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Healthcare professionals’ experiences and attitudes to care coordination across health sectors: an interview study

BACKGROUND: The number of older people is increasing, resulting in more people endure chronic diseases, multimorbidities and complex care needs. Insufficient care coordination across healthcare sectors has negative consequences for health outcomes, costs and patient evaluation. Despite introducing i...

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Autores principales: Persson, Maiken Hjuler, Søndergaard, Jens, Mogensen, Christian Backer, Skjøt-Arkil, Helene, Andersen, Pernille Tanggaard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9210644/
https://www.ncbi.nlm.nih.gov/pubmed/35729544
http://dx.doi.org/10.1186/s12877-022-03200-6
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author Persson, Maiken Hjuler
Søndergaard, Jens
Mogensen, Christian Backer
Skjøt-Arkil, Helene
Andersen, Pernille Tanggaard
author_facet Persson, Maiken Hjuler
Søndergaard, Jens
Mogensen, Christian Backer
Skjøt-Arkil, Helene
Andersen, Pernille Tanggaard
author_sort Persson, Maiken Hjuler
collection PubMed
description BACKGROUND: The number of older people is increasing, resulting in more people endure chronic diseases, multimorbidities and complex care needs. Insufficient care coordination across healthcare sectors has negative consequences for health outcomes, costs and patient evaluation. Despite introducing initiatives to solve coordination challenges within healthcare, the need remains for more consistent solutions. In particular, improved care coordination would benefit older adults characterised by complex care needs, high use of healthcare resources and multiple care providers. AIMS AND OBJECTIVES: To identify and analyse healthcare professionals’ perspectives and approaches to care coordination across sectors when older people are acutely hospitalised. DESIGN: Qualitative interview study. METHODS: Semi-structured, individual interviews with 13 healthcare professionals across health sectors and professions were conducted. The strategy for the qualitative analysis was inspired by Kirsti Malterud and labelled ‘systematic text condensation’. This strategy is a descriptive and explorative method for thematic cross-case analysis of qualitative data. RESULTS: Four themes/categories emerged from the analysis; “Organisational factors”, “Approaches to care”, “Communication and knowledge”, and “Relations”. CONCLUSION: Different organisational cultures can discourage intersectoral care coordination. Approaches to care vary at all levels across health sectors and professions. Organisational, leadership and professional identity affect the working cultures and must be considered in the future recruitment and socialisation of healthcare staff. Our research suggests that combinations of healthcare standardisations and flexible, adaptive solutions are required to improve intersectoral care coordination. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12877-022-03200-6.
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spelling pubmed-92106442022-06-22 Healthcare professionals’ experiences and attitudes to care coordination across health sectors: an interview study Persson, Maiken Hjuler Søndergaard, Jens Mogensen, Christian Backer Skjøt-Arkil, Helene Andersen, Pernille Tanggaard BMC Geriatr Research BACKGROUND: The number of older people is increasing, resulting in more people endure chronic diseases, multimorbidities and complex care needs. Insufficient care coordination across healthcare sectors has negative consequences for health outcomes, costs and patient evaluation. Despite introducing initiatives to solve coordination challenges within healthcare, the need remains for more consistent solutions. In particular, improved care coordination would benefit older adults characterised by complex care needs, high use of healthcare resources and multiple care providers. AIMS AND OBJECTIVES: To identify and analyse healthcare professionals’ perspectives and approaches to care coordination across sectors when older people are acutely hospitalised. DESIGN: Qualitative interview study. METHODS: Semi-structured, individual interviews with 13 healthcare professionals across health sectors and professions were conducted. The strategy for the qualitative analysis was inspired by Kirsti Malterud and labelled ‘systematic text condensation’. This strategy is a descriptive and explorative method for thematic cross-case analysis of qualitative data. RESULTS: Four themes/categories emerged from the analysis; “Organisational factors”, “Approaches to care”, “Communication and knowledge”, and “Relations”. CONCLUSION: Different organisational cultures can discourage intersectoral care coordination. Approaches to care vary at all levels across health sectors and professions. Organisational, leadership and professional identity affect the working cultures and must be considered in the future recruitment and socialisation of healthcare staff. Our research suggests that combinations of healthcare standardisations and flexible, adaptive solutions are required to improve intersectoral care coordination. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12877-022-03200-6. BioMed Central 2022-06-21 /pmc/articles/PMC9210644/ /pubmed/35729544 http://dx.doi.org/10.1186/s12877-022-03200-6 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Persson, Maiken Hjuler
Søndergaard, Jens
Mogensen, Christian Backer
Skjøt-Arkil, Helene
Andersen, Pernille Tanggaard
Healthcare professionals’ experiences and attitudes to care coordination across health sectors: an interview study
title Healthcare professionals’ experiences and attitudes to care coordination across health sectors: an interview study
title_full Healthcare professionals’ experiences and attitudes to care coordination across health sectors: an interview study
title_fullStr Healthcare professionals’ experiences and attitudes to care coordination across health sectors: an interview study
title_full_unstemmed Healthcare professionals’ experiences and attitudes to care coordination across health sectors: an interview study
title_short Healthcare professionals’ experiences and attitudes to care coordination across health sectors: an interview study
title_sort healthcare professionals’ experiences and attitudes to care coordination across health sectors: an interview study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9210644/
https://www.ncbi.nlm.nih.gov/pubmed/35729544
http://dx.doi.org/10.1186/s12877-022-03200-6
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