Care coordination for older people: an exploratory framework

Abstract

2015),"Longitudinal effects on self-determination in the RCT "Continuum of care for frail elderly people"" (2015),"Critical reflections from the millennials on the global action against dementia legacy events"Access to this document was granted through an Emerald subscription provided by emerald-srm:198285 [] For AuthorsIf you would like to write for this, or any other Emerald publication, then please use our Emerald for Authors service information about how to choose which publication to write for and submission guidelines are available for all. Please visit www.emeraldinsight.com/authors for more information. About Emerald www.emeraldinsight.comEmerald is a global publisher linking research and practice to the benefit of society. The company manages a portfolio of more than 290 journals and over 2,350 books and book series volumes, as well as providing an extensive range of online products and additional customer resources and services.Emerald is both COUNTER 4 and TRANSFER compliant. The organization is a partner of the Committee on Publication Ethics (COPE) and also works with Portico and the LOCKSS initiative for digital archive preservation. AbstractPurpose -The purpose of this paper is to present a framework for examining variation in care coordination arrangements for older people. Design/methodology/approach -A multi-method approach was adopted combining analysis of secondary data and primary data. There were two stages: the development of the framework and its constituent attributes and indicators; and its validation from two perspectives: a meeting with managers and focus groups with practitioners. It was informed by an existing generic framework; subsequent policy guidance; data from an English national survey; previous research; and international literature. Findings -The framework comprises 19 attributes each with indicators measuring performance relating to: organisational arrangements influencing service delivery; the performance of core tasks of care coordination; and differentiation within the process to distinguish between responses to different levels of need. Originality/value -Care coordination arrangements in England are characterised by diversity. This paper provides a framework for evaluating local arrangements thereby highlighting strengths and where improvements are needed. It offers a means to promote programme fidelity. As such it has utility for both service commissioners and providers.

Care coordination in the health-care service delivery: an elderly care perspective

“…Sources : Mitchie et al , 2003; Okhuysen and Bechy, 2009; Ohlinger et al , 2013; Schultz and Mcdonald, 2014; Hughes et al , 2015. Staff works with sense of collaboration and trust. Level of Professionalism among the staff. Empathy towards Patients. Consistent performance for the patients’ needs. …”

“…Sources: Boyd et al , 2005; Antonelli et al , 2008; Young et al , 2011; Mcintosh et al , 2014; Hughes et al , 2015; Zlateva et al , 2015. Availability of diagnostic labs and pharmacy. Ambulatory services. Adequate number of rooms and beds in the hospital. Facilitative location and layout of the hospital. Visitors management. …”

“…Sources: Harrison and Verhoef, 2002; Mitchie et al , 2003; Boyd et al , 2005; Antonelli et al , 2008; Young et al , 2011; Mcintosh et al , 2014; Hughes et al , 2015; Zlateva et al , 2015; Hilligoss et al , 2016; Crump et al , 2017 and Elliott et al , 2018. Proper diagnosis and consultation by nurses and doctors. Extent to which staff respected privacy of patients. Hygiene and safety of patients. Ease of transfer from one ward to other. Responsiveness in meeting changed requirements of patients. …”

“…Moreover, these issues require a patient-centric perspective for the delivery of quality care (Dugoff et al , 2013). This patient-centric orientation can be achieved by implementing coordinated care pathways, which will enhance the delivery of quality care service for older people (Hughes et al , 2015). Level of coordination varies with the complexity of the diseases.…”