Summary of Definitions of Continuity of Care
Summary of Definitions of Continuity of Care
Summary of Definitions of Continuity of Care
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
Author(s) Year Definition <strong>of</strong> <strong>Continuity</strong>Semke J.1991 “A process involving the orderly, uninterrupted movement <strong>of</strong> patients among the diverse elements <strong>of</strong> the servicedelivery system.” (Bachrach 1991).Barbato A., TerzianE., Saraceno B., et al.Brekke J.S., TestM.A.Hjortdahl, P.Liaw ST., Litt J.,Radford A.White D.Anderson M.A., Helms L.Bachrach L.L.Commonwealth <strong>of</strong>AustraliaFreeman G.K.,Richards S.C.Gabel L.L., LucasJ.B., Westbury R.C.1992 “A process involving the uninterrupted movement <strong>of</strong> patients over time through the diverse elements <strong>of</strong> the servicedelivery system.” (Bachrach 1991)1992 2 dimensions: “cross-sectional ‘continuity refers to the need at any one point in time for the client to be involved ina system <strong>of</strong> care that is comprehensive and integrated.’” “Longitudinal continuity means care that is continuousand integrated over time.”1992 Traditional aspect <strong>of</strong> continuity: “Medical care provided over time by one health care worker.” Revised definition<strong>of</strong> continuity: “‘A sense <strong>of</strong> overall, direct or coordinative responsibility for the different medical needs <strong>of</strong> thepatient.’”1992 Five dimensions <strong>of</strong> the continuity environment: “firstly chronological continuity, which refers to care provided overtime to a defined population (also known as longitudinal continuity); secondly geographical continuity referring tosite continuity and/or provider continuity regardless <strong>of</strong> site (<strong>of</strong>fice, hospital, home)… Thirdly interdisciplinarycontinuity or the role <strong>of</strong> the general practitioner in tackling or coordinating the undifferentiated illnesses, themultifactorial causes and the range <strong>of</strong> services available. Fourthly interpersonal or relational continuity refers tocontinuity <strong>of</strong> process that involves the quality <strong>of</strong> relationships...Informational continuity refers to the medicalrecord as well as all forms <strong>of</strong> communication between the patient and provider.”1992 Gives several definitions from the literature including: “A broad number <strong>of</strong> strategies intended to ensure long-term,comprehensive support for people with mental health problems in managing day-to-day life in the “natural milieu”or non-institutional environment.” “ The coordination <strong>of</strong> diverse services required for the treatment <strong>of</strong> any type <strong>of</strong>chronic or complex illness.”1993 “Coordinating the delivery <strong>of</strong> ongoing health care services in a variety <strong>of</strong> health care settings.” “Discharge planning[is] a means <strong>of</strong> achieving continuity <strong>of</strong> care [and] is the process in which a patient’s continuing health needs areidentified and communicated to providers at the next level <strong>of</strong> care.”1993 Canadian definition <strong>of</strong> continuity <strong>of</strong> care: “A general practitioner or family physician who, in addition to medicaltasks, takes on direct responsibility for connecting patients with the mental health service system.”1993 “<strong>Continuity</strong> <strong>of</strong> care is the provision <strong>of</strong> long-term, barrier-free access to the necessary range <strong>of</strong> mental health,general health, social and disability services.”1993 “Seeing the same doctor each time.”1993 Long-term relationship with physician. Ten domains characterise continuity from patient perspective: 1)“familiarity with physician” 2) “physician's knowledge <strong>of</strong> patient” 3) “satisfaction with care” 4) “confidence inphysician” 5) “personal attributes <strong>of</strong> physician” 6) “friendship with physician” 7) “pr<strong>of</strong>essional growth <strong>of</strong> physician9