Evidence map›Paper›PMID 35606787›Full record

ArticleBMC health services research2022

What is needed for continuity of care and how can we achieve it? - Perceptions among multiprofessionals on the chronic care trajectory.

Linda Ljungholm, Anette Edin-Liljegren, Mirjam Ekstedt, Charlotte Klinga

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 5 pooled it
13.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 5 syntheses or guidelines pooled it, 94 citations in OpenAlex.

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  15. Nurses' and Patients' Perspectives on Care Coordination Across Health Care and Social Services Sectors: A Qualitative Study.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Linda Ljungholm *Department of Health and Caring Sciences, Linnaeus University, Pedalstråket 13, S-39182, Kalmar, Sweden. linda.ljungholm@lnu.se.ORCID http://orcid.org/0000-0003-0338-7610
Anette Edin-Liljegren *Department of Epidemiology and Global Health, Umeå University, Umeå, Sweden.ORCID http://orcid.org/0000-0003-3220-9557
Mirjam EkstedtDepartment of Health and Caring Sciences, Linnaeus University, Pedalstråket 13, S-39182, Kalmar, Sweden.ORCID http://orcid.org/0000-0002-4108-391X
Charlotte KlingaDepartment of Health and Caring Sciences, Linnaeus University, Pedalstråket 13, S-39182, Kalmar, Sweden.
Linnaeus University · SEVästerbotten County · SE

Funding

Swedish Research Council for Health, Working life and Welfare, FORTE Dnr 2017-00202
6 · The paper itself

Abstract

backgroundContinuity of care (CoC) implies delivery of services in a coherent, logical and timely fashion. Continuity is conceptualized as multidimensional, encompassing three specific domains - relational, management and informational continuity - with emphasis placed on their interrelations, i.e., how they affect and are affected by each other. This study sought to investigate professionals' perceptions of the prerequisites of CoC within and between organizations and how CoC can be realized for people with complex care needs.

methodsThis study had a qualitative design using individual, paired and focus group interviews with a purposeful sample of professionals involved in the chain of care for patients with chronic conditions across healthcare and social care services from three different geographical areas in Sweden, covering both urban and rural areas. Transcripts from interviews with 34 informants were analysed using conventional content analysis.

resultsCoC was found to be dependent on professional and cross-disciplinary cooperation at the micro, meso and macro system levels. Continuity is dependent on long-term and person-centred relationships (micro level), dynamic stability in organizational structures (meso level) and joint responsibility for cohesive care and enabling of uniform solutions for knowledge and information exchange (macro level).

conclusionsAchieving CoC that creates coherent and long-term person-centred care requires knowledge- and information-sharing that transcends disciplinary and organizational boundaries. Collaborative accountability is needed both horizontally and vertically across micro, meso and macro system levels, rather than a focus on personal responsibility and relationships at the micro level.

Indexed as

Continuity of Patient CareLong-Term CareDelivery of Health CareFocus GroupsHumansQualitative ResearchContinuity of careConventional content analysisHealthcare organizationIntegrated care

Identifiers

PMID35606787
PMCPMC9125858
OpenAlexW4281295452

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.