Relevant bibliographies by topics / Continuity of care

Academic literature on the topic 'Continuity of care'

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Published: 4 June 2021
Last updated: 11 March 2023

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Journal articles on the topic "Continuity of care"

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Steer, Philip J. "Continuity of care, continuity of service." International Journal of Cardiology Congenital Heart Disease 1 (July 2020): 100056. http://dx.doi.org/10.1016/j.ijcchd.2020.100056.

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Fleming, Douglas M. "Continuity of care." European Journal of General Practice 7, no. 1 (January 2001): 35. http://dx.doi.org/10.3109/13814780109048783.

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Lemire, Francine. "Continuity of care." Canadian Family Physician 67, no. 6 (June 2021): 470. http://dx.doi.org/10.46747/cfp.6706470.

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Prossor, John. "Continuity of care." British Journal of General Practice 57, no. 545 (December 1, 2007): 996. http://dx.doi.org/10.3399/096016407782605036.

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Zarle, Nancy C. "Continuity of Care." Nursing Clinics of North America 24, no. 3 (September 1989): 697–705. http://dx.doi.org/10.1016/s0029-6465(22)01530-4.

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Kim, Soo Young. "Continuity of Care." Korean Journal of Family Medicine 38, no. 5 (2017): 241. http://dx.doi.org/10.4082/kjfm.2017.38.5.241.

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Turner, Simon. "Continuity of care." Veterinary Record 178, no. 22 (May 27, 2016): 566.2–566. http://dx.doi.org/10.1136/vr.i2990.

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Wasson, J. H. "Continuity of care." Academic Medicine 63, no. 7 (July 1988): 586. http://dx.doi.org/10.1097/00001888-198807000-00016.

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Durbin, Janet, Paula Goering, David L. Streiner, and George Pink. "Continuity of Care." Journal of Behavioral Health Services & Research 31, no. 3 (2004): 279–96. http://dx.doi.org/10.1097/00075484-200407000-00005.

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Klingbeil, Gerda E. G., and Irma G. Fiedler. "Continuity of Care." American Journal of Physical Medicine & Rehabilitation 67, no. 2 (April 1988): 77–81. http://dx.doi.org/10.1097/00002060-198804000-00008.

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Dissertations / Theses on the topic "Continuity of care"

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Freeman, George Kenneth. "Continuity of care in general practice." Thesis, University of Cambridge, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.397947.

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Guthrie, Bruce. "Continuity of care in UK general practice." Thesis, University of Edinburgh, 2003. http://hdl.handle.net/1842/24660.

