Key result
A concept analysis of 50 papers produced a model of continuity of care illustrating the interdependent relationship between time, setting, relationships, communication, and coordination.
This concept analysis provides a hierarchical model of continuity of care to assist in designing and testing multicomponent interventions for hospital discharge transitions.
May inform multicomponent discharge interventions; leaves open prospective validation before practice adoption.
AIM: The aim is to clarify the use of the term continuity in the specific context of acute care hospitalization and discharge. BACKGROUND: The meaning of "continuity" is often co-mingled with other concepts, specifically coordination and communication. To increase usefulness for contemporary concerns with the hospitalization-postdischarge continuum, continuity of care is examined from the specific context of acute hospitalization and discharge. DESIGN: Concept analysis. DATA SOURCES: Medline via Ovid, Cochrane Library, Cinahl, and Google Scholar. Search years encompassed 2001-2016. REVIEW METHODS: Rodgers evolutionary concept analysis method. RESULTS: A total of 50 papers were included in this concept analysis. Synthesis of findings from these papers resulted in a model of continuity of care that illustrates the hierarchical and interdependent relationship between time and setting, patient-provider relationships, communication, and coordination in the context of discharge transitions. CONCLUSION: The continuity model provides a framework to assist in the design of multicomponent, interdisciplinary, integrated interventions that can then be tested for their effect on patient care practices and outcomes.
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Bahr et al. (2018) conducted a review in Acute care hospitalization and discharge (n=50). Concept analysis of continuity of care was evaluated on Model of continuity of care. A concept analysis of 50 papers produced a model of continuity of care illustrating the interdependent relationship between time, setting, relationships, communication, and coordination.
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