Continuity of care for patients with chronic conditions from rural or remote Australia: a systematic review

Street, Tamara D., Somoray, Klaire, Richards, Georgia C., and Lacey, Sarah J. (2019) Continuity of care for patients with chronic conditions from rural or remote Australia: a systematic review. Australian Journal of Rural Health, 27 (3). pp. 196-202.

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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.

Item ID: 69466
Item Type: Article (Research - C1)
ISSN: 1038-5282
Keywords: barriers, coordination of care, facilitators, quality of care, regional
Copyright Information: © 2019 The Authors. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non- commercial and no modifications or adaptations are made.
Date Deposited: 24 Nov 2021 01:00
FoR Codes: 52 PSYCHOLOGY > 5203 Clinical and health psychology > 520304 Health psychology @ 100%
SEO Codes: 20 HEALTH > 2004 Public health (excl. specific population health) > 200407 Health status (incl. wellbeing) @ 100%
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