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'Continuity' is frequently cited as a core value for UK general practice, and in this context usually appears conceptualised in terms of personal continuity or ongoing relationships between patients and general practitioners (GPs). Formal definitions include other dimensions such as continuity of information, and the co-ordination of care, and these are more promoted in recent UK policy documents and by organisational change. Two studies were conducted for this thesis. The first used multilevel regression analysis of survey data from over 25,000 patients in 53 general practices to explore the distribution of 'continuity' in the sense of whether or not patients were seeing their 'usual or regular' GP. The key findings were that measured 'continuity' was lower in larger practices and those with shared lists where patients can see any GP. Younger patients and those without chronic disease were less likely to be seeing their usual or regular GP, although whether the age association represents a cohort or lifecycle effect cannot be addressed with cross sectional data. In the second study, thirty-two patients and sixteen GPs were interviewed about what they valued about general practice. Interviews were semi-structured, and the data were analysed qualitatively. A thematic analysis of which dimensions of 'continuity' were valued by patients and GPs, and how these related to other valued processes and outcomes of general practice care was developed. Further analysis focused on the ways that GPs used 'continuity' to construct a particular kind of professional identity, and whether patients accepted or rejected the claims to a particular identity made by GPs. Both GPs and the majority of patients emphasised the importance of personal continuity. A key difference was that patients talked about routinely balancing personal continuity against access, with their preference varying with the nature of the problem to be discussed. The majority of patients said that they usually preferred to wait to see 'their' GP, but a few solely prioritised speed or convenience of access. GPs and patients ascribed a similar range of advantages to personal continuity, but GPs focused on benefits in terms of better diagnosis and management of problems, whereas patients emphasised feeling more at ease, being able to be more active in consultations, and increased trust and legitimacy. In formal definitions, the different dimensions of'continuity' are made conceptually distinct. But for these GPs and patients, different dimensions of continuity were interwoven. Personal continuity (an ongoing relationship) and longitudinal continuity (seeing the same GP) were routinely conflated, and GPs described complex interactions between the different ways of knowing the patient associated with personal continuity and with continuity of information embodied in the medical record. Personal continuity was frequently deployed by GPs to distinguish themselves from hospital doctors. This boundary was repeatedly constructed without prompting throughout the GP interviews, suggesting that it was a problematic area. This appeared to be because of hospital doctors' greater expertise in diagnosis and management of particular diseases or problems, something acknowledged by GPs and taken for granted by patients. In contrast, GPs appeared to assume that their control of medical knowledge made their identity with regard to nurses unproblematic. Supporting this, patients talked about nurses' work largely in terms of the tasks done, and said they did not greatly value ongoing, personal relationships with nurses. Underpinning both of these boundaries was a shared assumption of medical work as primarily being the diagnosis and management of problems, with a stronger biomedical emphasis than was immediately apparent in talk about 'personal continuity'. The data are used to discuss the ways in which personal continuity appeared central to patients' and GPs' experience of general practice, and to the construction of a stable professional identity for GPs. The usefulness of 'continuity' as a research or policy concept is then explored. Although formal definitions of'continuity' are conceptually helpful, different dimensions of'continuity' are likely to be interdependent within an individual health care system. Understanding 'continuity' therefore requires a sensitivity to this wider context. Finally, possible implications of current organisational change for the experience of 'continuity' by patients and the professional identity of GPs and general practice are examined.
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Hill, Kate Mary. "Understanding and Measuring Continuity of Care in Stroke." Thesis, University of Leeds, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.515343.

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King, Madeline. "Continuity of Care for Older Adults in a Long-Term Care Setting." Thesis, Université d'Ottawa / University of Ottawa, 2020. http://hdl.handle.net/10393/40914.

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In Ontario, the population of older adults is increasing. While the provincial government is taking action to address increasing demand on health systems, older adults are still suffering the consequences of a health system that is not able to meet their complex care needs. Older adults face barriers to continuity of care including difficulties with memory, reliance on informal caregivers, frailty, and difficulties scheduling appointments. These barriers also exist within the long-term care setting. Long-term care facilities are making efforts to provide more effective care, including designing care approaches aimed to meet the complex care needs of older adults. Aspects of a goal-oriented approach suggest that it has the potential to reduce fragmentation and positively impacting continuity of care. However, the impact of goal-oriented care on continuity of care in a long-term care setting has yet to be explored. This thesis uses an exploratory case study methodology to describe how a goal-oriented care approach influenced continuity of care in a long-term care setting, as perceived by residents, staff, and administrators. The case study setting is the Perley & Rideau Veterans Health Centre in Ottawa, Ontario, where the SeeMe program, a frailty-informed approach with a goal-oriented component, was recently introduced. Factors associated with the SeeMe program and other organizational factors perceived to facilitate and inhibit informational, relational and management continuity were identified. Aspects of the SeeMe program that facilitated informational continuity were: goals-of-care meetings with residents, their care team and family; care conferences that helped residents understand their care options; and, procedures that ensured consistency in where resident’s goal information is stored. Aspects that facilitated relational continuity were: understanding residents’ values and preferences; staff increasing awareness of the program for families; and, integration of the family perspective into a resident’s care. Program aspects that facilitated management continuity were: discussions that led to informed decision-making; use of assessments as a reference tool in the case of an acute health event; discussions that empowered residents to talk to external care providers; and, creation of a structure that facilitated consistencies in care. These factors can be targeted when designing care approaches aimed to improve continuity in long-term care settings.
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Turpin, Patricia Marie Gray. "Information needs across care settings : the pursuit of continuity of patient care /." Digital version accessible at:, 2000. http://wwwlib.umi.com/cr/utexas/main.

