Management continuity in local health networks

<strong>Introduction:</strong> Patients increasingly receive care from multiple providers in a variety of settings. They expect management continuity that crosses boundaries and bridges gaps in the healthcare system. To our knowledge, little research has been done to assess coordination...

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Main Authors: Mylaine Breton, Jeannie Haggerty, Danièle Roberge, George K Freeman
Format: Article
Language:English
Published: Ubiquity Press 2012-04-01
Series:International Journal of Integrated Care
Subjects:
Online Access:http://www.ijic.org/articles/682
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spelling doaj-234e5f3907d2471f8ff0ef177810f39a2020-11-24T23:19:38ZengUbiquity PressInternational Journal of Integrated Care1568-41562012-04-0112210.5334/ijic.682759Management continuity in local health networksMylaine Breton0Jeannie Haggerty1Danièle Roberge2George K Freeman3University of SherbrookeProfessor, McGill UniversityProfessor University of SherbrookeImperial College London<strong>Introduction:</strong> Patients increasingly receive care from multiple providers in a variety of settings. They expect management continuity that crosses boundaries and bridges gaps in the healthcare system. To our knowledge, little research has been done to assess coordination across organizational and professional boundaries from the patients' perspective. Our objective was to assess whether greater local health network integration is associated with management continuity as perceived by patients. <strong>Method:</strong> We used the data from a research project on the development and validation of a generic and comprehensive continuity measurement instrument that can be applied to a variety of patient conditions and settings. We used the results of a cross-sectional survey conducted in 2009 with 256 patients in two local health networks in Quebec, Canada. We compared four aspects of management continuity between two contrasting network types (highly integrated vs. poorly integrated). <strong>Results: </strong>The scores obtained in the highly integrated network are better than those of the poorly integrated network on all dimensions of management continuity (coordinator role, role clarity and coordination between clinics, and information gaps between providers) except for experience of care plan. <strong>Conclusion:</strong> Some aspects of care coordination among professionals and organizations are noticed by patients and may be valid indicators to assess care coordination.http://www.ijic.org/articles/682continuitypatient perspectiveintegrated care
collection DOAJ
language English
format Article
sources DOAJ
author Mylaine Breton
Jeannie Haggerty
Danièle Roberge
George K Freeman
spellingShingle Mylaine Breton
Jeannie Haggerty
Danièle Roberge
George K Freeman
Management continuity in local health networks
International Journal of Integrated Care
continuity
patient perspective
integrated care
author_facet Mylaine Breton
Jeannie Haggerty
Danièle Roberge
George K Freeman
author_sort Mylaine Breton
title Management continuity in local health networks
title_short Management continuity in local health networks
title_full Management continuity in local health networks
title_fullStr Management continuity in local health networks
title_full_unstemmed Management continuity in local health networks
title_sort management continuity in local health networks
publisher Ubiquity Press
series International Journal of Integrated Care
issn 1568-4156
publishDate 2012-04-01
description <strong>Introduction:</strong> Patients increasingly receive care from multiple providers in a variety of settings. They expect management continuity that crosses boundaries and bridges gaps in the healthcare system. To our knowledge, little research has been done to assess coordination across organizational and professional boundaries from the patients' perspective. Our objective was to assess whether greater local health network integration is associated with management continuity as perceived by patients. <strong>Method:</strong> We used the data from a research project on the development and validation of a generic and comprehensive continuity measurement instrument that can be applied to a variety of patient conditions and settings. We used the results of a cross-sectional survey conducted in 2009 with 256 patients in two local health networks in Quebec, Canada. We compared four aspects of management continuity between two contrasting network types (highly integrated vs. poorly integrated). <strong>Results: </strong>The scores obtained in the highly integrated network are better than those of the poorly integrated network on all dimensions of management continuity (coordinator role, role clarity and coordination between clinics, and information gaps between providers) except for experience of care plan. <strong>Conclusion:</strong> Some aspects of care coordination among professionals and organizations are noticed by patients and may be valid indicators to assess care coordination.
topic continuity
patient perspective
integrated care
url http://www.ijic.org/articles/682
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