Continuité des soins : Questions médicales fréquentes
Nom anglais: Continuity of Patient Care
Descriptor UI:D003266
Tree Number:N04.590.233.727.210
Questions fréquentes et termes MeSH associés
Diagnostic
5
#1
Comment évaluer la continuité des soins ?
On évalue la continuité par des indicateurs comme le suivi des traitements et la communication entre professionnels.
Soins de santéÉvaluation des soins
#2
Quels outils aident au diagnostic de la continuité des soins ?
Des outils comme les dossiers médicaux électroniques et les questionnaires de satisfaction sont utilisés.
Dossier médical électroniqueSatisfaction des patients
#3
Quels indicateurs mesurent la continuité des soins ?
Les indicateurs incluent le taux de réadmission et la fréquence des consultations de suivi.
RéadmissionConsultation médicale
#4
Quel rôle joue le médecin traitant dans le diagnostic ?
Le médecin traitant coordonne les soins et assure le suivi des antécédents médicaux du patient.
Médecin traitantCoordination des soins
#5
Comment identifier les lacunes dans la continuité des soins ?
Les lacunes peuvent être identifiées par des audits de soins et des retours d'expérience des patients.
Audit médicalRetour d'expérience
Symptômes
5
#1
Quels symptômes indiquent une rupture de continuité des soins ?
Des symptômes non traités ou des complications inattendues peuvent signaler une rupture.
ComplicationsSymptômes non traités
#2
Comment les symptômes affectent-ils la continuité des soins ?
Des symptômes mal gérés peuvent entraîner des réadmissions et une détérioration de l'état de santé.
RéadmissionÉtat de santé
#3
Quels symptômes nécessitent un suivi régulier ?
Les maladies chroniques comme le diabète ou l'hypertension nécessitent un suivi régulier.
Maladies chroniquesSuivi médical
#4
Comment les symptômes influencent-ils la communication entre soignants ?
Une bonne communication est essentielle pour gérer les symptômes et ajuster les traitements.
CommunicationGestion des symptômes
#5
Quels symptômes peuvent retarder le diagnostic ?
Des symptômes vagues ou atypiques peuvent retarder le diagnostic et la continuité des soins.
DiagnosticSymptômes atypiques
Prévention
5
#1
Comment prévenir les ruptures de continuité des soins ?
La prévention passe par une bonne communication et un suivi régulier des patients.
PréventionCommunication
#2
Quels programmes aident à la prévention des complications ?
Des programmes de gestion des maladies chroniques aident à prévenir les complications.
Gestion des maladiesComplications
#3
Comment sensibiliser les patients à la continuité des soins ?
Des campagnes d'information et des ateliers peuvent sensibiliser les patients à l'importance des soins continus.
SensibilisationAteliers d'information
#4
Quel rôle des professionnels de santé dans la prévention ?
Les professionnels de santé jouent un rôle clé en éduquant les patients sur la continuité des soins.
Éducation des patientsProfessionnels de santé
#5
Comment les technologies aident-elles à la prévention ?
Les technologies comme les applications de santé aident à suivre les traitements et à prévenir les ruptures.
Technologies de santéApplications de santé
Traitements
5
#1
Comment assurer la continuité des traitements ?
La continuité des traitements est assurée par des prescriptions claires et un suivi régulier.
Prescriptions médicalesSuivi des traitements
#2
Quel est l'impact des traitements sur la continuité des soins ?
Des traitements efficaces améliorent la continuité des soins et réduisent les complications.
Efficacité des traitementsComplications
#3
Comment les changements de traitement affectent-ils la continuité ?
Les changements de traitement nécessitent une communication claire pour éviter les erreurs.
Changements de traitementCommunication médicale
#4
Quels traitements nécessitent une coordination entre spécialistes ?
Les traitements complexes comme la chimiothérapie nécessitent une coordination étroite entre spécialistes.
ChimiothérapieCoordination des soins
#5
Comment évaluer l'adhésion au traitement ?
