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This systematic review examined recent studies on fragmented care of patients with chronic illnesses in the united states to examine the association between fragmented care and patient outcomes. The problem of fragmentation that underlies the more obvious health care crisis a generalist solution—to reducing fragmentation and fostering integration the nested hierarchy of health care—how health care can be organized to enable the higher levels that are unintentionally devalued by current approaches We further analyze two distinct manifestations of care fragmentation
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Primary care fragmentation, where patients split their primary care encounters across many providers This article explores how fragmentation affects healthcare efficiency, its causes, impacts, and actionable solutions to create more integrated systems. And specialty fragmentation, where patients split their care across many different types of specialists.
High levels of care fragmentation were associated with higher rates of potentially inappropriate medication and increased mortality on all fragmentation measures after adjusting for demographic characteristics, socioeconomic factors, and morbidity.
A series of studies conducted by mathematica with support from the centers for medicare & medicaid services explore care fragmentation to shed light on why it happens, the experiences of physicians and patients, and the effects of federal policy interventions intended to strengthen primary care. Mortality, hospital length of stay, cost, and subsequent hospital readmission. This systematic review provides clear evidence of the association between care fragmentation and its adverse effects on individuals with chronic illnesses. From disconnected patient records to uncoordinated care, healthcare fragmentation disrupts the seamless delivery of services
