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An in-depth analysis of theoretical frameworks for the study of care coordination

机译:对护理协调研究的理论框架的深入分析

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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 characteristics’, ‘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.
机译:简介:复杂的慢性病通常需要各种医疗保健专业人员的长期护理。因此,维持优质护理需要护理协调。护理协调研究的概念需要澄清,以开发,研究和评估协调策略。 2007年,卫生保健研究与质量局定义了护理协调,并提出了五个探索护理协调的理论框架。这项研究旨在更新当前的理论框架,并阐明与护理协调相关的关键概念。方法:我们进行了文献综述,以更新现有的理论框架。对这些理论框架进行了深入分析,以制定与护理协调有关的关键概念。结果:我们的文献综述发现了七个以前未知的理论框架,用于研究护理协调。深入分析确定了理论框架要解决的14个关键概念。这些是“外部因素”,“结构”,“任务特征”,“文化因素”,“知识和技术”,“需要协调”,“行政运作流程”,“信息交换”,“目标”,“角色”,“关系质量”,“患者结果”,“团队结果”和“组织间结果”。结论:这14个相互关联的关键概念为开发或选择研究护理协调的框架提供了基础。关系协调理论和多级框架很有趣,因为它们最全面。

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