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...
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.
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.
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문제 정의
In this study, we aimed to obtain a better understanding of the term “continuity of care” in chronic diseases.
가설 설정
The consequences of continuity of care have two beneficiaries: patients and care providers. For patients, 1) decreased hospital admissions, 2) reduced costs, and 3) reduced emergency room visits are the immediate consequences of continuity of care. As continuity of care increases, there is a significantly lower likelihood of hospital admissions, along with lowered healthcare costs and fewer emergency room visits.
제안 방법
Compared to previous studies, the important new findings of this study include an operational definition and a perfect instrument for continuity of care. Moreover, this study can provide a practical framework for researchers, policymakers, and health professionals that will facilitate a better understanding of and communication about continuity of care in chronic disease contexts.
The implementation of measures to ensure continuity of care in chronic disease could improve quality of life and patient satisfaction, reduce costs, hospital admissions and emergency room visits, and deliver good healthcare. Besides, the modified Questionnaire of Continuity between Care Levels (CCAENA) might be the most suitable instrument to measure all attributes of continuity of care.
This study used concept analysis to obtain a better understanding of “continuity of care” with regard to chronic diseases.
대상 데이터
Aside from the relevant databases, some online dictionaries were used to find additional definitions of continuity of care. A total of 465 papers were identified in the search process. We removed duplicates and assessed time and language limitations.
When they had different opinions, the two parties thoroughly discussed and analyzed the literature until they reached agreement. After examining the abstracts, 147 articles were included. Finally, 38 papers were included in the concept analysis (Figure 1) using the following exclusion criteria: (a) irrelevance to continuity of care related to chronic disease, and (b) irrelevance to the primary research purpose.
Then, his medical information was transferred to the community clinic by the hospital (information transfer). At the community, Tom was assisted by a care team that consisted of three nurses and one doctor. Every week, Tom would receive telephone care, which mainly involved symptom assessment, continuous health education, and emotional support.
Jack is a sixty-year-old male who lives alone and has been suffering from diabetes for 15 years. Every year, he must make three or four hospital visits.
A systematic literature search was conducted as the foundation for this concept analysis. The search was performed using relevant databases such as CINAHL Complete, Academic Search Complete, MEDLINE, PsyARTICLES, Health Source: Nursing/ Academic Edition, Google Scholar, Science Direct, and the Cochrane Library. Using Boolean operators and truncation, the key search terms were “continu* of care” OR “continu* care,” along with the search term “concept* analysis” OR “concept* definition.
Finally, 38 papers were included in the concept analysis (Figure 1) using the following exclusion criteria: (a) irrelevance to continuity of care related to chronic disease, and (b) irrelevance to the primary research purpose. The whole process was conducted by two researchers from June 20, 2018, to August 25, 2018.
후속연구
An improved understanding could help create an operational definition and develop, as well as evaluate, continuity of care instruments to guide clinical practice. The findings of this work might also facilitate the use of continuity of care in the workplace to help chronic disease patients receive improved care.
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