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Continuity of care: a reconceptualization.

M S Donaldson

    Medical Care Research and Review : MCRR
    |August 29, 2001
    PubMed
    Summary

    Continuity of care, vital for healthcare, lacks a clear framework linking it to outcomes. Agency theory offers a new model, defining continuity by reducing information gaps and aligning goals for better health services research.

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    Area of Science:

    • Health Services Research
    • Agency Theory
    • Healthcare Management

    Background:

    • Continuity of care is recognized as crucial for quality healthcare.
    • Existing research lacks a unified conceptual framework linking continuity to patient outcomes.
    • Diverse measurement approaches hinder a clear understanding of continuity's impact.

    Purpose of the Study:

    • To reconceptualize and define continuity of care using agency theory.
    • To establish a conceptual framework that links continuity to reduced agency loss.
    • To explore how this model clarifies existing empirical literature on continuity.

    Main Methods:

    • A review of three decades of empirical literature on continuity of care.
    • Analysis of how continuity has been measured in previous studies.
    • Application of agency theory principles to reconceptualize continuity.

    Main Results:

    • The proposed agency theory model defines continuity by decreasing information asymmetry and increasing goal alignment.
    • Empirical literature analysis revealed varied measurement of information transfer but limited measurement of goal alignment.
    • The agency theory model offers a clearer perspective on continuity research.

    Conclusions:

    • Agency theory provides a valuable conceptual tool for understanding and researching continuity of care.
    • This reconceptualization can enhance health services research and policy development.
    • Future research should focus on measuring goal alignment to fully leverage the benefits of continuity.

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