L'adhésion au traitement peut être évaluée par des questionnaires et des suivis réguliers.
Adhésion au traitementQuestionnaires
Complications
5
#1
Quelles complications peuvent survenir sans continuité des soins ?
Sans continuité, des complications comme les infections ou les réadmissions peuvent survenir.
InfectionsRéadmissions
#2
Comment gérer les complications liées à la continuité des soins ?
La gestion des complications nécessite une évaluation rapide et un ajustement des traitements.
Gestion des complicationsAjustement des traitements
#3
Quels facteurs augmentent le risque de complications ?
Des facteurs comme l'âge avancé, les comorbidités et le manque de suivi augmentent le risque.
Âge avancéComorbidités
#4
Comment prévenir les complications post-hospitalisation ?
Un suivi rigoureux et une communication entre le patient et les soignants sont essentiels.
Suivi post-hospitalisationCommunication
#5
Quel est l'impact des complications sur la continuité des soins ?
Les complications peuvent interrompre la continuité des soins et nécessiter des interventions supplémentaires.
Interruption des soinsInterventions médicales
Facteurs de risque
5
#1
Quels facteurs de risque affectent la continuité des soins ?
Des facteurs comme la pauvreté, l'isolement social et l'accès limité aux soins affectent la continuité.
PauvretéIsolement social
#2
Comment l'âge influence-t-il la continuité des soins ?
Les personnes âgées peuvent rencontrer des difficultés d'accès aux soins, affectant la continuité.
Personnes âgéesAccès aux soins
#3
Quel rôle joue l'éducation dans la continuité des soins ?
Une meilleure éducation des patients favorise la compréhension et l'adhésion aux traitements.
Éducation des patientsAdhésion aux traitements
#4
Comment les comorbidités influencent-elles la continuité des soins ?
Les comorbidités compliquent souvent le suivi et la gestion des traitements, affectant la continuité.
ComorbiditésGestion des traitements
#5
Quels facteurs environnementaux impactent la continuité des soins ?
Des facteurs comme l'accès aux transports et la disponibilité des services de santé impactent la continuité.
Accès aux transportsServices de santé
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{
"@type": "Question",
"name": "Quelles complications peuvent survenir sans continuité des soins ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Sans continuité, des complications comme les infections ou les réadmissions peuvent survenir."
}
},
{
"@type": "Question",
"name": "Comment gérer les complications liées à la continuité des soins ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "La gestion des complications nécessite une évaluation rapide et un ajustement des traitements."
}
},
{
"@type": "Question",
"name": "Quels facteurs augmentent le risque de complications ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des facteurs comme l'âge avancé, les comorbidités et le manque de suivi augmentent le risque."
}
},
{
"@type": "Question",
"name": "Comment prévenir les complications post-hospitalisation ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un suivi rigoureux et une communication entre le patient et les soignants sont essentiels."
}
},
{
"@type": "Question",
"name": "Quel est l'impact des complications sur la continuité des soins ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications peuvent interrompre la continuité des soins et nécessiter des interventions supplémentaires."
}
},
{
"@type": "Question",
"name": "Quels facteurs de risque affectent la continuité des soins ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des facteurs comme la pauvreté, l'isolement social et l'accès limité aux soins affectent la continuité."
}
},
{
"@type": "Question",
"name": "Comment l'âge influence-t-il la continuité des soins ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les personnes âgées peuvent rencontrer des difficultés d'accès aux soins, affectant la continuité."
}
},
{
"@type": "Question",
"name": "Quel rôle joue l'éducation dans la continuité des soins ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une meilleure éducation des patients favorise la compréhension et l'adhésion aux traitements."
}
},
{
"@type": "Question",
"name": "Comment les comorbidités influencent-elles la continuité des soins ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les comorbidités compliquent souvent le suivi et la gestion des traitements, affectant la continuité."
}
},
{
"@type": "Question",
"name": "Quels facteurs environnementaux impactent la continuité des soins ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des facteurs comme l'accès aux transports et la disponibilité des services de santé impactent la continuité."
