Development and testing of indicators to measure coordination of clinical information and management across levels of care.

Mostra el registre complet Registre parcial de l'ítem

• dc.contributor.author Aller, Marta-Beatrizca
• dc.contributor.author Vargas Lorenzo, Ingridca
• dc.contributor.author Coderch, Jordica
• dc.contributor.author Calero, Sebastiàca
• dc.contributor.author Cots Reguant, Francescca
• dc.contributor.author Abizanda, Mercèca
• dc.contributor.author Farré, Joanca
• dc.contributor.author Llopart, Josep Ramonca
• dc.contributor.author Colomés, Lluísca
• dc.contributor.author Vázquez, María Luisaca
• dc.date.accessioned 2015-10-16T07:15:39Z
• dc.date.available 2015-10-16T07:15:39Z
• dc.date.issued 2015
• dc.description.abstract BACKGROUND: Coordination across levels of care is becoming increasingly important due to rapid advances in technology, high specialisation and changes in the organization of healthcare services; to date, however, the development of indicators to evaluate coordination has been limited. The aim of this study is to develop and test a set of indicators to comprehensively evaluate clinical coordination across levels of care. METHODS: A systematic review of literature was conducted to identify indicators of clinical coordination across levels of care. These indicators were analysed to identify attributes of coordination and classified accordingly. They were then discussed within an expert team and adapted or newly developed, and their relevance, scientific soundness and feasibility were examined. The indicators were tested in three healthcare areas of the Catalan health system. 52 indicators were identified addressing 11 attributes of clinical coordination across levels of care. The final set consisted of 21 output indicators. Clinical information transfer is evaluated based on information flow (4) and the adequacy of shared information (3). Clinical management coordination indicators evaluate care coherence through diagnostic testing (2) and medication (1), provision of care at the most appropriate level (2), completion of diagnostic process (1), follow-up after hospital discharge (4) and accessibility across levels of care (4). The application of indicators showed differences in the degree of clinical coordination depending on the attribute and area. CONCLUSION:/nA set of rigorous and scientifically sound measures of clinical coordination across levels of care were developed based on a literature review and discussion with experts. This set of indicators comprehensively address the different attributes of clinical coordination in main transitions across levels of care. It could be employed to identify areas in which health services can be improved, as well as to measure the effect of efforts to improve clinical coordination in healthcare organizations.ca
• dc.description.sponsorship The research leading to these results received funding from the Instituto de Salud Carlos III (PI10/00348) and Fondos FEDER. The funding source had no involvement in the study design, nor in the collection, analysis and interpretations of data, or in the writing of the article and the decision to submit it for publication.
• dc.format.mimetype application/pdfca
• dc.identifier.citation Aller MB, Vargas I, Coderch J, Calero S, Cots F, Abizanda M. et al. Development and testing of indicators to measure coordination of clinical information and management across levels of care. BMC Health Serv Res. 2015 Aug 13;15:323. doi: 10.1186/s12913-015-0968-z.ca
• dc.identifier.doi http://dx.doi.org/10.1186/s12913-015-0968-z
• dc.identifier.issn 1472-6963
• dc.identifier.uri http://hdl.handle.net/10230/24849
• dc.language.iso engca
• dc.publisher BioMed Centralca
• dc.relation.ispartof BMC Health Services Research. 2015 Aug 13;15:323
• dc.rights © 2015 Aller et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0/nInternational License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and/nreproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a/nlink to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain/nDedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this/narticle, unless otherwise stated.ca
• dc.rights.accessRights info:eu-repo/semantics/openAccessca
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/ca
• dc.subject.other Indicadors de salut -- Avaluacióca
• dc.title Development and testing of indicators to measure coordination of clinical information and management across levels of care.ca
• dc.type info:eu-repo/semantics/articleca
• dc.type.version info:eu-repo/semantics/publishedVersionca