We tested the hypothesis that this tool would positively impact continuity of care and resident workflow by improving team communication involving patient handovers and streamlining inefficiencies, such as hand-copying patient data during work before rounds ("prerounds").
Funding future studies on factors associated with staying on medications outside jail will aid in understanding individual patient and system issues that impact continuity with ART outside jails.
For example, organizational boundaries and policies can impact continuity.
Access to information systems (e.g. due to policies, admitting privileges, cost) impacted continuity.
Circles of care that are the systems in which continuity exists and can have characteristics that can impact continuity.
Scope of practice, regionalization of services, and regulatory bodies were all provided as examples of environmental includes that impact continuity within the circle.
Massive floods in Mozambique in 2008 led to population displacement, closures of some hospitals and clinics, disruption in pharmacy supplies, outbreaks of water-borne diseases, and other threats to health which negatively impacted continuity of ART services (29).
This negatively impacts the continuity of care provided to many patients [ 1, 7].
In addition, physicians in both settings have expressed preference for electronic discharge documents over hand written/dictated summaries with respect to clarity, comprehensiveness, and positive impacts on continuity of care [ 8- 11].
