Relational coordination promotes quality of chronic care delivery in Dutch disease-management programs

医学 慢性病 急症护理 医疗保健 护理部 家庭医学 经济 经济增长
作者
Jane Murray Cramm,Anna P. Nieboer
出处
期刊:Health Care Management Review [Lippincott Williams & Wilkins]
卷期号:37 (4): 301-309 被引量:93
标识
DOI:10.1097/hmr.0b013e3182355ea4
摘要

Background: Previous studies have shown that relational coordination is positively associated with the delivery of hospital care, acute care, emergency care, trauma care, and nursing home care. The effect of relational coordination in primary care settings, such as disease-management programs, remains unknown. Purpose: This study examined relational coordination between general practitioners and other professionals in disease-management programs and assessed the impact of relational coordination on the delivery of chronic illness care. Methodology: Professionals (n = 188; response rate = 57%) in 19 disease-management programs located throughout the Netherlands completed surveys that assessed relational coordination and chronic care delivery. We used a cross-sectional study design. Findings: Our study demonstrated that the delivery of chronic illness care was positively related to relational coordination. We found positive relationships with community linkages (r = .210, p < .01), self-management support (r = .217, p < .01), decision support (r = .190, p < .01), delivery system design (r = .278, p < .001), and clinical information systems (r = .193, p < .01). Organization of the health delivery system was not significantly related to relational coordination. The regression analyses showed that even after controlling for all background variables, relational coordination still significantly affected chronic care delivery (β = .212, p ≤ .01). As expected, our findings showed a lower degree of relational coordination among general practitioners than between general practitioners and other core disease-management team members: practice nurses (M = 2.69 vs. 3.73; p < .001), dieticians (M = 2.69 vs. 3.07; p < .01), physical therapists (M = 2.69 vs. 3.06; p < .01), medical specialists (M = 2.69 vs. 3.16; p < .01), and nurse practitioners (M = 2.69 vs. 3.19; p < .001). Practice Implications: The enhancement of relational coordination among core disease-management professionals with different disciplines is expected to improve chronic illness care delivery.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
秋夏山完成签到,获得积分10
刚刚
CAOHOU应助抹茶夏天采纳,获得10
1秒前
1秒前
zzz关注了科研通微信公众号
2秒前
Jasper应助zjujirenjie采纳,获得10
2秒前
2秒前
3秒前
5秒前
6秒前
6秒前
6秒前
cc完成签到,获得积分10
8秒前
你快睡吧发布了新的文献求助10
9秒前
Toong发布了新的文献求助10
10秒前
10秒前
爆米花应助花花采纳,获得10
12秒前
zjujirenjie发布了新的文献求助10
14秒前
我是老大应助猪猪hero采纳,获得10
14秒前
毓雅完成签到,获得积分10
15秒前
Orange应助你快睡吧采纳,获得10
15秒前
18秒前
19秒前
ZZZ关闭了ZZZ文献求助
19秒前
小小酥被卷了完成签到,获得积分10
22秒前
22秒前
23秒前
24秒前
猪猪hero发布了新的文献求助10
24秒前
东木应助yf采纳,获得100
24秒前
冷艳的道天完成签到 ,获得积分10
26秒前
追晚风的人完成签到 ,获得积分10
27秒前
27秒前
暖暖圆圆完成签到 ,获得积分10
27秒前
27秒前
花花发布了新的文献求助10
28秒前
28秒前
gar发布了新的文献求助10
28秒前
无限的山水完成签到 ,获得积分10
29秒前
炎炎夏无声完成签到 ,获得积分10
30秒前
CHSLN完成签到 ,获得积分10
31秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
‘Unruly’ Children: Historical Fieldnotes and Learning Morality in a Taiwan Village (New Departures in Anthropology) 400
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
Robot-supported joining of reinforcement textiles with one-sided sewing heads 320
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3988827
求助须知:如何正确求助?哪些是违规求助? 3531183
关于积分的说明 11252671
捐赠科研通 3269809
什么是DOI,文献DOI怎么找? 1804780
邀请新用户注册赠送积分活动 881885
科研通“疑难数据库(出版商)”最低求助积分说明 809021