Hjortdahl P
Department of General Practice, University of Oslo, Norway.
Fam Pract. 1989 Dec;6(4):292-8. doi: 10.1093/fampra/6.4.292.
Continuity of care is an interaction between patient and doctor lasting over time. This relationship is governed by several factors related to the patient, to the doctor and to the health care system. This study evaluates some organizational aspects of the primary health care system of Norway which influence continuity of care. Factors such as practice organization, responsibilities for patients and availability of the physician are related to five conceptual aspects of continuity: the chronological, geographical, interdisciplinary, interpersonal and informational dimensions. In Norway patients are free to change primary care physicians as and when they wish. There is also a referral system and the patient cannot, in principle, go directly to a specialist or to a hospital. This open-access primary health care system provides a base from which continuity of care in other countries may be described and discussed.
连续性医疗是患者与医生之间随着时间推移而持续的互动。这种关系受与患者、医生及医疗保健系统相关的若干因素支配。本研究评估了挪威初级医疗保健系统中影响连续性医疗的一些组织方面。诸如诊所组织、患者责任及医生可及性等因素与连续性的五个概念方面相关：时间顺序、地理、跨学科、人际及信息维度。在挪威，患者可随时自由更换初级保健医生。此外还有转诊系统，原则上患者不能直接去找专科医生或前往医院。这种开放式初级医疗保健系统为描述和讨论其他国家的连续性医疗提供了一个基础。
