Objectives: the aim of this study has been to review international models and approaches supporting the continuum of care and to identify their main focuses. Methods: a narrative review was performed on Pubmed using the inclusion criteria: continuity of care models application with particular reference to chronicity, comorbidity, disability or frailty areas; systematic reviews written in English or Italian. Results: from 129 initial records, 22 studies were selected. Within these, the most commonly treated is the integrated care model, analysed by 41% of the studies. Moreover, the presence of pillars (founding elements) common to multiple models emerged: “patient engagement and empowerment” (86% of the studies); “multidisciplinarity” (73% of the studies); “coordination of care” (50% of the studies) and “case management” (50% of the studies). Conclusions: the key elements and pillars of the analysed continuum of care models are all interconnected and have to be considered as a part of a holistic care process that aims to respond to the different and complex patient’s health needs. Continuity of care requires the delivery system to adopt a primary health care orientation emphasising the comprehensiveness of the care process and the overall health of the patient and implementing multicomponent and multilevel interventions based approaches.

Rosaria Cozzolino, M., Castrini, F., Carini, E., Grieco, A., Di Pilla, A., Specchia, M. L., Continuity of care: models and pillars. Findings of a literature review. Continuità assistenziale: modelli e pilastri. Risultati di una revisione della letteratura, <<SISTEMA SALUTE>>, 2021; 65 (3): 292-312 [http://hdl.handle.net/10807/207275]

Continuity of care: models and pillars. Findings of a literature review. Continuità assistenziale: modelli e pilastri. Risultati di una revisione della letteratura

Francesco Castrini;Albino Grieco;Andrea Di Pilla;Maria Lucia Specchia
2021

Abstract

Objectives: the aim of this study has been to review international models and approaches supporting the continuum of care and to identify their main focuses. Methods: a narrative review was performed on Pubmed using the inclusion criteria: continuity of care models application with particular reference to chronicity, comorbidity, disability or frailty areas; systematic reviews written in English or Italian. Results: from 129 initial records, 22 studies were selected. Within these, the most commonly treated is the integrated care model, analysed by 41% of the studies. Moreover, the presence of pillars (founding elements) common to multiple models emerged: “patient engagement and empowerment” (86% of the studies); “multidisciplinarity” (73% of the studies); “coordination of care” (50% of the studies) and “case management” (50% of the studies). Conclusions: the key elements and pillars of the analysed continuum of care models are all interconnected and have to be considered as a part of a holistic care process that aims to respond to the different and complex patient’s health needs. Continuity of care requires the delivery system to adopt a primary health care orientation emphasising the comprehensiveness of the care process and the overall health of the patient and implementing multicomponent and multilevel interventions based approaches.
Inglese
Rosaria Cozzolino, M., Castrini, F., Carini, E., Grieco, A., Di Pilla, A., Specchia, M. L., Continuity of care: models and pillars. Findings of a literature review. Continuità assistenziale: modelli e pilastri. Risultati di una revisione della letteratura, <>, 2021; 65 (3): 292-312 [http://hdl.handle.net/10807/207275]
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10807/207275
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