Continuity of care for patients with chronic conditions from rural or remote Australia: A systematic review
Objective To identify the barriers and facilitators of achieving continuity of care between health services for patients with chronic conditions living in regional, rural and remote Australia. Design A systematic literature review of peer‐reviewed journal publications between January 1990 and April...
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| Veröffentlicht in: | The Australian journal of rural health 2019-06, Vol.27 (3), p.196-202 |
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| container_title | The Australian journal of rural health |
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| creator | Street, Tamara D. Somoray, Klaire Richards, Georgia C. Lacey, Sarah J. |
| description | Objective
To identify the barriers and facilitators of achieving continuity of care between health services for patients with chronic conditions living in regional, rural and remote Australia.
Design
A systematic literature review of peer‐reviewed journal publications between January 1990 and April 2018.
Setting
Publications were sourced from medical and scientific databases, including: PubMed; Embase; OvidSP; ProQuest research library; and ScienceDirect.
Participants
Studies, involving two groups, were included in the review: (a) Australian adults, residing in non‐metropolitan areas with a chronic condition, who accessed health care services; and (b) health care service providers (eg, doctors) who provided care to non‐metropolitan patients.
Main outcome measures
Facilitators and barriers of continuity of care for non‐metropolitan patients with a chronic condition.
Results
Initially, 536 studies were included in the review. Of these, 12 studies were found to have met the eligibility criteria and were included in the final analysis.
Conclusions
Coordination of health care services for non‐metropolitan patients with chronic conditions substantially improves the outcomes for patients. Overall, communication, availability of resources and location are the major barriers and facilitators to continuity of care, depending on how they are managed. Recommendations have been provided to assist practitioners and policy‐makers to improve the experience of shared care and health outcomes for non‐metropolitan patients. |
| doi_str_mv | 10.1111/ajr.12511 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7328768</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2231902191</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4431-c84b4727e10ceee3ad659cf9ad80d3950d9873e72eb34a0fd2c5ee444307a0a63</originalsourceid><addsrcrecordid>eNp1kU1rGzEQhkVoadK0h_yBIOilPWwy-ljvqoeCMf0kUCjtWcja2VjOruRI2hj_-8p1EppCdZHQPHqY0UvIGYMLVtalWccLxmvGjsgJkxIqVrfyWTmDaKuat_yYvExpDQAKmHxBjgWDRiqmTsjNIvjs_OTyjoaeWhOR9iHSjckOfU506_KK2lUM3llqg-9cdsEn2scw0jhFM9CCRxxDRjqfUi43zrync5p2KeNYPLaU7xxuX5HnvRkSvr7fT8mvTx9_Lr5UV98_f13MryorpWCVbeVSNrxBBhYRhelmtbK9Ml0LnVA1dKptBDYcl0Ia6Dtua0RZ3kJjwMzEKflw8G6m5YidLXOUpvQmutHEnQ7G6acV71b6OtzpRvC2mbVF8PZeEMPthCnr0SWLw2A8hilpzgVTwJliBX3zD7oOU_RlvD2l6vLLsBe-O1A2hpQi9o_NMND7CHWJUP-JsLDnf3f_SD5kVoDLA7B1A-7-b9Lzbz8Oyt_3ead0</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2239549108</pqid></control><display><type>article</type><title>Continuity of care for patients with chronic conditions from rural or remote Australia: A systematic review</title><source>MEDLINE</source><source>Wiley Journals</source><source>PAIS Index</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><creator>Street, Tamara D. ; Somoray, Klaire ; Richards, Georgia C. ; Lacey, Sarah J.</creator><creatorcontrib>Street, Tamara D. ; Somoray, Klaire ; Richards, Georgia C. ; Lacey, Sarah J.</creatorcontrib><description>Objective
To identify the barriers and facilitators of achieving continuity of care between health services for patients with chronic conditions living in regional, rural and remote Australia.