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Yemm, Rowan. "Exploration of care continuity during the hospital discharge process." Thesis, University of East Anglia, 2014. https://ueaeprints.uea.ac.uk/53420/.

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Background Communication regarding medicines at hospital discharge via discharge summaries is notoriously poor and negatively impacts on patient care. With the process being dependant on the quality of patient records during admission, junior doctors who write them and General Practitioners (GPs) who receive them, the objectives of this thesis were, with respect to discharge summaries, to:-  assess their timeliness, accuracy and quality  describe GP preferences  explore experiences of junior doctors regarding their preparation. Methods Discharge summaries produced from one district general hospital were audited, as was the impact of changing the format of inpatient drug charts. A combination of observation, think-aloud and ethnographic interviews were conducted to investigate experiences of junior hospital doctors preparing summaries. A survey of GPs and junior doctors was undertaken to compare attitudes towards the discharge process. A pilot Discrete Choice Experiment (DCE) was developed and undertaken with GPs to determine their preferences with respect to the format, quality and timing of discharge summaries. Results A large proportion of discharge summaries were found to be inaccurate, however this was reduced when checked by a pharmacist. Key barriers to summary preparation identified were lack of time, training and knowledge of the patient. GPs perceived medicine changes on discharge summaries to be more important than did junior doctors. The DCE found that GPs were willing to trade timeliness of discharge summaries with accuracy. Discussion and conclusions The error rate within discharge summaries highlights the importance of a pharmacy accuracy check. The national requirement to deliver discharge summaries within 24 hours of discharge results in the pharmacist being bypassed and places additional pressure on junior doctors to prepare them in a timely manner, which might provide explanation for poor quality. Interestingly, GPs were willing to forego receipt of discharge summaries within 24 hours in preference for a reduced error rate. Keywords: patient discharge, discharge summary, patient transfer, interdisciplinary communication, medication errors.
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Prikule, Marta. "Care for Continuity : The Case of Riga Circus Building." Thesis, Umeå universitet, Arkitekthögskolan vid Umeå universitet, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-138793.

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The presented research focuses on sociocultural ability to sustain the built heritage as a dynamic living place. A human habitat is defined as a genius loci site - manifesting intangible qualities of a material site, perceived both psychically and spiritually. From this perspective, the heritage conservation doctrine often does not correspond to spiritual qualities of genius loci ‘living’ sites. From the theoretical perspective the author defines the preservation of genius loci sites as a care for continuity. To sustain the continuity and to provide day-to-day life happening in the building, the main objective is the inside perspective of the dweller or doer, as through the commitment of human interaction the spirit of place brings the environment to a life. The case of Riga Circus Building, seen as a genius loci site, is accordingly sustained as a care for continuity. In order to provide for local communities to continue inhabiting the building, while maintaining the spirit of place, the author outlines several design principles. The research and its application into a real genius loci site resulted in four basic conclusions. First, that - genius loci sites can not be recreated deliberately, because they are ‘accident’, and not inventions. Second, as those sites are not creations, they are not able to accept radical changes, while minor ones are tolerable. Third, that the present conservation policy is, perhaps, able to protect the genius loci sites against threats, however, often it neither aims in maintaining continuity, nor is able for a comprehensive engagement in general domains of human interactions. Forth, the best possible way to preserve genius loci site, as such - Riga Circus Building, is to assure its continuity.
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Puntis, Stephen Robert. "Continuity of care and clinical outcomes in the community care of patients with psychosis." Thesis, University of Oxford, 2015. https://ora.ox.ac.uk/objects/uuid:8a6866ca-1288-4d55-a213-f9445e13254f.

