We are still challenged, of course, by many of the same concerns of losing continuity, interest, and support.
The training in primary care in a SRC may be at odds with what students receive in medical school concerning matters of continuity, patient compliance, specialization, and so on.
There were cases of trainees staying late to hand over the care of a patient, rather than force two handovers (eg, where a junior doctor would stay to complete an admission in A&E, rather than hand over to another FY2 doctor, who would then have to hand over to the specialty where the patient was being admitted), owing to concern for continuity of care and the risk of information being lost.
To overcome concerns about loss of continuity, information systems could be used facilitate communication across care sites.
30 Our study participants highlighted concerns that lack of continuity of carer may lead to diagnostic delays.
Concerns about lack of continuity and fragmentation in service provision have prompted governments at all levels to promote service integration to better meet the needs of developing children and provide support to families [ 12, 26- 28].
The main problem arisen by this kind of mapping concerns the continuity of the SV information at the common epoch of two joining segments of data, because, in reality, as we shall see in the next section, at the two ends of the segment, what we call E11 does not show the sharp V form in its first time derivative, (according to the jerk concept), but rather a smooth evolution over several years.
Staff were further concerned that lack of continuity in this area jeopardised the clinical management strategies in place for 'high risk' women; they were also concerned that this might be a factor in such women disengaging from all care provision.
Patient-provider communication in the ED is beset by many challenges, including long wait times, frequent interruptions, time constraints, privacy concerns, and a lack of continuity in care [ 29- 31].
