title: Long-term continuity care: unanticipated consequences, viable solutions.
abstract: To many researchers, long-term continuity care seems a given. Behind their confidence, however, lie issues of concern. This article addresses the unanticipated consequences of long-term continuity care. It identifies issues such as the liabilities of long-term therapeutic relationships, continuity care diagnostic fatigue, intellectual curiosity fatigue, and the adverse economics of long-term continuity care and the practice setting that fosters "routinized," protocol-driven care, among others. It discusses these issues and suggests ways to mitigate their impact. The authors elicit debate by portraying long-term continuity care as both a problem and a solution, and conclude by making the case for a more perfect long-term continuity care process: one that is safe, efficient, and economically advantageous for all stakeholders.
authors: Segun
authors: S
authors: Adeoye
authors: Valerie
authors: V
authors: Brutus
authors: Sylvester
authors: S
authors: Sarfraz
mesh_terms: D003266:Continuity of Patient Care; D003951:Diagnostic Errors / Q000517:prevention & control; D018166:Health Care Reform; D006801:Humans; D008134:Long-Term Care; D019300:Medical Errors / Q000517:prevention & control; D010817:Physician-Patient Relations; D011216:Practice Management, Medical / Q000458:organization & administration*; D011361:Professional Competence; D014481:United States