TY - JOUR T1 - Two new aspects of continuity of care JF - Canadian Family Physician JO - Can Fam Physician SP - e442 LP - e449 VL - 58 IS - 8 AU - Jonathan R. Kerr AU - Karen Schultz AU - Dianne Delva Y1 - 2012/08/01 UR - http://www.cfp.ca/content/58/8/e442.abstract N2 - Objective To determine whether the original continuity of care framework is still applicable to family medicine today. Design Qualitative descriptive study. Setting Kingston, Ont. Participants Three groups of first-year family medicine residents (18 in total), 2 groups of family physicians in established comprehensive practices (9 in total), and 2 groups of family physicians working in episodic care settings (10 in total). Methods Using focus groups, a semistructured discussion guide, and a qualitative descriptive design, we explored the residents’ and practising physicians’ conceptions about continuity of care. Qualitative content analysis was used to identify themes. Main findings Focus group participants consisting of family physicians providing comprehensive care, episodic care physicians, and family medicine residents exposed 2 new dimensions of continuity of care—community continuity of care (the physicians’ roles in understanding the lives of their patients, and how this affects their overall health) and continuity of care within the health care team (the continuity between a patient and members of the interprofessional team, including the family physician). Geographic continuity of care (the care of a patient in various settings by the same physician) was not prominently discussed, perhaps reflecting the paucity of family physicians in the hospital setting. Conclusion Both of these new dimensions of continuity of care are consistent with the ongoing evolution of family medicine as a discipline, and have important implications for how family medicine training programs should be designed to best prepare trainees for future practice. ER -