}
}
]
}
]
}
Institute of Health Policy & Management, College of Public Health, and Population Health Research Center, National Taiwan University, Taipei, Taiwan. Electronic address: shcheng@ntu.edu.tw.
Feinberg School of Medicine, Northwestern University and Ann Robert H. Lurie Children's Hospital of Chicago, Chicago, IL. Electronic address: k-machut@northwestern.edu.
Feinberg School of Medicine, Northwestern University and Ann Robert H. Lurie Children's Hospital of Chicago, Chicago, IL; Children's Hospitals Neonatal Consortium, Kansas City, MO.
Diabetes mellitus is a fast-rising non-contagious disease of global importance that remains a leading cause of indisposition and death. Evidence shows that effective management of diabetes has a close...
This cross-sectional, facility-based study was conducted among diabetics in Accra, Ghana. We sampled 401 diabetic patients from three diabetic clinics in the region using a stratified and systematic r...
The results show that team continuity was the highest (0.9), followed by relational and flexibility continuity of care (0.8), and longitudinal continuity of care was the least (0.5). Majority of patie...
The study demonstrated that the majority of diabetics had team continuity of care being the highest experienced among the four domains, followed by flexible and longitudinal being the least experience...
There is a considerable amount of research showing an association between continuity of care and improved health outcomes. However, the methods used in most studies examine only the pattern of interac...
Cohort and interventional studies that examined the relationship between patient reported continuity of care and a health outcome were eligible for inclusion. Medline, EMBASE, CINAHL and the Cochrane ...
Nineteen studies were eligible for inclusion. 15 studies measured continuity using a validated, multifactorial questionnaire or the continuity/co-ordination subscale of another instrument. Two studies...
Whilst there is emerging evidence of a link between patient reported continuity and several outcomes, the evidence is not as strong as that for administrative measures of continuity. This may be becau...
This study aimed to investigate the impacts of continuity of care (COC) between patients and multiple providers, i.e., doctors and community pharmacists, on clinical and economic outcomes....
This is a retrospective cohort study and analyzed Korean national claims data for ambulatory care setting between 2007 and 2018. Patients with dyslipidemia newly diagnosed in 2008 were identified. COC...
126,710 patients were included. Percentages of patients in the four study groups were as follows: HM/HP 35%, HM/LP 19%, LM/HP 12%, and LM/LP 34%. During the seven-year outcome period, 8,337 patients (...
The study shows that patients with high relational care continuity with doctors and pharmacists achieved better clinical results and utilized health care less, resulting in reduced expenses. Further e...
Continuity of care (COC) is associated with improved health outcomes in patients with hypertension. Team-based COC allows more flexibility in service delivery but there is a lack of research on its ef...
To investigate the effectiveness of team-based COC on the prevention of cardiovascular disease (CVD) and mortality in patients with hypertension....
A retrospective cohort study in a primary care setting in Hong Kong....
Eligible patients included those visiting public primary care clinics in Hong Kong from 2008 to 2018. The usual provider continuity index (UPCI) was used to measure the COC provided by the most visite...
This study included 421 640 eligible patients. Compared with participants in the lowest quartile of UPCI, the hazard ratios for overall CVD were 0.94 (95% CI = 0.92 to 0.96), 0.91(95% CI = 0.89 to 0.9...
Team-based COC via a coordinated physician team was associated with reduced risks of CVD and all-cause mortality among patients with hypertension, especially for the patients with unsatisfactory blood...
This study examined the relationship between claims-based and patient-reported continuity of care (COC) measures and investigated the effects of the 2 types of COC measures on subjective and objective...
A prospective, cross-sectional, correlational survey design was used. A nationwide face-to-face interview survey of community-dwelling older adults was conducted, and the survey participants' health c...
Health care outcomes were measured subjectively (patient satisfaction and perceived lack of coordination) and objectively (likelihood of hospital admissions and emergency department [ED] visits). COC ...
