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Jan De Lepeleire - One of the best experts on this subject based on the ideXlab platform.
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Focus groups to explore healthCare professionals’ experiences of Care Coordination: towards a theoretical framework for the study of Care Coordination
BMC family practice, 2014Co-Authors: Sabine Van Houdt, Walter Sermeus, Kris Vanhaecht, Jan De LepeleireAbstract:Strategies to improve Care Coordination between primary and hospital Care do not always have the desired results. This is partly due to incomplete understanding of the key concepts of Care Coordination. An in-depth analysis of existing theoretical frameworks for the study of Care Coordination identified 14 interrelated key concepts. In another study, these 14 key concepts were further explored in patients’ experiences. Additionally, “patient characteristics” was identified as a new key concept in patients’ experiences and the previously identified key concept “quality of relationship” between healthCare professionals was extended to “quality of relationship” with the patient. Together, these 15 interrelated key concepts resulted in a new theoretical framework. The present study aimed at improving our understanding of the 15 previously identified key concepts and to explore potentially previous unidentified key concepts and the links between these by exploring how healthCare professionals experience Care Coordination. A qualitative design was used. Six focus groups were conducted including primary healthCare professionals involved in the Care of patients who had breast cancer surgery at three hospitals in Belgium. Data were analyzed using constant comparative analysis. All 15 previously identified key concepts of Care Coordination were further explored in healthCare professionals’ experiences. Links between these 15 concepts were identified, including 9 newly identified links. The concept “external factors” was linked with all 6 concepts relating to (inter)organizational mechanisms; “task characteristics”, “structure”, “knowledge and information technology”, “administrative operational processes”, “cultural factors” and “need for Coordination”. Five of these concepts related to 3 concepts of relational Coordination; “roles”, “quality of relationship” and “exchange of information”. The concept of “task characteristics” was only linked with “roles” and “exchange of information”. The concept “patient characteristics” related with the concepts “need for Coordination” and “patient outcome”. Outcome was influenced by “roles”, “quality of relationship” and “exchange of information”. External factors and the (inter)organizational mechanism should enhance “roles” and “quality of relationship” between healthCare professionals and with the patient as well as “exchange of information”, and setting and sharing of common “goals” to improve Care Coordination and quality of Care.
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What is Care Coordination about: towards a theoretical framework for the study of Care Coordination
International Journal of Integrated Care, 2013Co-Authors: Sabine Van Houdt, Walter Sermeus, Lienke Vandezande, Barbara M. Raeymaekers, Jan De LepeleireAbstract:Purpose: Strategies to improve Care Coordination between primary and hospital Care do not always have the desired result partly due to incomplete understanding of key concepts of Care Coordination. The aim of this study is to explore key concepts of Care Coordination and the relationships between them. Methods: We performed an in-depth analysis of existing theoretical frameworks, interviewed twenty-two patients and organised six focus groups with healthCare professionals. Findings: Fourteen key concepts were identified in existing theoretical frameworks. Two new concepts revealed in patient perceived Care Coordination. Preliminary results confirm the 16 previously identified key concepts in healthCare professionals perceived Care Coordination. Core key concept of Care Coordination include defining and knowing each other “roles”, the “quality of relationships” promoting mutual respect and collaboration, “information exchange” between healthCare professionals and defining and sharing common “goals”. These core key concepts are influenced by “external factors”, “task characteristics”, “cultural factors”, “knowledge and technology”, “need for Coordination”, “administrative operational processes” and “patient characteristics” leading to a certain outcome. Discussion: It is important to improve “roles”, “quality of relationships” between healthCare professionals and with the patient, “information exchange” and “goals” to ensure Care Coordination between primary and hospital Care certainly when unexpected events occur.
