Walking into a patient's hospital room the morning after admission and hearing, “Dr. Sinsky, we are so glad you are here!” regularly reminded me, during my first 28 years of practice, of my purpose. I wasn't a better doctor than the physician who admitted that patient. But I was their doctor—I knew their medical and social particulars, their family, their story. They trusted that I would navigate the system; translate other physicians' recommendations; and, when they were released from the hospital, be there in the clinic to carry on. That regular reminder of purpose diminished when my practice became limited to ambulatory care. Does continuity over time and setting matter to patients? I believe that it does. Does it matter to physicians? Nearing the end of my career, I know it has mattered to me.

中文翻译：

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连续性

入院和聆听后的第二天早晨，走进病人的病房。辛斯基，我们很高兴您在这里！” 在我最初的28年的工作中，经常使我想起自己的目标。我没有比接纳那个病人的医生更好的医生。但是我是他们的医生-我知道他们的医疗和社会情况，他们的家庭，他们的故事。他们相信我会在系统上导航；翻译其他医师的建议；当他们从医院被释放时，要在诊所里继续进行。当我的工作仅限于非卧床护理时，对目的的定期提醒就消失了。随时间推移和环境的连续性对患者重要吗？我相信是的。对医生有关系吗？在我职业生涯快要结束时，我知道这对我很重要。