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Continuity of care in mental health care is considered both an important objective of NHS policy and vital to clinical practice. However, it remains poorly defined and there is little research into its association with outcomes. Mental health services are unique in their ability to legally compel patients to adhere to treatment in the community and there has been no research into how this may affect continuity. My thesis aims to critically appraise the definition of continuity of care and systematically review the literature on its association with outcomes. It also measures its association with readmission by conducting a longitudinal study, and measures the association between community compulsion and continuity of care. The literature review confirmed that continuity of care is best understood as the process of care of an individual patient over time. This is perceived by both the patient and providers of care as comprehensive, consistent, and connected. The systematic review found little evidence for an association between continuity of care and outcomes but that this may be due to persisting variation in both measures and outcomes. Results from the longitudinal study suggested that better continuity was associated with both better and worse hospital outcomes. Community compulsion had no association with continuity of care. My findings suggest that patient follow-up has improved considerably in the last three decades and, because of this, some traditional measures of continuity may be redundant. Measures of frequency of contact do not accurately measure the flexible, assertive practice that is a feature of current services. Continuity of care is useful as an indicator of the process of care but for it to be an effective research tool there needs to be a radical change in the way it is measured. Current mental health services are characterised by separation and specialisation into different components of care. Therefore, the most useful measures of continuity of care may be ones which successfully measure how it can be maintained between these services.
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Lo, Yen Andrea. "Doctor-Shopping : implications for continuity of care in Hong Kong /." Hong Kong : University of Hong Kong, 1995. http://sunzi.lib.hku.hk/hkuto/record.jsp?B14017726.

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Doll, Richard P. "Continuity of care : a study of alternate forms of intervention." Thesis, University of British Columbia, 1987. http://hdl.handle.net/2429/26246.

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The aim of this study is to determine the effect of two approaches of social work intervention, a continuity approach, and a team approach, upon the three dependent variables of subject satisfaction, control, and mood. In order to determine differences in outcome, subjects were administered psychological tests to determine changes in their reported sense of control and mood (hopelessness) in relation to their response to the diagnosis and treatment of cancer. At follow-up, subjects also completed a questionnaire designed to determine their satisfaction with social work services received. The amount of time spent in contact with social workers was also assessed at this time. The analysis of the relationship between these variables revealed that there were no statistically significant differences between the study groups; subjects were equally satisfied with the two approaches in social work intervention, and there were no major differences between the reported changes in mood and control by the subjects in the study groups.
Medicine, Faculty of
Population and Public Health (SPPH), School of
Graduate
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Books on the topic "Continuity of care"

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G, Hartigan Evelyn, Brown D. Jean, and Bristow Opal, eds. Discharge planning for continuity of care. New York: National League for Nursing, 1985.

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Rehabilitation and continuity of care in pulmonary disease. St. Louis: Mosby Year Book, 1991.

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Royal College of General Practitioners, ed. Continuity in palliative care: Key issues and perspectives. London: Royal College of General Practitioners, 2007.

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Centre, King's Fund. Maternity care: Choice, continuity and change : consensus statement. London: King's Fund Centre, 1993.

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Change and continuity in Canada's health care system. Ottawa: CHA Press, 2006.

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Conference, King's Fund Centre, and Great Britain. Department of Health., eds. Maternity care: Choice, continuity and change : consensus statement. London: King's Fund Centre, 1993.

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Kitson-Reynolds, Ellen, and Kate Ashforth. A Concise Guide to Continuity of Care in Midwifery. London: Routledge, 2021. http://dx.doi.org/10.4324/9781003051527.

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Black, Joyce M., and Esther Matassarin-Jacobs. Medical-surgical nursing: Clinical management for continuity of care. 5th ed. Philadelphia: Saunders, 1997.

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Eleanor, McClelland, Kelly Kathleen, and Buckwalter Kathleen Coen, eds. Continuity of care: Advancing the concept of discharge planning. Orlando: Grune & Stratton, 1985.

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S, Cromwell Florence, ed. The Roles of occupational therapists in continuity of care. New York: Haworth Press, 1985.

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Book chapters on the topic "Continuity of care"

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Boltz, Marie. "Continuity of Care." In Encyclopedia of Behavioral Medicine, 488–89. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4419-1005-9_96.

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Boltz, Marie. "Continuity of Care." In Encyclopedia of Behavioral Medicine, 1–2. New York, NY: Springer New York, 2016. http://dx.doi.org/10.1007/978-1-4614-6439-6_96-2.

