CONTINUITY OF CARE

KAD
• Menguraikan konsep dasar continuity of care
• Menguraikan komponen continuity of care
• Continuity of care is concerned with quality of care over
time.
• It is the process by which the patient and his/her care
team are cooperatively involved in ongoing health care
management toward the shared goal of high quality, cost-
effective medical care.
• There are two important perspectives:
- For providers in vertically integrated systems of care, the
contrasting ideal is the delivery of a 'seamless service' through
integration, coordination and the sharing of information between
different providers.
- As patients' health care needs can now only rarely be met by a
single professional, multidimensional models of continuity have
had to be developed to accommodate the possibility of achieving
both ideals simultaneously.
• Traditionally, continuity of care is idealized in the patient's
experience of a 'continuous caring relationship' with an identified
health care professional
• http://journals.sagepub.com/doi/pdf/10.1258/13558190677847649
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• http://www.aafp.org/about/policies/all/definition-care.html
• Continuity in the experience of care relates conceptually
to patients' satisfaction with both the interpersonal
aspects of care and the coordination of that care

 to enhance the patient-centredness of care

Two core elements:
Continuity can
• The experience of care by a single patient
only exist as an
with his or her provider(s);
aspect of care:
• The care continues over time (which is
sometimes referred to as longitudinal or • that is
chronological continuity). experienced by
 Both elements must be present for an individual;
continuity to exist, but their presence alone and
does not constitute continuity. • that is received
over time
• There are three types of continuity:
a. informational continuity;  the use of information on
prior events and circumstances to make current care
appropriate for the individual and his or her condition.
b. relational continuity;  refers to an ongoing therapeutic
relationship between a patient and one or more
providers: past, current, and future care
c. management continuity  refers to the provision of
timely and complementary services within a shared
management plan
Conclusion
• Continuity is the result of a combination of:
- adequate access to care for patients,
- good interpersonal skills,
- good information flow and uptake between providers and
organizations,
- and good care coordination between providers to maintain
consistency
• For patients, it is the experience of care as connected and
coherent over time.
• For providers, it is the experience of having sufficient
information and knowledge about a patient to best apply
their professional competence and the confidence that
their care is recognized and pursued by other providers.