Design
A systematic literature review of peer‐reviewed journal publications between January 1990 and April 2018.
Setting
Publications were sourced from medical and scientific databases, including: PubMed; Embase; OvidSP; ProQuest research library; and ScienceDirect.
Participants
Studies, involving two groups, were included in the review: (a) Australian adults, residing in non‐metropolitan areas with a chronic condition, who accessed health care services; and (b) health care service providers (eg, doctors) who provided care to non‐metropolitan patients.
Main outcome measures
Facilitators and barriers of continuity of care for non‐metropolitan patients with a chronic condition.
Results
Initially, 536 studies were included in the review. Of these, 12 studies were found to have met the eligibility criteria and were included in the final analysis.
Conclusions
Coordination of health care services for non‐metropolitan patients with chronic conditions substantially improves the outcomes for patients. Overall, communication, availability of resources and location are the major barriers and facilitators to continuity of care, depending on how they are managed. Recommendations have been provided to assist practitioners and policy‐makers to improve the experience of shared care and health outcomes for non‐metropolitan patients.</description><identifier>ISSN: 1038-5282</identifier><identifier>EISSN: 1440-1584</identifier><identifier>DOI: 10.1111/ajr.12511</identifier><identifier>PMID: 31074919</identifier><language>eng</language><publisher>Australia: Wiley Subscription Services, Inc</publisher><subject>Adults ; Barriers ; Chronic conditions ; Chronic Disease - therapy ; Chronic illnesses ; Clinical outcomes ; Continuity ; Continuity of care ; Continuity of Patient Care ; Coordination ; coordination of care ; Documents ; Evidence-based medicine ; facilitators ; Female ; Health care ; Health services ; Health status ; Humans ; Literature reviews ; Male ; Medical personnel ; Medical research ; Metropolitan areas ; New Zealand ; Nursing ; Patients ; Physicians ; Policy making ; Quality of care ; regional ; Rural communities ; Rural Health Services ; Rural Population ; Scientific papers ; Shared care ; Systematic Review</subject><ispartof>The Australian journal of rural health, 2019-06, Vol.27 (3), p.196-202</ispartof><rights>2019 The Authors. published by John Wiley & Sons Australia, Ltd on behalf of National Rural Health Alliance Ltd.</rights><rights>2019 The Authors. Australian Journal of Rural Health published by John Wiley & Sons Australia, Ltd on behalf of National Rural Health Alliance Ltd.</rights><rights>2019 National Rural Health Alliance Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4431-c84b4727e10ceee3ad659cf9ad80d3950d9873e72eb34a0fd2c5ee444307a0a63</citedby><cites>FETCH-LOGICAL-c4431-c84b4727e10ceee3ad659cf9ad80d3950d9873e72eb34a0fd2c5ee444307a0a63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fajr.12511$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fajr.12511$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,1417,27866,27924,27925,30999,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31074919$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Street, Tamara D.</creatorcontrib><creatorcontrib>Somoray, Klaire</creatorcontrib><creatorcontrib>Richards, Georgia C.</creatorcontrib><creatorcontrib>Lacey, Sarah J.</creatorcontrib><title>Continuity of care for patients with chronic conditions from rural or remote Australia: A systematic review</title><title>The Australian journal of rural health</title><addtitle>Aust J Rural Health</addtitle><description>Objective
To identify the barriers and facilitators of achieving continuity of care between health services for patients with chronic conditions living in regional, rural and remote Australia.
Design
A systematic literature review of peer‐reviewed journal publications between January 1990 and April 2018.
Setting
Publications were sourced from medical and scientific databases, including: PubMed; Embase; OvidSP; ProQuest research library; and ScienceDirect.
Participants
Studies, involving two groups, were included in the review: (a) Australian adults, residing in non‐metropolitan areas with a chronic condition, who accessed health care services; and (b) health care service providers (eg, doctors) who provided care to non‐metropolitan patients.
Main outcome measures
Facilitators and barriers of continuity of care for non‐metropolitan patients with a chronic condition.
