Health Policy

ISSN:

影响因子:

SCIE收录情况:

JCR分区 ▼
Françoise Colombani ; Françoise Colombani ; Gaëlle Encrenaz ; Matthieu Sibé ; Bruno Quintard ; Alain Ravaud ; Florence Saillour-Glénisson ; the EPOCK expert group

亮点

  • This review provides a new operational evidence-based framework for care coordination.
  • Comprehensive and specific characterisations of care coordination activities were performed.
  • Interventions effects were evaluated using patients’, caregivers’, professionals’, and healthcare system perspectives.
  • Innovative tools were used to describe, implement and evaluate care coordination interventions.

摘要

Background

Because of the limits in conceptualisation of care coordination linked to a large array of care coordination models and definitions available, a care coordination framework is needed with a particular focus on the micro level.

Objective

To develop an evidence-based reference framework for person-centred care coordination interventions based on international validated definitions.

Methods

This two-step mixed-methods study included first, a scoping review of reviews focus on the impact of care coordination interventions and then, a nominal group technique. The scoping review aimed at identifying the components of the four dimensions of the framework (contexts, activities, actors and tools, and effects). The nominal group technique was to select the relevant components of the dimension ‘activities’ of the reference framework.

Results

The scoping review selected 52 articles from the 1407 retrieved at first. The nominal group selected the 66 most relevant activities from the 159 retrieved in the literature (28 activities of care organisation, 24 activities of care, and 14 activities of facilitation).

Conclusion

This operational framework focused on care coordination at the micro level, is a useful and innovative tool, applicable in any clinical condition, and in any health care system for describing, implementing and evaluating care coordination programmes.

AHRQ; DMIC; RMIC; SELFIE; JA-CHRODIS; NGT; ITEM; Care coordination; Continuity of patient care [MeSH term]; Theoretical framework; Consensus [MeSH term]; Models, Organisational [MeSH term]; Scoping review

10.5

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