A prospective cohort study found that provider and information continuity was low after patient discharge from hospital

Journal of Clinical Epidemiology
Carl van WalravenAlan J Forster

Abstract

Continuity of care is composed of provider and information continuity and can change value over time. Most studies that have quantitatively associated continuity of care and outcomes have ignored these characteristics. This study is a detailed examination of continuity of care in patients discharged from hospital that simultaneously measured separate components of continuity over time or determined the factors with which they are associated. Multicenter, prospective cohort study of patients discharged to the community after elective or emergent hospitalization. For all physician visits during 6 months after discharge, we identified the physician and the availability of particular information (including hospital discharge summary and any information from previous physician visits). Four physician continuity scores (preadmission; hospital admitting; hospital consultant; and postdischarge) and two information continuity scores (discharge summary and postdischarge visit information) were calculated for all patients (range: 0-1, where 0 is perfect discontinuity and 1 is perfect continuity). Four thousand five hundred fifty-three people were followed for a median of 175 days. Both provider (range of median values: 0-0.410) and inform...Continue Reading

Associated Clinical Trials

Sep 17, 2019·Patrick Archambault

References

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Jun 18, 2010·Journal of Evaluation in Clinical Practice·Carl van WalravenAlan J Forster

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Citations

Aug 17, 2012·BMC Medical Education·Kimberly LegaultJohn J You
Jul 31, 2012·PloS One·Alan J ForsterCarl van Walraven
Aug 21, 2013·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Finlay A McAlisterCarl van Walraven
Jul 30, 2014·European Journal of Clinical Pharmacology·Alexander Francesco Josef SendHanna Marita Seidling
Nov 11, 2011·Journal of Evaluation in Clinical Practice·Carl van WalravenAlan J Forster
Sep 17, 2010·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Carl van WalravenAlan J Forster
Jul 4, 2015·Journal of Evaluation in Clinical Practice·Isabel WalteringGeorg Hempel
Aug 14, 2015·BMC Health Services Research·Marta-Beatriz AllerMaría Luisa Vázquez
May 27, 2016·BMC Health Services Research·Chuan-Lan WangJin-Shing Chen
May 12, 2017·Journal of the American Heart Association·Finlay A McAlisterPadma Kaul
Jan 15, 2020·Nursing Research·Sarah J BahrMarianne E Weiss
Nov 6, 2018·International Journal of Nursing Practice·Sarah J Bahr, Marianne E Weiss

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