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An in-depth analysis of theoretical frameworks for the study of Care Coordination
International journal of integrated care, 2013Co-Authors: Sabine Van Houdt, Walter Sermeus, Kris Vanhaecht, Jan Heyrman, Jan De LepeleireAbstract:Introduction: Complex chronic conditions often require long-term Care from various healthCare professionals. Thus, maintaining quality Care requires Care Coordination. Concepts for the study of Care Coordination require clarification to develop, study and evaluate Coordination strategies. In 2007, the Agency for HealthCare Research and Quality defined Care Coordination and proposed five theoretical frameworks for exploring Care Coordination. This study aimed to update current theoretical frameworks and clarify key concepts related to Care Coordination. Methods: We performed a literature review to update existing theoretical frameworks. An in-depth analysis of these theoretical frameworks was conducted to formulate key concepts related to Care Coordination. Results: Our literature review found seven previously unidentified theoretical frameworks for studying Care Coordination. The in-depth analysis identified fourteen key concepts that the theoretical frameworks addressed. These were ‘external factors’, ‘structure’, ‘tasks char acteristics’, ‘cultural factors’, ‘knowledge and technology’, ‘need for Coordination’, ‘administrative operational processes’, ‘exchange of information’, ‘goals’, ‘roles’, ‘quality of relationship’, ‘patient outcome’, ‘team outcome’, and ‘(inter)organizational outcome’. Conclusion: These 14 interrelated key concepts provide a base to develop or choose a framework for studying Care Coordination. The relational Coordination theory and the multi-level framework are interesting as these are the most comprehensive.
Sabine Van Houdt - One of the best experts on this subject based on the ideXlab platform.
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Focus groups to explore healthCare professionals’ experiences of Care Coordination: towards a theoretical framework for the study of Care Coordination
BMC family practice, 2014Co-Authors: Sabine Van Houdt, Walter Sermeus, Kris Vanhaecht, Jan De LepeleireAbstract:Strategies to improve Care Coordination between primary and hospital Care do not always have the desired results. This is partly due to incomplete understanding of the key concepts of Care Coordination. An in-depth analysis of existing theoretical frameworks for the study of Care Coordination identified 14 interrelated key concepts. In another study, these 14 key concepts were further explored in patients’ experiences. Additionally, “patient characteristics” was identified as a new key concept in patients’ experiences and the previously identified key concept “quality of relationship” between healthCare professionals was extended to “quality of relationship” with the patient. Together, these 15 interrelated key concepts resulted in a new theoretical framework. The present study aimed at improving our understanding of the 15 previously identified key concepts and to explore potentially previous unidentified key concepts and the links between these by exploring how healthCare professionals experience Care Coordination. A qualitative design was used. Six focus groups were conducted including primary healthCare professionals involved in the Care of patients who had breast cancer surgery at three hospitals in Belgium. Data were analyzed using constant comparative analysis. All 15 previously identified key concepts of Care Coordination were further explored in healthCare professionals’ experiences. Links between these 15 concepts were identified, including 9 newly identified links. The concept “external factors” was linked with all 6 concepts relating to (inter)organizational mechanisms; “task characteristics”, “structure”, “knowledge and information technology”, “administrative operational processes”, “cultural factors” and “need for Coordination”. Five of these concepts related to 3 concepts of relational Coordination; “roles”, “quality of relationship” and “exchange of information”. The concept of “task characteristics” was only linked with “roles” and “exchange of information”. The concept “patient characteristics” related with the concepts “need for Coordination” and “patient outcome”. Outcome was influenced by “roles”, “quality of relationship” and “exchange of information”. External factors and the (inter)organizational mechanism should enhance “roles” and “quality of relationship” between healthCare professionals and with the patient as well as “exchange of information”, and setting and sharing of common “goals” to improve Care Coordination and quality of Care.
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What is Care Coordination about: towards a theoretical framework for the study of Care Coordination
International Journal of Integrated Care, 2013Co-Authors: Sabine Van Houdt, Walter Sermeus, Lienke Vandezande, Barbara M. Raeymaekers, Jan De LepeleireAbstract:Purpose: Strategies to improve Care Coordination between primary and hospital Care do not always have the desired result partly due to incomplete understanding of key concepts of Care Coordination. The aim of this study is to explore key concepts of Care Coordination and the relationships between them. Methods: We performed an in-depth analysis of existing theoretical frameworks, interviewed twenty-two patients and organised six focus groups with healthCare professionals. Findings: Fourteen key concepts were identified in existing theoretical frameworks. Two new concepts revealed in patient perceived Care Coordination. Preliminary results confirm the 16 previously identified key concepts in healthCare professionals perceived Care Coordination. Core key concept of Care Coordination include defining and knowing each other “roles”, the “quality of relationships” promoting mutual respect and collaboration, “information exchange” between healthCare professionals and defining and sharing common “goals”. These core key concepts are influenced by “external factors”, “task characteristics”, “cultural factors”, “knowledge and technology”, “need for Coordination”, “administrative operational processes” and “patient characteristics” leading to a certain outcome. Discussion: It is important to improve “roles”, “quality of relationships” between healthCare professionals and with the patient, “information exchange” and “goals” to ensure Care Coordination between primary and hospital Care certainly when unexpected events occur.
