Continuity of care during long-term care transitions: a scoping review of the Canadian literature

Abstract Background Patients who maintain longitudinal provider-patient relationships experience better overall health outcomes. However, most older adults in Canada lose contact with their family physician when they enter long-term care (LTC) as new providers assume responsibility for their care. T...

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Main Authors: Augustine Chukwuebuka Okoh, Alfina Shahu, Regis Gu, Henry Siu, Michelle Howard, Ellen Badone, Lawrence Grierson
Format: Article
Language:English
Published: BMC 2025-04-01
Series:BMC Health Services Research
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Online Access:https://doi.org/10.1186/s12913-025-12558-3
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author Augustine Chukwuebuka Okoh
Alfina Shahu
Regis Gu
Henry Siu
Michelle Howard
Ellen Badone
Lawrence Grierson
author_facet Augustine Chukwuebuka Okoh
Alfina Shahu
Regis Gu
Henry Siu
Michelle Howard
Ellen Badone
Lawrence Grierson
author_sort Augustine Chukwuebuka Okoh
collection DOAJ
description Abstract Background Patients who maintain longitudinal provider-patient relationships experience better overall health outcomes. However, most older adults in Canada lose contact with their family physician when they enter long-term care (LTC) as new providers assume responsibility for their care. There is relatively little known about the contextual factors, processes, knowledge, and health professions education antecedents that promote the benefits of relational, management, and informational care continuity during LTC transitions. Methods Using a rigorous scoping review method, we searched multiple databases systematically to identify and scrutinize peer-reviewed articles pertaining to continuity of care during LTC transitions in Canada. Guided by Transitions Theory, two independent reviewers screened citations and extracted data. A descriptive analytical method was employed to categorize content into themes. Results Eight articles met the inclusion criteria. Our findings confirm that instances of relational continuity are very few during LTC transitions, suggesting barriers associated with practice models and the influence of physician characteristics. Notably, the review also highlights that the involvement of interprofessional team members, patients, and their partners-in-care in transition planning could improve informational and management care continuity for patients as they move into LTC. Conclusion Patient and family involvement, provider training, and practice and funding arrangements are all critical to improving relational, management, and informational care continuity during LTC transition. We recommend more studies to understand processes and policies to optimize informational continuity as a panacea for the often-disrupted relational continuity.
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spelling doaj-art-804497973dc34277929feca41c20cc462025-08-20T02:20:03ZengBMCBMC Health Services Research1472-69632025-04-0125111310.1186/s12913-025-12558-3Continuity of care during long-term care transitions: a scoping review of the Canadian literatureAugustine Chukwuebuka Okoh0Alfina Shahu1Regis Gu2Henry Siu3Michelle Howard4Ellen Badone5Lawrence Grierson6Department of Health Research Methods, Evidence and Impact, McMaster UniversityFaculty of Health Sciences, McMaster UniversityTemerty Faculty of Medicine, University of TorontoDepartment of Family Medicine, McMaster UniversityDepartment of Family Medicine, McMaster UniversityDepartment of Anthropology, McMaster UniversityDepartment of Family Medicine, McMaster UniversityAbstract Background Patients who maintain longitudinal provider-patient relationships experience better overall health outcomes. However, most older adults in Canada lose contact with their family physician when they enter long-term care (LTC) as new providers assume responsibility for their care. There is relatively little known about the contextual factors, processes, knowledge, and health professions education antecedents that promote the benefits of relational, management, and informational care continuity during LTC transitions. Methods Using a rigorous scoping review method, we searched multiple databases systematically to identify and scrutinize peer-reviewed articles pertaining to continuity of care during LTC transitions in Canada. Guided by Transitions Theory, two independent reviewers screened citations and extracted data. A descriptive analytical method was employed to categorize content into themes. Results Eight articles met the inclusion criteria. Our findings confirm that instances of relational continuity are very few during LTC transitions, suggesting barriers associated with practice models and the influence of physician characteristics. Notably, the review also highlights that the involvement of interprofessional team members, patients, and their partners-in-care in transition planning could improve informational and management care continuity for patients as they move into LTC. Conclusion Patient and family involvement, provider training, and practice and funding arrangements are all critical to improving relational, management, and informational care continuity during LTC transition. We recommend more studies to understand processes and policies to optimize informational continuity as a panacea for the often-disrupted relational continuity.https://doi.org/10.1186/s12913-025-12558-3Long-term careTransitionsContinuity of careRelational continuityInformational continuityManagement continuity
spellingShingle Augustine Chukwuebuka Okoh
Alfina Shahu
Regis Gu
Henry Siu
Michelle Howard
Ellen Badone
Lawrence Grierson
Continuity of care during long-term care transitions: a scoping review of the Canadian literature
BMC Health Services Research
Long-term care
Transitions
Continuity of care
Relational continuity
Informational continuity
Management continuity
title Continuity of care during long-term care transitions: a scoping review of the Canadian literature
title_full Continuity of care during long-term care transitions: a scoping review of the Canadian literature
title_fullStr Continuity of care during long-term care transitions: a scoping review of the Canadian literature
title_full_unstemmed Continuity of care during long-term care transitions: a scoping review of the Canadian literature
title_short Continuity of care during long-term care transitions: a scoping review of the Canadian literature
title_sort continuity of care during long term care transitions a scoping review of the canadian literature
topic Long-term care
Transitions
Continuity of care
Relational continuity
Informational continuity
Management continuity
url https://doi.org/10.1186/s12913-025-12558-3
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