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Boltz, Marie. "Continuity of Care." In Encyclopedia of Behavioral Medicine, 542–43. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-39903-0_96.

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Brockie, James, and Carolyn Gair. "Continuity of Care." In Perspectives in Nursing Management and Care for Older Adults, 111–22. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-40075-0_9.

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Solid, Craig A. "Challenge 2: Continuity." In Practical Strategies to Assess Value in Health Care, 29–41. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-95149-8_3.

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Hollenbaugh, K. Michelle Hunnicutt, and Jacob M. Klein. "Treatment Team and Continuity of Care." In Dialectical Behavior Therapy With Adolescents, 29–37. New York, NY : Routledge, 2018.: Routledge, 2018. http://dx.doi.org/10.4324/9781315692425-3.

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Halttunen, Anneli. "Continuity of Nursing Care in Primary Care in Finland." In Medical Informatics Europe 85, 750–52. Berlin, Heidelberg: Springer Berlin Heidelberg, 1985. http://dx.doi.org/10.1007/978-3-642-93295-3_145.

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Johnson, Julia, Sheena Rolph, and Randall Smith. "Continuity and Change in Residential Care for Older People." In Residential Care Transformed, 207–18. London: Palgrave Macmillan UK, 2010. http://dx.doi.org/10.1057/9780230290303_10.

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Crișan-Vida, Mihaela, Liliana Bărbuț, Alexandra Bărbuț, and Lăcrămioara Stoicu-Tivadar. "IT Complex Solution Supporting Continuity of Care." In Soft Computing Applications, 308–15. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-62521-8_25.

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Frezza, Eldo E. "Continuity of Patient Care and Advance Directives." In Patient-Centered Healthcare, 155–62. Boca Raton : Routledge/Taylor & Francis, 2020.: Productivity Press, 2019. http://dx.doi.org/10.4324/9780429032226-21.

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Conference papers on the topic "Continuity of care"

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Osebe, Samuel, Aisha Walcott, Komminist Weldemariam, Charles M. Wachira, Fiona Matu, Nelson Bore, David Kaguma, et al. "Enabling Care Continuity using a Digital Health Wallet." In 2019 IEEE International Conference on Healthcare Informatics (ICHI). IEEE, 2019. http://dx.doi.org/10.1109/ichi.2019.8904625.

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Wakefield, Leigh-Ann, Katherine Lewiston, and Matthew Chak Hin Szeto. "58 Hospital at weekends: improving continuity of care." In Leaders in Healthcare Conference, Poster Abstracts, 4–6 November 2019, Birmingham, UK. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/leader-2019-fmlm.58.

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Srivastava, Siddharth, Sumit Soman, Astha Rai, Amarjeet Cheema, and Praveen Kumar Srivastava. "Continuity of Care Document for Hospital Management Systems." In ICEGOV '17: 10th International Conference on Theory and Practice of Electronic Governance. New York, NY, USA: ACM, 2017. http://dx.doi.org/10.1145/3047273.3047362.

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Varshney, Upkar, Anu G. Bourgeois, Neetu Singh, and Shanta R. Dube. "SCCORe: Smart Continuity of Care for Opioid Recovery." In 2022 Wireless Telecommunications Symposium (WTS). IEEE, 2022. http://dx.doi.org/10.1109/wts53620.2022.9768318.

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Dai, Mingliang, Yoon-Kyung Chung, Zachary Morgan, and Zhou Yang. "Practice continuity of care and quality of preventive services." In NAPCRG 49th Annual Meeting — Abstracts of Completed Research 2021. American Academy of Family Physicians, 2022. http://dx.doi.org/10.1370/afm.20.s1.2592.

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Vida, M., O. Lupse, L. Stoicu - Tivadar, and V. Stoicu - Tivadar. "ICT solution supporting continuity of care in children healthcare services." In 2011 6th IEEE International Symposium on Applied Computational Intelligence and Informatics (SACI). IEEE, 2011. http://dx.doi.org/10.1109/saci.2011.5873081.

