Does it matter who organises your health care?
<!--[if gte mso 9]><xml> <o:OfficeDocumentSettings> <o:AllowPNG/> </o:OfficeDocumentSettings> </xml><![endif]--><strong>Background: </strong>As the prevalence of long-term and multimorbid conditions is increasing, patients increasingly requir...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Ubiquity Press
2015-05-01
|
| Series: | International Journal of Integrated Care |
| Subjects: | |
| Online Access: | http://www.ijic.org/articles/1598 |
| _version_ | 1818932989541744640 |
|---|---|
| author | Paresh Dawda Ian S McRae Laurann Yen Md Mofizul Islam Nasser Bagheri Tanisha Jowsey Michelle Banfield Anne Parkinson |
| author_facet | Paresh Dawda Ian S McRae Laurann Yen Md Mofizul Islam Nasser Bagheri Tanisha Jowsey Michelle Banfield Anne Parkinson |
| author_sort | Paresh Dawda |
| collection | DOAJ |
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</xml><![endif]--><strong>Background: </strong>As the prevalence of long-term and multimorbid conditions is increasing, patients increasingly require consultations with multiple health care professionals and coordination of their care needs. <strong>Methods: </strong>This study is based on a 2011 survey of older Australians which draws on sub-populations of people with diabetes aged 50 years or over, people with chronic obstructive pulmonary disease, and members of Nationals Seniors Australia. We develop a composite coordination measure and examine differences in the measure with different care coordination indicators using both descriptive and regression methods. Three categories of respondent-perceived care organisers are used: health care professionals; “no one”; and patients, their partner, relative or friend. <strong>Results: </strong>Of the 2,540 survey respondents (an overall response rate of 24%), 1,865 provided information on who organised their health care, and composite coordination measures were calculated for 1,614. Multivariate analysis showed the composite score was highest where a health care professional coordinated care, followed by care organised by self or a carer, and then the group reporting no organiser. <strong>Conclusion: </strong>In moving towards care coordination there are opportunities to improve the care coordination process itself, and the key enablers to improving care coordination appear to be the availability and communication of clinical information and the role of the clinical team. <!--[if gte mso 9]><xml>
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| first_indexed | 2024-12-20T04:41:15Z |
| format | Article |
| id | doaj.art-fbf175d18cc5412d93e113e479154d36 |
| institution | Directory Open Access Journal |
| issn | 1568-4156 |
| language | English |
| last_indexed | 2024-12-20T04:41:15Z |
| publishDate | 2015-05-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj.art-fbf175d18cc5412d93e113e479154d362022-12-21T19:53:08ZengUbiquity PressInternational Journal of Integrated Care1568-41562015-05-0115210.5334/ijic.15981798Does it matter who organises your health care?Paresh Dawda0Ian S McRae1Laurann Yen2Md Mofizul Islam3Nasser Bagheri4Tanisha Jowsey5Michelle Banfield6Anne Parkinson7Australian, Primary Health Care Research Institute, Australian National University; ACT Medicare Local; Ochre HealthAustralian Primary Health Care Research Institute, Australian National UniversityAustralian Primary Health Care Research Institute, Australian National UniversityAustralian Primary Health Care Research Institute, Australian National UniversityAustralian Primary Health Care Research Institute, Australian National UniversityAustralian Primary Health Care Research Institute, Australian National UniversityAustralian Primary Health Care Research Institute, Australian National University; National Institute for Mental Health, Australian National UniversityAustralian Primary Health Care Research Institute, Australian National University<!--[if gte mso 9]><xml> <o:OfficeDocumentSettings> <o:AllowPNG/> </o:OfficeDocumentSettings> </xml><![endif]--><strong>Background: </strong>As the prevalence of long-term and multimorbid conditions is increasing, patients increasingly require consultations with multiple health care professionals and coordination of their care needs. <strong>Methods: </strong>This study is based on a 2011 survey of older Australians which draws on sub-populations of people with diabetes aged 50 years or over, people with chronic obstructive pulmonary disease, and members of Nationals Seniors Australia. We develop a composite coordination measure and examine differences in the measure with different care coordination indicators using both descriptive and regression methods. Three categories of respondent-perceived care organisers are used: health care professionals; “no one”; and patients, their partner, relative or friend. <strong>Results: </strong>Of the 2,540 survey respondents (an overall response rate of 24%), 1,865 provided information on who organised their health care, and composite coordination measures were calculated for 1,614. Multivariate analysis showed the composite score was highest where a health care professional coordinated care, followed by care organised by self or a carer, and then the group reporting no organiser. <strong>Conclusion: </strong>In moving towards care coordination there are opportunities to improve the care coordination process itself, and the key enablers to improving care coordination appear to be the availability and communication of clinical information and the role of the clinical team. <!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:DoNotShowInsertionsAndDeletions/> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF/> <w:LidThemeOther>EN-AU</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> 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<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 2"/> <w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 2"/> <w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful Accent 2"/> <w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful Accent 2"/> <w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light Accent 3"/> <w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 3"/> <w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 3"/> <w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 3"/> <w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 3"/> <w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful Accent 3"/> <w:LsdException Locked="falhttp://www.ijic.org/articles/1598coordinationchronic diseaselong-term conditions |
| spellingShingle | Paresh Dawda Ian S McRae Laurann Yen Md Mofizul Islam Nasser Bagheri Tanisha Jowsey Michelle Banfield Anne Parkinson Does it matter who organises your health care? International Journal of Integrated Care coordination chronic disease long-term conditions |
| title | Does it matter who organises your health care? |
| title_full | Does it matter who organises your health care? |
| title_fullStr | Does it matter who organises your health care? |
| title_full_unstemmed | Does it matter who organises your health care? |
| title_short | Does it matter who organises your health care? |
| title_sort | does it matter who organises your health care |
| topic | coordination chronic disease long-term conditions |
| url | http://www.ijic.org/articles/1598 |
| work_keys_str_mv | AT pareshdawda doesitmatterwhoorganisesyourhealthcare AT iansmcrae doesitmatterwhoorganisesyourhealthcare AT laurannyen doesitmatterwhoorganisesyourhealthcare AT mdmofizulislam doesitmatterwhoorganisesyourhealthcare AT nasserbagheri doesitmatterwhoorganisesyourhealthcare AT tanishajowsey doesitmatterwhoorganisesyourhealthcare AT michellebanfield doesitmatterwhoorganisesyourhealthcare AT anneparkinson doesitmatterwhoorganisesyourhealthcare |