Results
Initially, 536 studies were included in the review. Of these, 12 studies were found to have met the eligibility criteria and were included in the final analysis.
Conclusions
Coordination of health care services for non‐metropolitan patients with chronic conditions substantially improves the outcomes for patients. Overall, communication, availability of resources and location are the major barriers and facilitators to continuity of care, depending on how they are managed. Recommendations have been provided to assist practitioners and policy‐makers to improve the experience of shared care and health outcomes for non‐metropolitan patients.</description><subject>Adults</subject><subject>Barriers</subject><subject>Chronic conditions</subject><subject>Chronic Disease - therapy</subject><subject>Chronic illnesses</subject><subject>Clinical outcomes</subject><subject>Continuity</subject><subject>Continuity of care</subject><subject>Continuity of Patient Care</subject><subject>Coordination</subject><subject>coordination of care</subject><subject>Documents</subject><subject>Evidence-based medicine</subject><subject>facilitators</subject><subject>Female</subject><subject>Health care</subject><subject>Health services</subject><subject>Health status</subject><subject>Humans</subject><subject>Literature reviews</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Medical research</subject><subject>Metropolitan areas</subject><subject>New Zealand</subject><subject>Nursing</subject><subject>Patients</subject><subject>Physicians</subject><subject>Policy making</subject><subject>Quality of care</subject><subject>regional</subject><subject>Rural communities</subject><subject>Rural Health Services</subject><subject>Rural Population</subject><subject>Scientific papers</subject><subject>Shared care</subject><subject>Systematic Review</subject><issn>1038-5282</issn><issn>1440-1584</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>7TQ</sourceid><recordid>eNp1kU1rGzEQhkVoadK0h_yBIOilPWwy-ljvqoeCMf0kUCjtWcja2VjOruRI2hj_-8p1EppCdZHQPHqY0UvIGYMLVtalWccLxmvGjsgJkxIqVrfyWTmDaKuat_yYvExpDQAKmHxBjgWDRiqmTsjNIvjs_OTyjoaeWhOR9iHSjckOfU506_KK2lUM3llqg-9cdsEn2scw0jhFM9CCRxxDRjqfUi43zrync5p2KeNYPLaU7xxuX5HnvRkSvr7fT8mvTx9_Lr5UV98_f13MryorpWCVbeVSNrxBBhYRhelmtbK9Ml0LnVA1dKptBDYcl0Ia6Dtua0RZ3kJjwMzEKflw8G6m5YidLXOUpvQmutHEnQ7G6acV71b6OtzpRvC2mbVF8PZeEMPthCnr0SWLw2A8hilpzgVTwJliBX3zD7oOU_RlvD2l6vLLsBe-O1A2hpQi9o_NMND7CHWJUP-JsLDnf3f_SD5kVoDLA7B1A-7-b9Lzbz8Oyt_3ead0</recordid><startdate>201906</startdate><enddate>201906</enddate><creator>Street, Tamara D.</creator><creator>Somoray, Klaire</creator><creator>Richards, Georgia C.</creator><creator>Lacey, Sarah J.</creator><general>Wiley Subscription Services, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7T5</scope><scope>7TQ</scope><scope>DHY</scope><scope>DON</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201906</creationdate><title>Continuity of care for patients with chronic conditions from rural or remote Australia: A systematic review</title><author>Street, Tamara D. ; Somoray, Klaire ; Richards, Georgia C. ; Lacey, Sarah J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4431-c84b4727e10ceee3ad659cf9ad80d3950d9873e72eb34a0fd2c5ee444307a0a63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adults</topic><topic>Barriers</topic><topic>Chronic conditions</topic><topic>Chronic Disease - therapy</topic><topic>Chronic illnesses</topic><topic>Clinical outcomes</topic><topic>Continuity</topic><topic>Continuity of care</topic><topic>Continuity of Patient Care</topic><topic>Coordination</topic><topic>coordination of care</topic><topic>Documents</topic><topic>Evidence-based medicine</topic><topic>facilitators</topic><topic>Female</topic><topic>Health care</topic><topic>Health services</topic><topic>Health status</topic><topic>Humans</topic><topic>Literature reviews</topic><topic>Male</topic><topic>Medical personnel</topic><topic>Medical research</topic><topic>Metropolitan areas</topic><topic>New Zealand</topic><topic>Nursing</topic><topic>Patients</topic><topic>Physicians</topic><topic>Policy making</topic><topic>Quality of care</topic><topic>regional</topic><topic>Rural communities</topic><topic>Rural Health Services</topic><topic>Rural Population</topic><topic>Scientific papers</topic><topic>Shared care</topic><topic>Systematic Review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Street, Tamara D.