The phrase
"to continue the adjustment" means to keep making changes or adaptations in order to adapt to new circumstances or improve a situation.
Full definition
A more important influence though is
the continuing adjustment by the household sector to the structural decline in nominal lending rates since the 1980s.
Gawande seeks to overcome readers» denial by projecting unsparing images of
the continuing adjustments that will be required of those fortunate enough not to get hit by a truck or die suddenly from a heart attack.