Cargando…

The effect of team collaboration and continuity of care on health and disability among rehabilitation patients: a longitudinal survey-based study from western Norway

PURPOSE: The purpose of this study was to investigate how changes in patient-rated health and disability from baseline to after rehabilitation were associated with communication and relationships in rehabilitation teams and patient-rated continuity of care. METHODS: Linear models were used to assess...

Descripción completa

Detalles Bibliográficos
Autores principales: Hustoft, Merethe, Biringer, Eva, Gjesdal, Sturla, Moen, Vegard Pihl, Aβmus, Jörg, Hetlevik, Øystein
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6761089/
https://www.ncbi.nlm.nih.gov/pubmed/31144204
http://dx.doi.org/10.1007/s11136-019-02216-7
_version_ 1783453949837180928
author Hustoft, Merethe
Biringer, Eva
Gjesdal, Sturla
Moen, Vegard Pihl
Aβmus, Jörg
Hetlevik, Øystein
author_facet Hustoft, Merethe
Biringer, Eva
Gjesdal, Sturla
Moen, Vegard Pihl
Aβmus, Jörg
Hetlevik, Øystein
author_sort Hustoft, Merethe
collection PubMed
description PURPOSE: The purpose of this study was to investigate how changes in patient-rated health and disability from baseline to after rehabilitation were associated with communication and relationships in rehabilitation teams and patient-rated continuity of care. METHODS: Linear models were used to assess the associations between relational coordination [RC] and Nijmegen Continuity Questionnaire-Norwegian version [NCQ-N] with changes in the World Health Association Disability Assessment Schedule 2.0 [WHODAS 2.0] and EuroQol EQ-VAS [EQ-VAS]. To express change in WHODAS 2.0 and EQ-VAS, the model was adjusted for WHODAS 2.0 and EQ-VAS baseline scores. Analyses for possible slopes for the various diagnosis groups were performed. RESULTS: A sample of 701 patients were included in the patient cohort, followed from before rehabilitation to 1 year after a rehabilitation stay involving treatment by 15 different interprofessional teams. The analyses revealed associations between continuity of care and changes in patient-rated health, measured with EQ-VAS (all p values < 0.01). RC communication was associated with more improvement in functioning in neoplasms patient group, compared to improvement of health among included patient groups. The results revealed no associations between NCQ-N and WHODAS 2.0 global score, or between RC in the rehabilitation teams treating the patients and changes in WHODAS 2.0 global score. CONCLUSION: The current results revealed that better personal, team and cross-boundary continuity of rehabilitation care was associated with better patient health after rehabilitation at 1-year follow-up. Measures of patient experiences with different types of continuity of care may provide a promising indicator of the quality of rehabilitation care. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s11136-019-02216-7) contains supplementary material, which is available to authorized users.
format Online
Article
Text
id pubmed-6761089
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Springer International Publishing
record_format MEDLINE/PubMed
spelling pubmed-67610892019-10-07 The effect of team collaboration and continuity of care on health and disability among rehabilitation patients: a longitudinal survey-based study from western Norway Hustoft, Merethe Biringer, Eva Gjesdal, Sturla Moen, Vegard Pihl Aβmus, Jörg Hetlevik, Øystein Qual Life Res Article PURPOSE: The purpose of this study was to investigate how changes in patient-rated health and disability from baseline to after rehabilitation were associated with communication and relationships in rehabilitation teams and patient-rated continuity of care. METHODS: Linear models were used to assess the associations between relational coordination [RC] and Nijmegen Continuity Questionnaire-Norwegian version [NCQ-N] with changes in the World Health Association Disability Assessment Schedule 2.0 [WHODAS 2.0] and EuroQol EQ-VAS [EQ-VAS]. To express change in WHODAS 2.0 and EQ-VAS, the model was adjusted for WHODAS 2.0 and EQ-VAS baseline scores. Analyses for possible slopes for the various diagnosis groups were performed. RESULTS: A sample of 701 patients were included in the patient cohort, followed from before rehabilitation to 1 year after a rehabilitation stay involving treatment by 15 different interprofessional teams. The analyses revealed associations between continuity of care and changes in