility.”Tessler R.C.1987 “Comprehensive discharge planning, successful and rapid transfer and implementation of the program-specifictreatment plan.”Chao J. 1988 “Continuity of care may be conceptualized as an attitude on the part of the patient and provider rather than as asuccession of visits to the same provider.”Baker F., Vischi T.1989 Seven dimensions of continuity: “1) longitudinal – client treatment matches client progress even if care givers,treatment modalities or treatment sites change; 2) individualized – client care is planned for and with particularclients and their families; 3) comprehensive – the full range of services needed by a patient are made available; 4)flexible – the services provided to a client change as that individual’s needs change; 5) personal – clients can relyon relationships with a person or persons interested in them as individuals; 6) accessible – service delivery to aclient is experienced as free of barriers; 7) informative – continuity of information exists through opencommunications between client and service providers”Beland F.1989 “A characteristic of a physician visit.” “A visit is considered to be continuous respective to past visits made to thisphysician.”Conkling V.K.1989 Continuity of care is a “coordinated multidisciplinary program to restore an ill or disabled individual to his or hermaximum capabilities in physical, mental, social, vocational and economic usefulness.”Hjortdahl, P.1989 “Continuity of care can be defined as medical care provided over time for the patient by one health care regardlessof the presence of specific pathology or not.”7
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Summary of Definitions of Continuity of Care

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