Improving coordination through information continuity: a framework for translational research

BMC Health Services Research

Laurann Yen¹  James Gillespie²  Ian McRae¹  Michelle Banfield¹  Karen Gardner¹ 

[1] Australian Primary Health Care Research Institute, The Australian National University, Cnr Mills & Eggleston Rds, Canberra ACT 0200, Australia;Menzies Centre for Health Policy, School of Public Health, University of Sydney, Sydney, NSW 2006, Australia

关键词: Quality improvement;    Translational research;    Primary health care;    Information continuity;    Continuity;    Coordination;   

Others  :  1090931
DOI  :  10.1186/s12913-014-0590-5

 received in 2014-06-15, accepted in 2014-11-10,  发布年份 2014

【 摘 要 】

Background

There is good evidence that coordination can have beneficial impacts on patient care and outcomes but the mechanisms by which coordination is to be achieved are poorly understood and rarely identified in relevant policies. One approach suggests that continuity of information is a key element but research is yet to provide guidance on how to optimise coordination through improving continuity in healthcare settings.

Discussion

In this paper we report on the development of a conceptual framework of information continuity in care coordination. We drew on evidence from systematic reviews of coordination and empirical studies on information use in integrated care models to develop the framework. It identifies the architecture, processes and scope of practices that evidence suggests is required to support information continuity in a population based approach to care coordination.

Summary

The framework offers value to policy makers and practitioners as a map that identifies the multi-level elements of an integrated system capable of driving better coordination. Testing of the framework in different settings could aid our understanding of information continuity as a mechanism for linking coordination strategies that operate at different levels of the health system and enable synthesis of findings for informing policy and practice.

【 授权许可】

   
2014 Gardner et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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