</creatorcontrib><creatorcontrib>Somoray, Klaire</creatorcontrib><creatorcontrib>Richards, Georgia C.</creatorcontrib><creatorcontrib>Lacey, Sarah J.</creatorcontrib><collection>Wiley Online Library (Open Access Collection)</collection><collection>Wiley Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Immunology Abstracts</collection><collection>PAIS Index</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Australian journal of rural health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Street, Tamara D.</au><au>Somoray, Klaire</au><au>Richards, Georgia C.</au><au>Lacey, Sarah J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Continuity of care for patients with chronic conditions from rural or remote Australia: A systematic review</atitle><jtitle>The Australian journal of rural health</jtitle><addtitle>Aust J Rural Health</addtitle><date>2019-06</date><risdate>2019</risdate><volume>27</volume><issue>3</issue><spage>196</spage><epage>202</epage><pages>196-202</pages><issn>1038-5282</issn><eissn>1440-1584</eissn><abstract>Objective
To identify the barriers and facilitators of achieving continuity of care between health services for patients with chronic conditions living in regional, rural and remote Australia.
Design
A systematic literature review of peer‐reviewed journal publications between January 1990 and April 2018.
Setting
Publications were sourced from medical and scientific databases, including: PubMed; Embase; OvidSP; ProQuest research library; and ScienceDirect.
Participants
Studies, involving two groups, were included in the review: (a) Australian adults, residing in non‐metropolitan areas with a chronic condition, who accessed health care services; and (b) health care service providers (eg, doctors) who provided care to non‐metropolitan patients.
Main outcome measures
Facilitators and barriers of continuity of care for non‐metropolitan patients with a chronic condition.
Results
Initially, 536 studies were included in the review. Of these, 12 studies were found to have met the eligibility criteria and were included in the final analysis.
Conclusions
Coordination of health care services for non‐metropolitan patients with chronic conditions substantially improves the outcomes for patients. Overall, communication, availability of resources and location are the major barriers and facilitators to continuity of care, depending on how they are managed. Recommendations have been provided to assist practitioners and policy‐makers to improve the experience of shared care and health outcomes for non‐metropolitan patients.</abstract><cop>Australia</cop><pub>Wiley Subscription Services, Inc</pub><pmid>31074919</pmid><doi>10.1111/ajr.12511</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1038-5282 |
| ispartof | The Australian journal of rural health, 2019-06, Vol.27 (3), p.196-202 |
| issn | 1038-5282 1440-1584 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7328768 |
| source | MEDLINE; Wiley Journals; PAIS Index; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Adults Barriers Chronic conditions Chronic Disease - therapy Chronic illnesses Clinical outcomes Continuity Continuity of care Continuity of Patient Care Coordination coordination of care Documents Evidence-based medicine facilitators Female Health care Health services Health status Humans Literature reviews Male Medical personnel Medical research Metropolitan areas New Zealand Nursing Patients Physicians Policy making Quality of care regional Rural communities Rural Health Services Rural Population Scientific papers Shared care Systematic Review |
| title | Continuity of care for patients with chronic conditions from rural or remote Australia: A systematic review |
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