Two new aspects of continuity of care.
OBJECTIVE
To determine whether the original continuity of care framework is still applicable to family medicine today.


METHODS
Qualitative descriptive study.


METHODS
Kingston, Ont.


METHODS
Three groups of first-year family medicine residents (18 in total), 2 groups of family physicians in established comprehensive practices (9 in total), and 2 groups of family physicians working in episodic care settings (10 in total).


METHODS
Using focus groups, a semistructured discussion guide, and a qualitative descriptive design, we explored the residents' and practising physicians' conceptions about continuity of care. Qualitative content analysis was used to identify themes.


RESULTS
Focus group participants consisting of family physicians providing comprehensive care, episodic care physicians, and family medicine residents exposed 2 new dimensions of continuity of care-community continuity of care (the physicians' roles in understanding the lives of their patients, and how this affects their overall health) and continuity of care within the health care team (the continuity between a patient and members of the interprofessional team, including the family physician). Geographic continuity of care (the care of a patient in various settings by the same physician) was not prominently discussed, perhaps reflecting the paucity of family physicians in the hospital setting.


CONCLUSIONS
Both of these new dimensions of continuity of care are consistent with the ongoing evolution of family medicine as a discipline, and have important implications for how family medicine training programs should be designed to best prepare trainees for future practice.
Department of Family Medicine, Queen's University, Kingston, Ont. dr.jonathankerr@gmail.com
Jonathan R
JR
Kerr
Karen
K
Schultz
Dianne
D
Delva
D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D003153:Community Health Services / Q000458:organization & administration; D003266:Continuity of Patient Care; D005194:Family Practice / Q000458:organization & administration*; D005260:Female; D017144:Focus Groups; D006801:Humans; D007396:Internship and Residency; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D017146:Models, Organizational; D009864:Ontario; D010348:Patient Care Team; D010817:Physician-Patient Relations; D010820:Physicians / Q000523:psychology; D036301:Qualitative Research