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A conceptual framework is presented to map interrelated factors shaping care continuity and to support structured research, analysis, and action. It is derived from Delphi-based synthesis of cross-cutting findings from the CONTINUITY project on diabetes and hypertension, integrating clinical management, medication adherence, and diet and healthy lifestyle.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/259-continuity-of-care-for-forcibly-displaced-persons-with-chronic-diseases-a-conceptual-framework-for-research-analysis-and-action/449115/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/259-continuity-of-care-for-forcibly-displaced-persons-with-chronic-diseases-a-conceptual-framework-for-research-analysis-and-action/449115.png","ImageObject",300,407,{"name":92,"@type":93},"Dipper","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-05","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What problem does the framework address for people living with chronic diseases after forced displacement?","Question",{"text":113,"@type":114},"It addresses how instability, mobility, and systemic barriers make it difficult to maintain continuity of care across different phases of displacement.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How is the conceptual framework constructed?",{"text":118,"@type":114},"It is built from a Delphi-exercise analysis of cross-cutting findings from the CONTINUITY project and iterative discussion by a research team to synthesize key spheres of influence.",{"name":120,"@type":111,"acceptedAnswer":121},"What dimensions of continuity of care does the framework identify?",{"text":122,"@type":114},"It identifies three interdependent dimensions: clinical management, medication adherence, and strict diet and healthy lifestyle, shaped by individual and host-country factors and health-system quality.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},449115,1791035268,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":81,"preview_page_count":4},1374404997633,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","vi70 European Journal of Public Health, Vol. 35, Supplement 6, 2025  \nAbstract citation ID: ckaf180.191  \n259 Continuity of care for forcibly displaced persons with chronic diseases: a conceptual framework for research, analysis, and action  \nMorten Skovdal1, Esther Kalule Nanfuka2, Rita Nakanjako2, Susan Reynolds Whyte1, Dricile Ratib2, Bishal Gyawali1, Emmanuel Raju1, Tania Dræbel1, Ib Bygbjerg1, David Kyaddondo2  \n1University of Copenhagen, Copenhagen, Danmark 2Makerere University, Kampala, Uganda  \nOP 30: Refugees and Asylum Seekers 5, B308 (FCSH), September  \n4, 2025, 16:00-17:12  \nAim: Forcibly displaced persons with chronic diseases face challenges in maintaining continuity of care due to instability, mobility, and systemic barriers across different phases of displacement. We present a conceptual framework that visually maps the interrelated factors influencing care continuity, providing a structured approach for future research, analysis, and action.  \nMethods: We draw on a Delphi-exercise analysis of cross-cutting findings from the CONTINUITY project, a multi-country study exploring continuity of care among forcibly displaced persons living with diabetes and/or hypertension in Uganda and South Sudan. Five primary researchers presented findings from different research contexts in a workshop, which were iteratively discussed by the research team (n ¼ 10) . This resulted in a synthesis of key spheres of influence to be included in the framework.  \nResults: The framework identifies three critical and interdependent dimensions of continuity of care. First, clinical management, which involves engagement with health services along the care cascade, including diagnosis, treatment, follow-up, and disease control; second, medication adherence, ensuring consistent access to and use of treatments, including both biomedical and traditional herbal medicines; and three, a strict diet and healthy lifestyle, essential for disease management. Multiple factors shape the ability of forcibly displaced persons to maintain continuity of care, including individual and host country characteristics, the disease context, socio-cultural influences, community support structures, and the quality of the health system. The framework also highlights mobility and the different phases of displacement—flight, arrival, settlement, and ongoing back and forth movements – as mediators or disruptorsof continuity of care.  \nConclusions: The framework provides a comprehensive tool for analysing both barriers and facilitators to care continuity. It can be used to identify opportunities for refugee/health policy reforms and multi-level, community-driven interventions to create healthenabling environments that support continuity of care among forcibly displaced persons living with chronic diseases.","cbCaihHBgn30zWph","https://ap.wps.com/l/cbCaihHBgn30zWph","pdf",50309,"English","# Aim\n## Methods\n## Results\n## Conclusions","[{\"question\":\"What problem does the framework address for people living with chronic diseases after forced displacement?\",\"answer\":\"It addresses how instability, mobility, and systemic barriers make it difficult to maintain continuity of care across different phases of displacement.\"},{\"question\":\"How is the conceptual framework constructed?\",\"answer\":\"It is built from a Delphi-exercise analysis of cross-cutting findings from the CONTINUITY project and iterative discussion by a research team to synthesize key spheres of influence.\"},{\"question\":\"What dimensions of continuity of care does the framework identify?\",\"answer\":\"It identifies three interdependent dimensions: clinical management, medication adherence, and strict diet and healthy lifestyle, shaped by individual and host-country factors and health-system quality.\"}]","259 Continuity of care for forcibly displaced persons with chronic diseases - a conceptual framework for research, analysis, and action | PDF",1790729379]