Science Says

Continuity in primary care: a critical but neglected component for achieving high-quality universal health coverage


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Continuity is a critical but often neglected function of high-quality primary care and has three core domains: relational, informational and managerial continuity.
Improving continuity is feasible in low-income and middle-income country health systems by using comprehensive empanelment systems or community-based follow-up programmes to improve retention in care.
Continuity must receive more attention, measurement and improvement efforts, in order to achieve equitable, high-quality health for all.
Schwarz D, Hirschhorn LR, Kim JH, Ratcliffe HL, Bitton A. Continuity in primary care: a critical but neglected component for achieving high-quality universal health coverage. BMJ Glob Health. 2019;4(3):e001435. Published 2019 May 23. doi:10.1136/bmjgh-2019-001435.
This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: http://creativecommons.org/licenses/by/4.0/.
Sections of the Summary, Introduction, You cannot improve what you do not see, and Conclusion are presented in the Podcast. Link to the full-text article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6570977/
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