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Developing community based rehabilitation for cancer survivors: organizing for coordination and coherence in practice
BACKGROUND: Increasing incidences of cancer combined with prolonged survival have raised the need for developing community based rehabilitation. The objectives of the analysis were to describe and interpret the key issues related to coordination and coherence of community-based cancer rehabilitation...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3844398/ https://www.ncbi.nlm.nih.gov/pubmed/24004881 http://dx.doi.org/10.1186/1472-6963-13-339 |
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author | la Cour, Karen Cutchin, Malcolm P |
author_facet | la Cour, Karen Cutchin, Malcolm P |
author_sort | la Cour, Karen |
collection | PubMed |
description | BACKGROUND: Increasing incidences of cancer combined with prolonged survival have raised the need for developing community based rehabilitation. The objectives of the analysis were to describe and interpret the key issues related to coordination and coherence of community-based cancer rehabilitation in Denmark and to provide insights relevant for other contexts. METHODS: Twenty-seven rehabilitation managers across 15 municipalities in Denmark comprised the sample. The study was designed with a combination of data collection methods including questionnaires, individual interviews, and focus groups. A Grounded Theory approach was used to analyze the data. RESULTS: A lack of shared cultures among health care providers and systems of delivery was a primary barrier to collaboration which was essential for establishing coordination of care. Formal multidisciplinary steering committees, team-based organization, and informal relationships were fundamental for developing coordination and coherence. CONCLUSIONS: Coordination and coherence in community-based rehabilitation relies on increased collaboration, which may best be optimized by use of shared frameworks within and across systems. Results highlight the challenges faced in practical implementation of community rehabilitation and point to possible strategies for its enhancement. |
format | Online Article Text |
id | pubmed-3844398 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-38443982013-12-02 Developing community based rehabilitation for cancer survivors: organizing for coordination and coherence in practice la Cour, Karen Cutchin, Malcolm P BMC Health Serv Res Research Article BACKGROUND: Increasing incidences of cancer combined with prolonged survival have raised the need for developing community based rehabilitation. The objectives of the analysis were to describe and interpret the key issues related to coordination and coherence of community-based cancer rehabilitation in Denmark and to provide insights relevant for other contexts. METHODS: Twenty-seven rehabilitation managers across 15 municipalities in Denmark comprised the sample. The study was designed with a combination of data collection methods including questionnaires, individual interviews, and focus groups. A Grounded Theory approach was used to analyze the data. RESULTS: A lack of shared cultures among health care providers and systems of delivery was a primary barrier to collaboration which was essential for establishing coordination of care. Formal multidisciplinary steering committees, team-based organization, and informal relationships were fundamental for developing coordination and coherence. CONCLUSIONS: Coordination and coherence in community-based rehabilitation relies on increased collaboration, which may best be optimized by use of shared frameworks within and across systems. Results highlight the challenges faced in practical implementation of community rehabilitation and point to possible strategies for its enhancement. BioMed Central 2013-09-02 /pmc/articles/PMC3844398/ /pubmed/24004881 http://dx.doi.org/10.1186/1472-6963-13-339 Text en Copyright © 2013 la Cour and Cutchin; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article la Cour, Karen Cutchin, Malcolm P Developing community based rehabilitation for cancer survivors: organizing for coordination and coherence in practice |
title | Developing community based rehabilitation for cancer survivors: organizing for coordination and coherence in practice |
title_full | Developing community based rehabilitation for cancer survivors: organizing for coordination and coherence in practice |
title_fullStr | Developing community based rehabilitation for cancer survivors: organizing for coordination and coherence in practice |
title_full_unstemmed | Developing community based rehabilitation for cancer survivors: organizing for coordination and coherence in practice |
title_short | Developing community based rehabilitation for cancer survivors: organizing for coordination and coherence in practice |
title_sort | developing community based rehabilitation for cancer survivors: organizing for coordination and coherence in practice |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3844398/ https://www.ncbi.nlm.nih.gov/pubmed/24004881 http://dx.doi.org/10.1186/1472-6963-13-339 |
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