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Hodes, Tahlia, Miguel Marino, Andrew Bazemore, Jennifer Lucas, Lars Peterson, Sophia Giebultowicz, and John Heintzman. "Use of continuity of care index to examine care quality among latino children with asthma." In NAPCRG 49th Annual Meeting — Abstracts of Completed Research 2021. American Academy of Family Physicians, 2022. http://dx.doi.org/10.1370/afm.20.s1.2824.

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Rachmaida, Arlina, Nurul Kurniati, and Mufdlilah. "Mother’s Experience in the Continuity of Care–A Systematic Literature Review." In 5th Universitas Ahmad Dahlan Public Health Conference (UPHEC 2019). Paris, France: Atlantis Press, 2020. http://dx.doi.org/10.2991/ahsr.k.200311.054.

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Taneva, Svetlena, Gudela Grote, Effie Law, and Jacqueline Higgins. "Breaks in Continuity of Surgical Care: Considerations for eHealth Systems Design." In 2009 International Conference on eHealth, Telemedicine, and Social Medicine (eTELEMED). IEEE, 2009. http://dx.doi.org/10.1109/etelemed.2009.27.

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Dai, Mingliang, Andrew Bazemore, Sarah Fleischer, and Zachary Morgan. "Exploring the Association Between Physician Continuity of Care and Diagnosing Hypertension." In NAPCRG 50th Annual Meeting — Abstracts of Completed Research 2022. American Academy of Family Physicians, 2023. http://dx.doi.org/10.1370/afm.21.s1.3507.

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Reports on the topic "Continuity of care"

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Perry, Rebecca, Nancy McCall, Suzanne Wensky, and Susan Haber. Care Continuity in a Patient-Centered Medical Home Setting. RTI Press, February 2016. http://dx.doi.org/10.3768/rtipress.2016.rr.0026.1602.

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Hadley, Kay. Continuity of Care for Cancer Patients at Irwin Army Community Hospital. Fort Belvoir, VA: Defense Technical Information Center, January 2008. http://dx.doi.org/10.21236/ada494309.

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Wenger, Neil S., and Roy Young. Quality Indicators of Continuity and Coordination of Care for Vulnerable Elder Persons. Fort Belvoir, VA: Defense Technical Information Center, August 2004. http://dx.doi.org/10.21236/ada427411.

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Ciapponi, Agustín. Does midwife-led continuity of care improve the delivery of care to women during and after pregnancy? SUPPORT, 2016. http://dx.doi.org/10.30846/161016.

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Midwives are the primary providers of care for childbearing women around the world. In midwife-led continuity of care, midwives are the lead professionals in the planning, organisation and delivery of care given to women from the initial booking to the postnatal period. Non-midwife models of care includes obstetrician; family physician and shared models of care, in which responsibility for the organisation and delivery of care is shared between different health professionals.
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Childress, Cynthia Y. Bennett Health Clinic: Increasing Continuity With Primary Care Managers Through Modified Advanced Access. Fort Belvoir, VA: Defense Technical Information Center, May 2002. http://dx.doi.org/10.21236/ada420876.

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Wiener, Joshua M., Mary E. Knowles, and Erin E. White. Financing Long-Term Services and Supports: Continuity and Change. RTI Press, September 2017. http://dx.doi.org/10.3768/rtipress.2017.op.0042.1709.

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This article provides an overview of financing for long-term services and supports (LTSS) in the United States, paying special attention to how it has changed and not changed over the last 30 years. Although LTSS expenditures have increased greatly (like the rest of health care), the broad outline of the financing system has remained remarkably constant. Medicaid—a means-tested program—continues to dominate LTSS financing, while private long-term care insurance plays a minor role. High out-of-pocket costs and spend-down to Medicaid because of those high costs continue to be hallmarks of the system. Although many major LTSS financing reform proposals were introduced over this period, none was enacted—except the Community Living Assistance Services and Supports Act, which was repealed before implementation because of concerns about adverse selection. The one major change during this time period has been the very large increase in Medicare spending for post-acute services, such as short-term skilled nursing facility and home health care. With the aging of the population, demand for LTSS is likely to increase, placing strain on the existing system.
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Shey Wiysonge, Charles. Does interactive communication between primary care physicians and specialists improve patient outcomes? SUPPORT, 2016. http://dx.doi.org/10.30846/1610102.