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An in-depth analysis of theoretical frameworks for the study of Care Coordination
International journal of integrated care, 2013Co-Authors: Sabine Van Houdt, Walter Sermeus, Kris Vanhaecht, Jan Heyrman, Jan De LepeleireAbstract:Introduction: Complex chronic conditions often require long-term Care from various healthCare professionals. Thus, maintaining quality Care requires Care Coordination. Concepts for the study of Care Coordination require clarification to develop, study and evaluate Coordination strategies. In 2007, the Agency for HealthCare Research and Quality defined Care Coordination and proposed five theoretical frameworks for exploring Care Coordination. This study aimed to update current theoretical frameworks and clarify key concepts related to Care Coordination. Methods: We performed a literature review to update existing theoretical frameworks. An in-depth analysis of these theoretical frameworks was conducted to formulate key concepts related to Care Coordination. Results: Our literature review found seven previously unidentified theoretical frameworks for studying Care Coordination. The in-depth analysis identified fourteen key concepts that the theoretical frameworks addressed. These were ‘external factors’, ‘structure’, ‘tasks char acteristics’, ‘cultural factors’, ‘knowledge and technology’, ‘need for Coordination’, ‘administrative operational processes’, ‘exchange of information’, ‘goals’, ‘roles’, ‘quality of relationship’, ‘patient outcome’, ‘team outcome’, and ‘(inter)organizational outcome’. Conclusion: These 14 interrelated key concepts provide a base to develop or choose a framework for studying Care Coordination. The relational Coordination theory and the multi-level framework are interesting as these are the most comprehensive.
Kristina Gupta - One of the best experts on this subject based on the ideXlab platform.
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The Need for Care Coordination Among Children with Special Health Care Needs in Illinois
Maternal and Child Health Journal, 2005Co-Authors: Deborah Rosenberg, Charles Onufer, Gerri Clark, Thomas Wilkin, Kristin M. Rankin, Kristina GuptaAbstract:Objectives: The objectives of this study were: 1) to estimate the need for Care Coordination among children with special health Care needs (CSHCN) in Illinois, 2) to assess the need for Care Coordination among CSHCN in Illinois by sociodemographic, condition-related, and access to Care factors, and 3) to discuss approaches for meeting the need for Care Coordination. Methods: The study included 745 Illinois families interviewed as part of the State and Local Area Integrated Telephone Survey (SLAITS) of CSHCN. Classifying families of CSHCN as needing Care Coordination was based on three survey questions. The prevalence of the need for Care Coordination among CSHCN in Illinois was examined overall and by sociodemographic characteristics, descriptors of the child’s health condition, and measures of access to services. Multivariable modeling was carried out to jointly assess these factors and the need for Care Coordination. Results: In Illinois, 25.2% of CSHCN families reported a need for Care Coordination. Condition severity, need for supplementary/ancillary services, lack of insurance coverage and inadequate communication among providers were significantly associated with the need for Care Coordination (OR = 1.14, OR = 1.72, OR = 2.45, and OR = 3.08, respectively). Having a primary Care provider/medical home was not associated with the need for Care Coordination in multivariable analysis. Conclusion: Coordination of health services is important for all children and all adults, but it is particularly important for children with special health Care needs. The variation in the need for Care Coordination both within and across states underscores the need for flexibility in program and policy development for CSHCN.
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The need for Care Coordination among children with special health Care needs in Illinois.
