한국간호과학회

  • 홈
  • 학술지
  • JKAN(Journal of Korean Academy of Nursing)

JKAN(Journal of Korean Academy of Nursing)

년도별 ‘권’과 ‘호’를 선택해 주세요 (ISSN 1598-2874(38권 4호까지), ISSN 2005-3673(38권 5호부터)

본문
제목 Continuity of Care in Chronic Diseases: A Concept Analysis by Literature Review
저자 : Jingjing Hu, Yuexia Wang, Xiaoxi Li 게시일 : 2020년 08월 페이지 : p513~p522
저자 Jingjing Hu, Yuexia Wang, Xiaoxi Li 게시일 2020년 08월 페이지 p513~p522 인쇄
파일 2.pdf
키워드 Continuity of Care; Chronic Diseases; Analysis
Purpose: This study aimed to utilize concept analysis to obtain a better understanding of the concept of “continuity of care” in chronic diseases. Methods: The concept of continuity of care was analyzed using the Walker and Avant method. Covering literature in English from 1930 to 2018, the data sources included CINAHL Complete, Academic Search Complete, MEDLINE, PsyARTICLES, Health Source: Nursing/ Academic Edition, Google Scholar, Science Direct, and the Cochrane Library. Results: A comprehensive definition of concept of continuity of care was developed based on a systematic search and synthesis. The key defining attributes were identified as (a) care over time, (b) the relationship between an individual patient and a care team, (c) information transfer, (d) coordination, and (e) meeting changing needs. The antecedents of continuity of care were having a chronic disease, inexperienced with disease management, a poorly coordinated healthcare system, and medical care limitations. The consequences of continuity of care were decreasing hospital admissions, reducing costs, reducing emergency room visits, improving the quality of life, improving patient satisfaction, and delivering good healthcare. Conclusion: The thorough concept analysis provides insight into the nature of “continuity of care” in chronic diseases and also helps ground the concept in healthcare.