2.50
Hdl Handle:
http://hdl.handle.net/10755/163585
Category:
Abstract
Type:
Presentation
Title:
Meaning and measurement of the concept: Coordination of care
Author(s):
Bender, Nancee; Schmitt, Madeline
Author Details:
Nancee Bender, Pittsford, Pennsylvania, USA, email: nancee_bender@urmc.rochester.edu; Madeline Schmitt
Abstract:
The concept: Coordination of care is a concept that is almost always included as part of the definition of collaboration, as in collaboration between the professions. It is a part of what is described as occurring through collaborative team efforts. As a concept it is also central to the definition of case management; a case manager may become the extension of the team, and carry out much of the work of care coordination on behalf of the team. Because coordination of care has been identified as a critical ingredient in improved outcomes (satisfaction, clinical outcomes, and reduced costs), it is important that the meaning of the term "coordination of care" in interdisciplinary and case management contexts is clear, and that appropriate measurement of coordination of care processes/activities is available to link these activities with outcomes. Project design: An exhaustive literature review and concept analysis has been undertaken to (1) identify the essential characteristics of the term "coordination of care", and distinguish it from related concepts, (2) identify the key mechanisms for accomplishing coordination of care; (3) identify intermediate and ultimate outcomes theoretically linked to care coordination; and (4) assess the current measurement of the concept. Findings: The literature lacks definitions of "coordination of care", and confounds coordination of care with both related terms and with outcomes. As an outcome of this project, essential elements of care coordination have been identified and a conceptual "map" constructed of coordination of care, its relationship to other concepts and to outcomes. It is possible to identify key mechanisms through which coordination of care occurs, including the specific role of case managers as facilitators of these mechanisms. Little instrumentation measuring coordination of care presently exists; conceptual clarification suggests possibilities for instrument development. Conclusions: Little research has targeted specific, central care processes of interdisciplinary teams and their effects on outcomes. Coordination of care is one of these central care processes. Well conceptualized, adequate measurement of coordination of care processes in collaborative interdisciplinary activities and in case management roles is an essential precursor to the design of research linking coordination of care processes to outcomes. Suggestions for future measurement development are offered.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2002
Conference Name:
14th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
University Park, Pennsylvania, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleMeaning and measurement of the concept: Coordination of careen_GB
dc.contributor.authorBender, Nanceeen_US
dc.contributor.authorSchmitt, Madelineen_US
dc.author.detailsNancee Bender, Pittsford, Pennsylvania, USA, email: nancee_bender@urmc.rochester.edu; Madeline Schmitten_US
dc.identifier.urihttp://hdl.handle.net/10755/163585-
dc.description.abstractThe concept: Coordination of care is a concept that is almost always included as part of the definition of collaboration, as in collaboration between the professions. It is a part of what is described as occurring through collaborative team efforts. As a concept it is also central to the definition of case management; a case manager may become the extension of the team, and carry out much of the work of care coordination on behalf of the team. Because coordination of care has been identified as a critical ingredient in improved outcomes (satisfaction, clinical outcomes, and reduced costs), it is important that the meaning of the term "coordination of care" in interdisciplinary and case management contexts is clear, and that appropriate measurement of coordination of care processes/activities is available to link these activities with outcomes. Project design: An exhaustive literature review and concept analysis has been undertaken to (1) identify the essential characteristics of the term "coordination of care", and distinguish it from related concepts, (2) identify the key mechanisms for accomplishing coordination of care; (3) identify intermediate and ultimate outcomes theoretically linked to care coordination; and (4) assess the current measurement of the concept. Findings: The literature lacks definitions of "coordination of care", and confounds coordination of care with both related terms and with outcomes. As an outcome of this project, essential elements of care coordination have been identified and a conceptual "map" constructed of coordination of care, its relationship to other concepts and to outcomes. It is possible to identify key mechanisms through which coordination of care occurs, including the specific role of case managers as facilitators of these mechanisms. Little instrumentation measuring coordination of care presently exists; conceptual clarification suggests possibilities for instrument development. Conclusions: Little research has targeted specific, central care processes of interdisciplinary teams and their effects on outcomes. Coordination of care is one of these central care processes. Well conceptualized, adequate measurement of coordination of care processes in collaborative interdisciplinary activities and in case management roles is an essential precursor to the design of research linking coordination of care processes to outcomes. Suggestions for future measurement development are offered.en_GB
dc.date.available2011-10-27T11:10:09Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:10:09Z-
dc.conference.date2002en_US
dc.conference.name14th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationUniversity Park, Pennsylvania, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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