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Continuity and Coordination in Primary Care: Their Achievement and Utility

Coordination is a hallmark of primary care. Efforts to improve primary care services should involve assessment of the extent to which coordination is achieved. Our study in three adult and three pediatric clinics demonstrates that existing information concerning patients' problems, therapies, t...

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Published in:Medical care 1976-07, Vol.14 (7), p.625-636
Main Authors: Starfield, Barbara H., Simborg, Donald W., Horn, Susan D., Yourtee, Susan A.
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Language:English
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container_issue 7
container_start_page 625
container_title Medical care
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creator Starfield, Barbara H.
Simborg, Donald W.
Horn, Susan D.
Yourtee, Susan A.
description Coordination is a hallmark of primary care. Efforts to improve primary care services should involve assessment of the extent to which coordination is achieved. Our study in three adult and three pediatric clinics demonstrates that existing information concerning patients' problems, therapies, tests, and referrals is often not recognized by primary care practitioners. Recognition of these types of information is better when the practitioner who provides follow-up care is the same from one visit to the next. Information about visits which were anticipated by the practitioner, and particularly the content of these visits, is often neglected. The largest deficit, however, is in recognition of both the occurrence and content of visits unanticipated by the primary care practitioner. Greater efforts to achieve better coordination of care, by improving either continuity of practitioner, communication among practitioners, or the information system, are required before this essential element of primary care becomes a reality.
doi_str_mv 10.1097/00005650-197607000-00008
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identifier ISSN: 0025-7079
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source JSTOR Archival Journals
subjects Adult
Child
Communication
Comprehensive Health Care
Continuity of Patient Care
Follow-Up Studies
Humans
Interprofessional Relations
Medical Records
Outpatient Clinics, Hospital
Primary Health Care
Referral and Consultation
title Continuity and Coordination in Primary Care: Their Achievement and Utility
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