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  11. Continuity Of Care During Long-term Care Transitions: A Scoping Review Of The Canadian Literature

Continuity of care during long-term care transitions: a scoping review of the Canadian literature

Augustine Chukwuebuka Okoh1,2, Alfina Shahu3, Regis Gu4

  • 1Department of Health Research Methods, Evidence and Impact, McMaster University, 1280 Main St. W, Hamilton, ON, L8S 4L8, Canada. okoha@mcmaster.ca.

BMC Health Services Research
|April 25, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Older adults often lose their family doctor when moving to long-term care (LTC). Improving care continuity requires patient and family involvement, provider training, and better practice models.

Area of Science:

  • Health Services Research
  • Gerontology
  • Continuity of Care

Background:

  • Longitudinal provider-patient relationships improve health outcomes.
  • Older adults in Canada frequently lose family physician contact upon entering long-term care (LTC).
  • Limited understanding exists regarding factors influencing care continuity during LTC transitions.

Purpose of the Study:

  • To systematically review and synthesize existing literature on continuity of care during transitions to long-term care in Canada.
  • To identify contextual factors, processes, and educational antecedents that support relational, management, and informational care continuity.

Main Methods:

  • A rigorous scoping review methodology was employed.
  • Systematic searches of multiple databases were conducted for peer-reviewed articles.
Keywords:
Continuity of careInformational continuityLong-term careManagement continuity

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  • Data were extracted and analyzed using a descriptive analytical method, guided by Transitions Theory.

    • Main Results:

    • Few instances of relational continuity were observed during LTC transitions, linked to practice models and physician characteristics.
    • Interprofessional team, patient, and partner-in-care involvement in transition planning can enhance informational and management continuity.
    • Eight articles met the inclusion criteria for the review.

    Conclusions:

    • Improving continuity of care (relational, management, informational) during LTC transitions necessitates patient/family engagement, provider training, and optimized practice/funding arrangements.
    • Further research is recommended to explore processes and policies for enhancing informational continuity to mitigate disruptions in relational continuity.
    Relational continuity
    Transitions