Continuity Of Care For Older Adults From Outpatient To Hospital Is Low, And Decreasing

The proportion of Medicare patients experiencing continuity of care between outpatient and inpatient settings decreased substantially between 1996 and 2006, with decreases occurring in all areas of the country and in all types of hospitals, according to a study in the April 22/29 issue of JAMA.

Continuity of care is generally recognized to have 3 dimensions-continuity in information, continuity in management, and continuity in the patient-physician relationship. “Relationship continuity is the ongoing interaction of a patient with one physician, which results in increased knowledge of patient preferences, better communication, and improved trust,” the authors write. “Such outpatient continuity has shown to be associated with improved patient satisfaction, increased use of appropriate preventive health services, greater medication adherence, lower hospitalization rates, more appropriate end of life care, and lower cost.” Little is known about the extent of continuity of care across the transition from outpatient care to hospitalization.

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