This study demonstrated that the correlations of claims-based and patient-reported COC measures were quite low and mainly insignificant. A higher claims-based COC was significantly associated with a l...
The correlation between claims-based and patient-reported COC measures is low, and claims-based and patient-reported COC measures are associated with different subjective and objective health care out...
Maintaining continuity of care between doctors and patients is considered a fundamental aspect of quality in primary healthcare. In this study, we aim to examine continuity in Norway over time by comp...
We employ individual-level data, which covers all primary care consultations. This data includes the identities of each patient and physician, and we can identify each patient's regular general practi...
Our findings reveal that, at the national level, SLICC and UPC exhibit remarkable stability, reaching 64 and 71 percent, respectively, in 2021. However, there is significant geographical variation, wi...
Our results demonstrate a high degree of continuity that has been stable over time. However, large geographical variations suggest that policymakers should strive to reduce geographical disparities in...
Healthcare coordination and continuity of care conceptualize all care providers and organizations involved in health care to ensure the right care at the right time. However, systematic evidence synth...
We conducted a scoping review of published evidence on healthcare coordination. PubMed, Scopus, Embase, CINAHL, Cochrane, PsycINFO, Web of Science and Google Scholar were searched until 30 November 20...
A total of 56 studies were included in the review. Most studies were from upper-middle-income or high-income countries, primarily focusing on continuity/care coordination in primary care. Ten themes w...
Continuity and coordination of care involve healthcare provisions from family to health facility throughout the life-course to provide a range of services. Several issues could influence multilevel ca...
To understand how to improve care for patients with chronic diseases and multimorbidity we wanted to describe the prevalence of different chronic diseases and the pattern of multimorbidity and to anal...
Retrospective cross-sectional study of routine care data of the general population in region Jönköping in Sweden (345 916 inhabitants using primary care services) covering 4.3 years....
Patients fulfilling the inclusion criteria of having ≥ 1 of 10 common chronic diseases and ≥ 3 visits to primary care between 2011 and 2015....
In order to determine diseases and multimorbidity, primary care utilisation, adherence to guideline-based pharmacotherapy, frequencies and percentages, interval and ratio scaled variables were describ...
Of the general population, 25 829 patients fulfilled the inclusion criteria (7.5% of the population). Number of diseases increased with increasing age, and multimorbidity was much more common than sin...
Multimorbid patients are common in primary care and for many chronic diseases it is more common to have other simultaneous diseases than having only one disease. This can make adherence to pharmacothe...
Mesothelioma is a terminal disease that is linked to asbestos exposure. Continuity is difficult for GPs, and other healthcare professionals (HCPs), to provide within the current NHS primary care syste...
To understand the experiences of continuity in primary care among people with mesothelioma, their close persons, and their HCPs; how they achieve this (or not); and how it affects their healthcare ser...
Realist case studies of patient journeys through the healthcare system (involving longitudinal interviews with people with mesothelioma, their close persons, and HCPs; and exploration of the organisat...
Forty-eight interviews (involving 9 patients, 8 close persons, and 12 HCPs) were undertaken (totalling 30.8 hours/1848 minutes). Context-Mechanism-Outcome configurations related to: challenges unique ...
Patients perceive their continuity needs to be unmet by the inflexible primary care system, which needs to adapt to a society in which people receive increasingly novel treatments and live longer with...
To analyze the strategies used by nurses at a university hospital to ensure continuity of care at hospital discharge for patients recovered from Covid-19, under the angle of the principles of clinical...
A descriptive study with a qualitative approach, carried out with seven nurses on duty in the medical and gynecology/obstetrics clinics of a university hospital in the Midwest region of the country. T...
The data resulted in five classes by the Descending Hierarchical Classification (DHC), which made up two categories: "Practices developed by nurses for continuity of care in the hospital environment" ...
The absence of an institutional protocol for safe discharge, as well as the position of nurse coordinator to manage the discharge of patients with Covid-19, can compromise the continuity of care for t...
