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Measuring continuity in the era of technology-enabled care.

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CONTINUITY OF CARE (or simply, 'continuity'), which Haggerty et al define as the degree to which a patient experiences their care as 'coherent[, ...] connected and consistent with [their] medical… Click to show full abstract

CONTINUITY OF CARE (or simply, 'continuity'), which Haggerty et al define as the degree to which a patient experiences their care as 'coherent[, ...] connected and consistent with [their] medical needs and personal context', has been recognised as a feature of high-quality medical care, especially primary care, for more than half a century.1 Recent studies have reinforced this consensus, with data associating continuity with increased patient2 and provider3 satisfaction, decreased cost of care4 and even decreased mortality.5 However, measuring, tracking and improving continuity remains a significant challenge, in part because of the subjectivity and complexity of the patient-provider relationship. First (1), self-reported measures should be adapted to become inclusive of technology-enabled care. [...]3), utilisation indices should also be updated to incorporate the continuity effects of technology-enabled care. Authors James C Bohnhoff MD, Clinician-Research Fellow, Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA Dheepa Sekar MD, Clinical Instructor, Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA Aimee Pickering MD, Clinical Instructor, Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA Tiffany Yang MD, Assistant Professor of Pediatrics, Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA Maryam Zamanian MD Clinical Instructor, Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA Galen E Switzer PhD, Professor, Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, Center for Health Equity Research and Promotion (CHERP), Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, PA, USA Competing interests:

Keywords: school medicine; university pittsburgh; care; continuity; pittsburgh school; medicine

Journal Title: Australian journal of general practice
Year Published: 2022

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