Influence of cooperation work on management continuity of ambulatory cardiovascular care: a cross-sectional exploratory study in Germany
Introduction: A wide range of factors influence coordination and continuity of care. The aim of this study was to explore how management continuity of cardiovascular-related ambulatory care is influenced by the following network characteristics: presence of a case coordinator, network reciprocity, n...
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| Hauptverfasser: | , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
06 December 2023
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| In: |
International journal of integrated care
Year: 2023, Jahrgang: 23, Heft: 4, Pages: 1-8 |
| ISSN: | 1568-4156 |
| DOI: | 10.5334/ijic.7019 |
| Online-Zugang: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.5334/ijic.7019 Verlag, lizenzpflichtig, Volltext: https://ijic.org/articles/10.5334/ijic.7019 
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| Verfasserangaben: | Christine Arnold, Patrick Hennrich, Frank Peters-Klimm, Michel Wensing |
MARC
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| 520 | |a Introduction: A wide range of factors influence coordination and continuity of care. The aim of this study was to explore how management continuity of cardiovascular-related ambulatory care is influenced by the following network characteristics: presence of a case coordinator, network reciprocity, network composition and team climate. - Methods: This cross-sectional observational study included three written surveys. The primary outcome management continuity of cardiovascular care was measured with the team/cross-boundary scale in the Nijmegen Continuity Questionnaire. The final analysis comprised a multivariate linear multilevel model with the predictors: presence of a case coordinator, network reciprocity, network composition and team climate. - Results: Eighteen general practices with 83 health workers and 340 patients participated. The linear multilevel regression analysis showed a positive influence of team climate on cross-boundary continuity of care (b-coefficient 0.44, 95% confidence interval 0.09–0.78, p = 0.02). No statistically significant influence was measured for the other predictors. - Discussion: To improve integrated care, therefore, emphasis should also be placed on promoting the team climate within individual practices. Regarding network characteristics, further research is needed, especially in larger practices. - Conclusion: This study showed that team climate had an independent, relevant and statistically significant association with cross-boundary continuity of cardiovascular ambulatory care. | ||
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