patient-rated health, measured with EQ-VAS (all p values < 0.01). RC communication was associated with more improvement in functioning in neoplasms patient group, compared to improvement of health among included patient groups. The results revealed no associations between NCQ-N and WHODAS 2.0 global score, or between RC in the rehabilitation teams treating the patients and changes in WHODAS 2.0 global score. CONCLUSION: The current results revealed that better personal, team and cross-boundary continuity of rehabilitation care was associated with better patient health after rehabilitation at 1-year follow-up. Measures of patient experiences with different types of continuity of care may provide a promising indicator of the quality of rehabilitation care. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s11136-019-02216-7) contains supplementary material, which is available to authorized users. Springer International Publishing 2019-05-29 2019 /pmc/articles/PMC6761089/ /pubmed/31144204 http://dx.doi.org/10.1007/s11136-019-02216-7 Text en © The Author(s) 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Article
Hustoft, Merethe
Biringer, Eva
Gjesdal, Sturla
Moen, Vegard Pihl
Aβmus, Jörg
Hetlevik, Øystein
The effect of team collaboration and continuity of care on health and disability among rehabilitation patients: a longitudinal survey-based study from western Norway
title The effect of team collaboration and continuity of care on health and disability among rehabilitation patients: a longitudinal survey-based study from western Norway
title_full The effect of team collaboration and continuity of care on health and disability among rehabilitation patients: a longitudinal survey-based study from western Norway
title_fullStr The effect of team collaboration and continuity of care on health and disability among rehabilitation patients: a longitudinal survey-based study from western Norway
title_full_unstemmed The effect of team collaboration and continuity of care on health and disability among rehabilitation patients: a longitudinal survey-based study from western Norway
title_short The effect of team collaboration and continuity of care on health and disability among rehabilitation patients: a longitudinal survey-based study from western Norway
title_sort effect of team collaboration and continuity of care on health and disability among rehabilitation patients: a longitudinal survey-based study from western norway
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6761089/
https://www.ncbi.nlm.nih.gov/pubmed/31144204
http://dx.doi.org/10.1007/s11136-019-02216-7
work_keys_str_mv AT hustoftmerethe theeffectofteamcollaborationandcontinuityofcareonhealthanddisabilityamongrehabilitationpatientsalongitudinalsurveybasedstudyfromwesternnorway
AT biringereva theeffectofteamcollaborationandcontinuityofcareonhealthanddisabilityamongrehabilitationpatientsalongitudinalsurveybasedstudyfromwesternnorway
AT gjesdalsturla theeffectofteamcollaborationandcontinuityofcareonhealthanddisabilityamongrehabilitationpatientsalongitudinalsurveybasedstudyfromwesternnorway
AT moenvegardpihl theeffectofteamcollaborationandcontinuityofcareonhealthanddisabilityamongrehabilitationpatientsalongitudinalsurveybasedstudyfromwesternnorway
AT abmusjorg theeffectofteamcollaborationandcontinuityofcareonhealthanddisabilityamongrehabilitationpatientsalongitudinalsurveybasedstudyfromwesternnorway
AT hetlevikøystein theeffectofteamcollaborationandcontinuityofcareonhealthanddisabilityamongrehabilitationpatientsalongitudinalsurveybasedstudyfromwesternnorway
AT hustoftmerethe effectofteamcollaborationandcontinuityofcareonhealthanddisabilityamongrehabilitationpatientsalongitudinalsurveybasedstudyfromwesternnorway
AT biringereva effectofteamcollaborationandcontinuityofcareonhealthanddisabilityamongrehabilitationpatientsalongitudinalsurveybasedstudyfromwesternnorway
AT gjesdalsturla effectofteamcollaborationandcontinuityofcareonhealthanddisabilityamongrehabilitationpatientsalongitudinalsurveybasedstudyfromwesternnorway
AT moenvegardpihl effectofteamcollaborationandcontinuityofcareonhealthanddisabilityamongrehabilitationpatientsalongitudinalsurveybasedstudyfromwesternnorway
AT abmusjorg effectofteamcollaborationandcontinuityofcareonhealthanddisabilityamongrehabilitationpatientsalongitudinalsurveybasedstudyfromwesternnorway
AT hetlevikøystein effectofteamcollaborationandcontinuityofcareonhealthanddisabilityamongrehabilitationpatientsalongitudinalsurveybasedstudyfromwesternnorway