Cargando…
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...
Autores principales: | , , , , |
---|---|
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 |
_version_ | 1782128318055710720 |
---|---|
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. |
format | Text |
id | pubmed-1483941 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2003 |
publisher | Igitur, Utrecht Publishing & Archiving |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT jaybiemh breaksincontinuityofcareandtheruralseniortransferredformedicalcareunderregionalisation AT hadjistavropoulosh breaksincontinuityofcareandtheruralseniortransferredformedicalcareunderregionalisation AT morgandebra breaksincontinuityofcareandtheruralseniortransferredformedicalcareunderregionalisation AT biemhenryb breaksincontinuityofcareandtheruralseniortransferredformedicalcareunderregionalisation AT pongraymondw breaksincontinuityofcareandtheruralseniortransferredformedicalcareunderregionalisation |