Continuity of Care in Residency Teaching Practices: Lessons from "Bright Spots".
Perm J
; 22: 18-028, 2018.
Article
en En
| MEDLINE
| ID: mdl-30010534
ABSTRACT
Continuity of care is a challenge in primary care residency teaching clinics. Resident physicians have competing inpatient and outpatient responsibilities and often spend only 1 to 2 half-days per week in the clinic. Their clinic schedules are often pieced together after the needs of inpatient and specialty rotations are met. Similarly, faculty clinicians often balance limited clinic time with teaching, research, or administrative responsibilities. Seeking approaches to improve continuity of care, we visited 23 internal medicine, family medicine, and pediatric residency clinics across the US. This article highlights strategies to optimize continuity of care pioneered by 3 "bright spot" residency teaching clinics with high-continuity performance. The strategies include adopting a strong continuity culture and patient scheduling algorithms that prioritize continuity, appointing a team continuity anchor, and/or reorganizing resident and faculty schedules to maximize continuity. We hope that these perspectives can assist residency teaching practices to improve continuity of care for their patients.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
11_ODS3_cobertura_universal
Problema de salud:
11_delivery_arrangements
Asunto principal:
Pediatría
/
Atención Primaria de Salud
/
Continuidad de la Atención al Paciente
/
Medicina Familiar y Comunitaria
/
Medicina Interna
/
Internado y Residencia
Límite:
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Perm J
Año:
2018
Tipo del documento:
Article