Breaks in continuity of care and the rural senior transferred for medical care under regionalisation
Continuity of care, defined as the patient experiencing coherent care over time and place, is challenged when a rural senior with multiple medical problems is transferred to a regional hospital for acute care. From an illustrative case of an older patient with pneumonia and atrial fibrillation, we c...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ubiquity Press
2003-09-01
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| Series: | International Journal of Integrated Care |
| Subjects: | |
| Online Access: | http://www.ijic.org/index.php/ijic/article/view/85 |
| _version_ | 1811270310340591616 |
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| author | H. Jay Biem H. Hadjistavropoulos Debra Morgan Henry B. Biem Raymond W. Pong |
| author_facet | H. Jay Biem H. Hadjistavropoulos Debra Morgan Henry B. Biem Raymond W. Pong |
| author_sort | H. Jay Biem |
| collection | DOAJ |
| description | Continuity of care, defined as the patient experiencing coherent care over time and place, is challenged when a rural senior with multiple medical problems is transferred to a regional hospital for acute care. From an illustrative case of an older patient with pneumonia and atrial fibrillation, we catalogue potential breaks in continuity of care. Optimal continuity of care is characterised not only by regular contact with the providers who establish collaboration with patients and their caregivers, but also by communication, co-ordination, contingency, convenience, and consistency. Because it is not possible to have the same providers continuously available (relational continuity), for continuity of care, there is a need for integrative system approaches, such as: (1) policy and standards, disease management programs, integrated clinical pathways (management continuity), (2) electronic health information systems and telecommunications technology (communication continuity). The evaluation of these approaches requires measures that account for the multi-faceted nature of continuity of care. |
| first_indexed | 2024-04-12T21:58:35Z |
| format | Article |
| id | doaj.art-8e7ffbd53cf74951b661b5a1221f0de8 |
| institution | Directory Open Access Journal |
| issn | 1568-4156 |
| language | English |
| last_indexed | 2024-04-12T21:58:35Z |
| publishDate | 2003-09-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj.art-8e7ffbd53cf74951b661b5a1221f0de82022-12-22T03:15:12ZengUbiquity PressInternational Journal of Integrated Care1568-41562003-09-013385Breaks in continuity of care and the rural senior transferred for medical care under regionalisationH. Jay BiemH. HadjistavropoulosDebra MorganHenry B. BiemRaymond W. PongContinuity of care, defined as the patient experiencing coherent care over time and place, is challenged when a rural senior with multiple medical problems is transferred to a regional hospital for acute care. From an illustrative case of an older patient with pneumonia and atrial fibrillation, we catalogue potential breaks in continuity of care. Optimal continuity of care is characterised not only by regular contact with the providers who establish collaboration with patients and their caregivers, but also by communication, co-ordination, contingency, convenience, and consistency. Because it is not possible to have the same providers continuously available (relational continuity), for continuity of care, there is a need for integrative system approaches, such as: (1) policy and standards, disease management programs, integrated clinical pathways (management continuity), (2) electronic health information systems and telecommunications technology (communication continuity). The evaluation of these approaches requires measures that account for the multi-faceted nature of continuity of care.http://www.ijic.org/index.php/ijic/article/view/85continuity of carepatientruraltertiary centrequality of careco-ordinationintegrated care |
| spellingShingle | H. Jay Biem H. Hadjistavropoulos Debra Morgan Henry B. Biem Raymond W. Pong Breaks in continuity of care and the rural senior transferred for medical care under regionalisation International Journal of Integrated Care continuity of care patient rural tertiary centre quality of care co-ordination integrated care |
| title | Breaks in continuity of care and the rural senior transferred for medical care under regionalisation |
| title_full | Breaks in continuity of care and the rural senior transferred for medical care under regionalisation |
| title_fullStr | Breaks in continuity of care and the rural senior transferred for medical care under regionalisation |
| title_full_unstemmed | Breaks in continuity of care and the rural senior transferred for medical care under regionalisation |
| title_short | Breaks in continuity of care and the rural senior transferred for medical care under regionalisation |
| title_sort | breaks in continuity of care and the rural senior transferred for medical care under regionalisation |
| topic | continuity of care patient rural tertiary centre quality of care co-ordination integrated care |
| url | http://www.ijic.org/index.php/ijic/article/view/85 |
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