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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...

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Detalles Bibliográficos
Autores principales: Jay Biem, H., Hadjistavropoulos, H., Morgan, Debra, Biem, Henry B., Pong, Raymond W.
Formato: Texto
Lenguaje:English
Publicado: Igitur, Utrecht Publishing & Archiving 2003
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1483941/
https://www.ncbi.nlm.nih.gov/pubmed/16896374
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author Jay Biem, H.
Hadjistavropoulos, H.
Morgan, Debra
Biem, Henry B.
Pong, Raymond W.
author_facet Jay Biem, H.
Hadjistavropoulos, H.
Morgan, Debra
Biem, Henry B.
Pong, Raymond W.
author_sort Jay Biem, H.
collection PubMed
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.
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spelling pubmed-14839412006-08-07 Breaks in continuity of care and the rural senior transferred for medical care under regionalisation Jay Biem, H. Hadjistavropoulos, H. Morgan, Debra Biem, Henry B. Pong, Raymond W. Int J Integr Care Research and Theory 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. Igitur, Utrecht Publishing & Archiving 2003-09-29 /pmc/articles/PMC1483941/ /pubmed/16896374 Text en Copyright 2003, International Journal of Integrated Care (IJIC)
spellingShingle Research and Theory
Jay Biem, H.
Hadjistavropoulos, H.
Morgan, Debra
Biem, Henry B.
Pong, Raymond W.
Breaks in continuity of care and the rural senior transferred for medical care under regionalisation
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 Research and Theory
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1483941/
https://www.ncbi.nlm.nih.gov/pubmed/16896374
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