title: Longitudinal care planning and coordination in long-term and post-acute care settings.
authors.forename: Gregory L
authors.initials: GL
authors.lastname: Alexander
authors.forename: Susan C
authors.initials: SC
authors.lastname: Hull
mesh_terms: D000208:Acute Disease / Q000451:nursing; D003266:Continuity of Patient Care; D006801:Humans; D008134:Long-Term Care / Q000458:organization & administration*; D008137:Longitudinal Studies; D010347:Patient Care Planning