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On the other hand, a person experiencing medium level fragmentation in our study may signal even more fragmented care.
Higher FCI value implies more fragmented care.
We welcome research that further explores the impact of patient portals, and especially in more fragmented care delivery settings.
Reports have shown that practices intended to increase continuity have led, in reality, to role and skills drift as well as to more fragmented care [ 149].
How exactly this would affect fragmentation was hard to predict, but based on our finding that people with more visits tend to experience more fragmented care, it might exacerbate the underestimation.
Furthermore, healthcare obtained in a foreign country may entail that the patient does not achieve relevant rehabilitation, etc. in the home country, with the risk of poorer health outcomes and even more fragmented care [ 5].
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In addition, delayed diagnoses are more widespread in safety-net settings where patients may have more fragmented, episodic care [ 22].
For example, poor populations can have more scattered, fragmented care.
In general, outpatient care is much more fragmented than inpatient care, and would likely benefit even more from computerization and communication of information than inpatient care.
This is particularly important for developing countries where the delivery of primary care is usually more fragmented, rendering the entire health care system more vulnerable to the emergence of an influenza pandemic.
We anticipate that this demand will vary by country, with potentially high levels of demand in Poland, where support systems for AD patients are more fragmented and thus planning for care falls to individuals, and Spain, where AD related media has been prevalent and informal care giving is more common [ 32].
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