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Documentation in Long-Term and Home Healthcare Setting01:29

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Updated: Apr 15, 2026

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
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Long-term continuity care: unanticipated consequences, viable solutions.

Segun Adeoye, Valerie Brutus, Sylvester Sarfraz

    The Journal of Medical Practice Management : MPM
    |March 27, 2015
    PubMed
    Summary

    Long-term continuity care presents challenges like diagnostic fatigue and economic drawbacks. This research explores these issues and proposes improvements for a safer, more efficient healthcare process.

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    Last Updated: Apr 15, 2026

    Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
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    Area of Science:

    • Healthcare Management
    • Medical Ethics
    • Clinical Practice

    Background:

    • Long-term continuity care is often assumed to be beneficial for researchers and patients.
    • However, potential negative consequences and challenges associated with this model are not fully recognized.

    Purpose of the Study:

    • To identify and analyze the unanticipated consequences of long-term continuity care.
    • To discuss the liabilities and adverse effects on healthcare professionals and the system.
    • To propose strategies for mitigating these negative impacts and improving the care process.

    Main Methods:

    • The study reviews existing literature and expert opinion on long-term continuity care.
    • It identifies specific issues such as therapeutic relationship liabilities, diagnostic fatigue, and economic concerns.
    • The article also examines how practice settings can foster "routinized" or protocol-driven care.

    Main Results:

    • Long-term continuity care can lead to diagnostic fatigue and intellectual curiosity fatigue among practitioners.
    • Adverse economic factors and the nature of "routinized" care present significant challenges.
    • The established therapeutic relationships, while beneficial, can also introduce liabilities.

    Conclusions:

    • Long-term continuity care, while a solution, also presents problems that require careful management.
    • A more perfect long-term continuity care process is needed—one that is safe, efficient, and economically viable.
    • Mitigation strategies are essential for optimizing the benefits of continuity care while minimizing its drawbacks.