Provider connectedness and communication patterns: Extending continuity of care in the context of the circle of care
BMC Health Services Research, ISSN: 1472-6963, Vol: 13, Issue: 1, Page: 309
2013
- 33Citations
- 97Captures
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
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Metrics Details
- Citations33
- Citation Indexes31
- 31
- CrossRef11
- Policy Citations2
- Policy Citation2
- Captures97
- Readers97
- 97
Article Description
Background: Continuity is an important aspect of quality of care, especially for complex patients in the community. We explored provider perceptions of continuity through a system's lens. The circle of care was used as the system. Methods. Soft systems methodology was used to understand and improve continuity for end of life patients in two communities. Participants: Physicians, nurses, pharmacists in two communities in British Columbia, involved in end of life care. Two debates/discussion groups were completed after the interviews and initial analysis to confirm findings. Interview recordings were qualitatively analyzed to extract components and enablers of continuity. Results: 32 provider interviews were completed. Findings from this study support the three types of continuity described by Haggerty and Reid (information, management, and relationship continuity). This work extends their model by adding features of the circle of care that influence and enable continuity: Provider Connectedness the sense of knowing and trust between providers who share care of a patient; a set of ten communication patterns that are used to support continuity across the circle of care; and environmental factors outside the circle that can indirectly influence continuity. Conclusions: We present an extended model of continuity of care. The components in the model can support health planners consider how health care is organized to promote continuity and by researchers when considering future continuity research. © 2013 Price and Lau; licensee BioMed Central Ltd.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=84883232289&origin=inward; http://dx.doi.org/10.1186/1472-6963-13-309; http://www.ncbi.nlm.nih.gov/pubmed/23941179; https://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-13-309; https://dx.doi.org/10.1186/1472-6963-13-309
Springer Nature
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