Hospital-community continuity of care in fragile patients before and after major surgery–an exploratory case control study

A structured continuity-of-care model shows potential for improving postoperative recovery among frail patients by enhancing communication between hospitals and community care providers. However, systemic barriers, including low PCP engagement and fragmented healthcare coordination, limit its full impact. Future studies should develop and evaluate integrated care models with structured communication, emotional support, and digital tools, using robust designs such as randomized or cluster trials.