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Many health systems fail to facilitate the seamless movement and management of patients between different providers and different levels of care. Poor coordination and continuity of care can result in suboptimal patient outcomes and the inefficient utilisation of scarce healthcare resources. Interactive communication holds promise as a method to improve coordination between primary and specialty care. Interactive communication refers to planned, timely, two-way exchanges of pertinent clinical information directly between primary care and specialist physicians. Such communication may occur, for example, through face-to-face exchanges, videoconferencing, telephone, or contact by email.
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Shey Wiysonge, Charles. Does interactive communication between primary care physicians and specialists improve patient outcomes? SUPPORT, 2016. http://dx.doi.org/10.30846/1608102.

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Many health systems fail to facilitate the seamless movement and management of patients between different providers and different levels of care. Poor coordination and continuity of care can result in suboptimal patient outcomes and the inefficient utilisation of scarce healthcare resources. Interactive communication holds promise as a method to improve coordination between primary and specialty care. Interactive communication refers to planned, timely, two-way exchanges of pertinent clinical information directly between primary care and specialist physicians. Such communication may occur, for example, through face-to-face exchanges, videoconferencing, telephone, or contact by email.
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Svynarenko, Radion, Theresa L. Profant, and Lisa C. Lindley. Effectiveness of concurrent care to improve pediatric and family outcomes at the end of life: An analytic codebook. Pediatric End-of-Life (PedEOL) Care Research Group, College of Nursing, University of Tennessee, Knoxville, 2022. http://dx.doi.org/10.7290/m5fbbq.

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Implementation of the section 2302 of the 2010 Patient Protection and Affordable Care Act (ACA) enabled children enrolled in Medicaid/Children's Health Insurance Program with a prognosis of 6 months to live to use hospice care while continuing treatment for their terminal illness. Although concurrent hospice care became available more than a decade ago, little is known about the socio-demographic and health characteristics of children who received concurrent care; health care services they received while enrolled in concurrent care, their continuity, management, intensity, fragmentation; and the costs of care. The purpose of this study was to answer these questions using national data from the Centers of Medicare and Medicaid Services (CMS), which covered the first three years of ACA – from January 1, 2011, to December 31, 2013.The database included records of 18,152 children younger than the age of 20, who were enrolled in Medicaid hospice care in the sampling time frame. Children in the database also had a total number of 42,764 hospice episodes. Observations were excluded if the date of birth or death was missing or participants were older than 21 years. To create this database CMS data were merged with three other complementary databases: the National Death Index (NDI) that provided information on death certificates of children; the U.S. Census Bureau American Community Survey that provided information on characteristics of communities where children resided; CMS Hospice Provider of Services files and CMS Hospice Utilization and Payment files were used for data on hospice providers, and with a database of rural areas created by the Health Resources and Services Administration (HRSA). In total, 130 variables were created, measuring demographics and health characteristics of children, characteristics of health providers, community characteristics, clinical characteristics, costs of care, and other variables.
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Ndhlovu, Lewis. Quality of care in family planning service delivery in Kenya: Clients' and providers' perspectives. Population Council, 1995. http://dx.doi.org/10.31899/rh1995.1038.

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In recent years, the increasing number of organizations that have studied quality of care in international family planning (FP) programs demonstrates the importance the topic has acquired. To define quality of care in FP, the Bruce–Jain framework of six elements of care (choice of methods, information given to clients, technical competence, interpersonal relations, continuity and follow up, and appropriate constellation of services) have been used as the standard. However, what has been overlooked in this approach is the clients' perspectives of service quality. This study sought to narrow the gap in knowledge about the comparability and consistency in views between clients, providers, and researchers. Thus, this study’s main objective was to define the laypersons' and providers' dimensions of quality of care and compare them with the Bruce-Jain elements. The study was conducted in Kenya between July and September 1994. It was the first part of the Kenyan National Situation Analysis Study (conducted in 1995), and results will provide a guide in the methodology and formulation of the study instruments.
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