Continuity of Care and Coordination of Care: Can they Be Differentiated?
Introduction: Both care continuity and coordination are considered essential elements of health care system. However, little is known about the relationship between care continuity and coordination. This study aimed to differentiate the concepts of care continuity and coordination by developing and...
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| Format: | Article |
| Language: | English |
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Ubiquity Press
2023-02-01
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| Series: | International Journal of Integrated Care |
| Subjects: | |
| Online Access: | https://account.ijic.org/index.php/up/article/view/6467 |
| _version_ | 1797868035657170944 |
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| author | Chi-Chen Chen Yi-Chen Chiang Yi-Chieh Lin Shou-Hsia Cheng |
| author_facet | Chi-Chen Chen Yi-Chen Chiang Yi-Chieh Lin Shou-Hsia Cheng |
| author_sort | Chi-Chen Chen |
| collection | DOAJ |
| description | Introduction: Both care continuity and coordination are considered essential elements of health care system. However, little is known about the relationship between care continuity and coordination. This study aimed to differentiate the concepts of care continuity and coordination by developing and testing the reliability and validity of the Combined Outpatient Care Continuity and Coordination Assessment (COCCCA) questionnaire under the universal coverage health care system in Taiwan from a patient perspective. Methods: Face-to-face interviews were conducted nationwide with community-dwelling older adults selected via stratified multistage systematic sampling with probability-proportional-to-size process. A total of 2,144 subjects completed the questionnaire, with a response rate of 44.67%. Results: The 16 items of the COCCCA questionnaire were identified via item analysis and principal component analysis (PCA). The PCA generated five dimensions: three continuity-oriented (interpersonal, information sharing and longitudinal between patients and physicians) and two coordination-oriented (information exchange and communication/cooperation among multiple physicians). The second-order confirmatory factor analysis supported the factor structure and indicated that distinct constructs of care continuity and coordination can be identified. Conclusion: The COCCCA instrument can differentiate the concepts of care continuity and care coordination and has been demonstrated to be valid and reliable in outpatient care settings from a patient perspective. |
| first_indexed | 2024-04-09T23:50:51Z |
| format | Article |
| id | doaj.art-e98cd124e5944fa0b3ab1c2a44ff4605 |
| institution | Directory Open Access Journal |
| issn | 1568-4156 |
| language | English |
| last_indexed | 2024-04-09T23:50:51Z |
| publishDate | 2023-02-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj.art-e98cd124e5944fa0b3ab1c2a44ff46052023-03-17T12:47:32ZengUbiquity PressInternational Journal of Integrated Care1568-41562023-02-0123101010.5334/ijic.64676789Continuity of Care and Coordination of Care: Can they Be Differentiated?Chi-Chen Chen0https://orcid.org/0000-0002-2372-4381Yi-Chen Chiang1https://orcid.org/0000-0001-9630-1956Yi-Chieh Lin2https://orcid.org/0000-0002-7100-9550Shou-Hsia Cheng3https://orcid.org/0000-0001-7630-9934Department of Public Health, College of Medicine, Fu-Jen Catholic University, New Taipei CitySchool of Public Health, Xiamen University, XiamenDepartment of Public health, College of Health Sciences, Kaohsiung Medical University, Kaohsiung CityInstitute of Health Policy & Management, College of Public Health; and Population Health Research Center, National Taiwan University, TaipeiIntroduction: Both care continuity and coordination are considered essential elements of health care system. However, little is known about the relationship between care continuity and coordination. This study aimed to differentiate the concepts of care continuity and coordination by developing and testing the reliability and validity of the Combined Outpatient Care Continuity and Coordination Assessment (COCCCA) questionnaire under the universal coverage health care system in Taiwan from a patient perspective. Methods: Face-to-face interviews were conducted nationwide with community-dwelling older adults selected via stratified multistage systematic sampling with probability-proportional-to-size process. A total of 2,144 subjects completed the questionnaire, with a response rate of 44.67%. Results: The 16 items of the COCCCA questionnaire were identified via item analysis and principal component analysis (PCA). The PCA generated five dimensions: three continuity-oriented (interpersonal, information sharing and longitudinal between patients and physicians) and two coordination-oriented (information exchange and communication/cooperation among multiple physicians). The second-order confirmatory factor analysis supported the factor structure and indicated that distinct constructs of care continuity and coordination can be identified. Conclusion: The COCCCA instrument can differentiate the concepts of care continuity and care coordination and has been demonstrated to be valid and reliable in outpatient care settings from a patient perspective.https://account.ijic.org/index.php/up/article/view/6467care continuitycare coordinationoutpatient settingquestionnairepsychometric analysis |
| spellingShingle | Chi-Chen Chen Yi-Chen Chiang Yi-Chieh Lin Shou-Hsia Cheng Continuity of Care and Coordination of Care: Can they Be Differentiated? International Journal of Integrated Care care continuity care coordination outpatient setting questionnaire psychometric analysis |
| title | Continuity of Care and Coordination of Care: Can they Be Differentiated? |
| title_full | Continuity of Care and Coordination of Care: Can they Be Differentiated? |
| title_fullStr | Continuity of Care and Coordination of Care: Can they Be Differentiated? |
| title_full_unstemmed | Continuity of Care and Coordination of Care: Can they Be Differentiated? |
| title_short | Continuity of Care and Coordination of Care: Can they Be Differentiated? |
| title_sort | continuity of care and coordination of care can they be differentiated |
| topic | care continuity care coordination outpatient setting questionnaire psychometric analysis |
| url | https://account.ijic.org/index.php/up/article/view/6467 |
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