Continuity of Care in Chronic Diseases: A Concept Analysis by Literature Review.

Purpose: This study aimed to utilize concept analysis to obtain a better understanding of the concept of "continuity of care" in chronic diseases. Methods: The concept of continuity of care was analyzed using the Walker and Avant method. Covering literature in English from 1930 to 2018, the data sou...

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Publicado en:Journal of Korean Academy of Nursing Vol. 50; no. 4; pp. 513 - 523
Autores principales: Jingjing Hu, Yuexia Wang, Xiaoxi Li
Formato: research systematic review tables/charts Journal Article
Publicado: Korean Society of Nursing Science Aug2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2020
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        atl: Continuity of Care in Chronic Diseases: A Concept Analysis by Literature Review.
      aug:
        au:
          Jingjing Hu
          Yuexia Wang
          Xiaoxi Li
        affil: Department of Respiratory and Critical Care Medicine, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, People's Hospital of Henan University, Zhengzhou, China
      sug:
        subj:
          Continuity of Patient Care
          Chronic Disease
          Human
          Systematic Review
          CINAHL Database
          Medline
          Cochrane Library
      ab: Purpose: This study aimed to utilize concept analysis to obtain a better understanding of the concept of "continuity of care" in chronic diseases. Methods: The concept of continuity of care was analyzed using the Walker and Avant method. Covering literature in English from 1930 to 2018, the data sources included CINAHL Complete, Academic Search Complete, MEDLINE, PsyARTICLES, Health Source: Nursing/Academic Edition, Google Scholar, Science Direct, and the Cochrane Library. Results: A comprehensive definition of concept of continuity of care was developed based on a systematic search and synthesis. The key defining attributes were identified as (a) care over time, (b) the relationship between an individual patient and a care team, (c) information transfer, (d) coordination, and (e) meeting changing needs. The antecedents of continuity of care were having a chronic disease, inexperienced with disease management, a poorly coordinated healthcare system, and medical care limitations. The consequences of continuity of care were decreasing hospital admissions, reducing costs, reducing emergency room visits, improving the quality of life, improving patient satisfaction, and delivering good healthcare. Conclusion: The thorough concept analysis provides insight into the nature of "continuity of care" in chronic diseases and also helps ground the concept in healthcare.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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