Maternal and child health journal, 2005Co-Authors: Deborah Rosenberg, Charles Onufer, Gerri Clark, Thomas Wilkin, Kristin Rankin, Kristina GuptaAbstract:The objectives of this study were: 1) to estimate the need for Care Coordination among children with special health Care needs (CSHCN) in Illinois, 2) to assess the need for Care Coordination among CSHCN in Illinois by sociodemographic, condition-related, and access to Care factors, and 3) to discuss approaches for meeting the need for Care Coordination. The study included 745 Illinois families interviewed as part of the State and Local Area Integrated Telephone Survey (SLAITS) of CSHCN. Classifying families of CSHCN as needing Care Coordination was based on three survey questions. The prevalence of the need for Care Coordination among CSHCN in Illinois was examined overall and by sociodemographic characteristics, descriptors of the child's health condition, and measures of access to services. Multivariable modeling was carried out to jointly assess these factors and the need for Care Coordination. In Illinois, 25.2% of CSHCN families reported a need for Care Coordination. Condition severity, need for supplementary/ancillary services, lack of insurance coverage and inadequate communication among providers were significantly associated with the need for Care Coordination (OR = 1.14, OR = 1.72, OR = 2.45, and OR = 3.08, respectively). Having a primary Care provider/medical home was not associated with the need for Care Coordination in multivariable analysis. Coordination of health services is important for all children and all adults, but it is particularly important for children with special health Care needs. The variation in the need for Care Coordination both within and across states underscores the need for flexibility in program and policy development for CSHCN.
Karen Kuhlthau - One of the best experts on this subject based on the ideXlab platform.
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Care Coordination and Unmet Specialty Care Among Children With Special Health Care Needs
Pediatrics, 2014Co-Authors: Alexy Arauz Boudreau, W. Carl Cooley, Elizabeth Goodman, Daniel Kurowski, James M. Perrin, Karen KuhlthauAbstract:OBJECTIVES: Care Coordination and the medical home may ensure access to specialty Care. Children with special health Care needs (CSHCN) have higher rates of specialty Care use and unmet need compared with the general pediatric population. We hypothesized that Care Coordination, regardless of whether it was provided in a medical home, would decrease unmet specialty Care needs among CSHCN and that the effect of Care Coordination would be greater among low-income families. METHODS: Secondary data analysis of participants in the 2009–2010 National Survey of CSHCN who reported unmet specialty Care needs and for whom Care Coordination and medical home status could be determined ( n = 18 905). Logistic regression models explored the association of unmet need with Care Coordination and medical home status adjusting for household income. RESULTS: Approximately 9% of CSHCN reported having unmet specialty Care needs. Care Coordination was associated with reduced odds of unmet specialty Care need (without a medical home, odds ratio: 0.63, 95% confidence interval: 0.47–0.86; within a medical home, odds ratio: 0.22, 95% confidence interval: 0.16–0.29) with a greater reduction among those receiving Care Coordination within a medical home versus those receiving Care Coordination without a medical home. We did not find differences in the impact of Care Coordination by percentage of the federal poverty level. CONCLUSIONS: Care Coordination is associated with family report of decreased unmet specialty Care needs among CSHCN independent of household income. The effect of Care Coordination is greater when Care is received in a medical home.
Walter Sermeus - One of the best experts on this subject based on the ideXlab platform.
