Provider connectedness and communication patterns: extending continuity of care in the context of the circle of care

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dc.contributor.authorPrice, Morgan
dc.contributor.authorLau, Francis Y
dc.date.accessioned2015-03-23T20:48:39Z
dc.date.available2015-03-23T20:48:39Z
dc.date.copyright2013en_US
dc.date.issued2013-08-14
dc.descriptionBioMed Centralen_US
dc.description.abstractBackground: 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.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipWe would like to thank CIHR-IHSPR and Canada Health Infoway, who supported this work through the eHealth Chair Research Fund.en_US
dc.identifier.citationPrice and Lau: Provider connectedness and communication patterns: extending continuity of care in the context of the circle of care. BMC Health Services Research 2013 13:309en_US
dc.identifier.urihttp://www.biomedcentral.com/1472-6963/13/309
dc.identifier.urihttp://dx.doi.org/10.1186/1472-6963-13-309
dc.identifier.urihttp://hdl.handle.net/1828/5920
dc.language.isoenen_US
dc.publisherBMC Health Services Researchen_US
dc.rights.tempAttribution-NonCommercial-NoDerivs 2.5 Canada*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/ca/*
dc.subjectContinuity of care
dc.subjectCircle of care
dc.subjectQuality of care
dc.subjectCommunication
dc.subjectSystems thinking
dc.subject.departmentSchool of Health Information Science
dc.titleProvider connectedness and communication patterns: extending continuity of care in the context of the circle of careen_US
dc.typeArticleen_US

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