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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

摘要

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.MethodsWe 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. ResultsOur 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, €œtasks characteristics€, €œcultural factors€, knowledge and technology€, €œneed for coordination€, €œadministrative operational processes€, €œexchange of information€, defining and sharing goals€, definition and awareness of €œroles€ among caregivers, the quality of relationships, patient outcome€, €œteam 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。本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。这些因素是外部因素,结构,任务特征,文化因素,知识和技术,需要协调的区域,行政运作流程,信息交换。 ,定义和共享目标,对护理人员中的角色的定义和意识,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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