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Focus groups to explore healthCare professionals’ experiences of Care Coordination: towards a theoretical framework for the study of Care Coordination
BMC family practice, 2014Co-Authors: Sabine Van Houdt, Walter Sermeus, Kris Vanhaecht, Jan De LepeleireAbstract:Strategies to improve Care Coordination between primary and hospital Care do not always have the desired results. This is partly due to incomplete understanding of the key concepts of Care Coordination. An in-depth analysis of existing theoretical frameworks for the study of Care Coordination identified 14 interrelated key concepts. In another study, these 14 key concepts were further explored in patients’ experiences. Additionally, “patient characteristics” was identified as a new key concept in patients’ experiences and the previously identified key concept “quality of relationship” between healthCare professionals was extended to “quality of relationship” with the patient. Together, these 15 interrelated key concepts resulted in a new theoretical framework. The present study aimed at improving our understanding of the 15 previously identified key concepts and to explore potentially previous unidentified key concepts and the links between these by exploring how healthCare professionals experience Care Coordination. A qualitative design was used. Six focus groups were conducted including primary healthCare professionals involved in the Care of patients who had breast cancer surgery at three hospitals in Belgium. Data were analyzed using constant comparative analysis. All 15 previously identified key concepts of Care Coordination were further explored in healthCare professionals’ experiences. Links between these 15 concepts were identified, including 9 newly identified links. The concept “external factors” was linked with all 6 concepts relating to (inter)organizational mechanisms; “task characteristics”, “structure”, “knowledge and information technology”, “administrative operational processes”, “cultural factors” and “need for Coordination”. Five of these concepts related to 3 concepts of relational Coordination; “roles”, “quality of relationship” and “exchange of information”. The concept of “task characteristics” was only linked with “roles” and “exchange of information”. The concept “patient characteristics” related with the concepts “need for Coordination” and “patient outcome”. Outcome was influenced by “roles”, “quality of relationship” and “exchange of information”. External factors and the (inter)organizational mechanism should enhance “roles” and “quality of relationship” between healthCare professionals and with the patient as well as “exchange of information”, and setting and sharing of common “goals” to improve Care Coordination and quality of Care.
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What is Care Coordination about: towards a theoretical framework for the study of Care Coordination
International Journal of Integrated Care, 2013Co-Authors: Sabine Van Houdt, Walter Sermeus, Lienke Vandezande, Barbara M. Raeymaekers, Jan De LepeleireAbstract:Purpose: Strategies to improve Care Coordination between primary and hospital Care do not always have the desired result partly due to incomplete understanding of key concepts of Care Coordination. The aim of this study is to explore key concepts of Care Coordination and the relationships between them. Methods: We performed an in-depth analysis of existing theoretical frameworks, interviewed twenty-two patients and organised six focus groups with healthCare professionals. Findings: Fourteen key concepts were identified in existing theoretical frameworks. Two new concepts revealed in patient perceived Care Coordination. Preliminary results confirm the 16 previously identified key concepts in healthCare professionals perceived Care Coordination. Core key concept of Care Coordination include defining and knowing each other “roles”, the “quality of relationships” promoting mutual respect and collaboration, “information exchange” between healthCare professionals and defining and sharing common “goals”. These core key concepts are influenced by “external factors”, “task characteristics”, “cultural factors”, “knowledge and technology”, “need for Coordination”, “administrative operational processes” and “patient characteristics” leading to a certain outcome. Discussion: It is important to improve “roles”, “quality of relationships” between healthCare professionals and with the patient, “information exchange” and “goals” to ensure Care Coordination between primary and hospital Care certainly when unexpected events occur.
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An in-depth analysis of theoretical frameworks for the study of Care Coordination
International journal of integrated care, 2013Co-Authors: Sabine Van Houdt, Walter Sermeus, Kris Vanhaecht, Jan Heyrman, Jan De LepeleireAbstract:Introduction: Complex chronic conditions often require long-term Care from various healthCare professionals. Thus, maintaining quality Care requires Care Coordination. Concepts for the study of Care Coordination require clarification to develop, study and evaluate Coordination strategies. In 2007, the Agency for HealthCare Research and Quality defined Care Coordination and proposed five theoretical frameworks for exploring Care Coordination. This study aimed to update current theoretical frameworks and clarify key concepts related to Care Coordination. Methods: We performed a literature review to update existing theoretical frameworks. An in-depth analysis of these theoretical frameworks was conducted to formulate key concepts related to Care Coordination. Results: Our literature review found seven previously unidentified theoretical frameworks for studying Care Coordination. The in-depth analysis identified fourteen key concepts that the theoretical frameworks addressed. These were ‘external factors’, ‘structure’, ‘tasks char acteristics’, ‘cultural factors’, ‘knowledge and technology’, ‘need for Coordination’, ‘administrative operational processes’, ‘exchange of information’, ‘goals’, ‘roles’, ‘quality of relationship’, ‘patient outcome’, ‘team outcome’, and ‘(inter)organizational outcome’. Conclusion: These 14 interrelated key concepts provide a base to develop or choose a framework for studying Care Coordination. The relational Coordination theory and the multi-level framework are interesting as these are the most comprehensive.
