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Continuity of care coordination, health needs and social deprivation

  • John F. Heffernan (a1) and Mariwan Husni (a2)
Abstract
Aims and Method

Continuity of care is an important aspect of service provision. We retrospectively examined the number of changes over a 2-year period in care coordinator for new patients on enhanced care in a London borough. Deprivation score, length of hospital stay, and health and social needs were examined for association with continuity of care.

Results

Twenty-six patients met the inclusion criteria; ten patients (39%) had a change in care coordinator. Patients having one or more changes in care coordinator were found to live in significantly more deprived council wards (P=0.004), but their needs score (P=0.863) or length of hospital stay (P=0.368) were not significantly different than in those who did not have changes in care coordinator.

Clinical Implications

Social deprivation affects relational continuity of care in community teams but the mechanism requires evaluation.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Adair, C. E., McDougall, G. M., Mitton, C. R., et al (2005) Continuity of care and health outcomes among persons with severe mental illness. Psychiatric Services, 56, 10611069.
Department of Health (1999) Effective Care Co-Ordination in Mental Health Services: Modernising the Care Program Approach (policy booklet). Department of Health (http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4009221).
Department of the Environment, Transport and the Regions (2000) Indices of Deprivation 2000, Regeneration Research Summary, Number 31. DETR (http://www.communities.gov.uk/documents/citiesandregions/pdf/131306.pdf).
Haggerty, J. L., Reid, R. J., Freeman, G. K., et al (2003) Continuity of care: a multidisciplinary review. BMJ, 327, 12191221.
Office of the Deputy Prime Minister (2004) The English Indices of Deprivation 2004 (revised). ODPM (http://www.communities.gov.uk/documents/communities/pdf/131209.pdf).
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Continuity of care coordination, health needs and social deprivation

  • John F. Heffernan (a1) and Mariwan Husni (a2)
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