Alexandra Harrison1, Marja Verhoef. 1. Postgraduate Medical Education, University of Calgary, Health Sciences Centre, Alberta, Canada.
Abstract
OBJECTIVE: To understand and develop a model about the meaning of coordination to consumers who experienced a transition from acute care to home care. STUDY DESIGN: A qualitative, exploratory study using Grounded Theory. DATA SOURCES/ANALYSIS: Thirty-three consumers in the Calgary Regional Health Authority who had experienced the transition from an acute care hospital back into the community with home care support were interviewed. They were asked to describe their transition experience and what aspects of coordination were important to them. Interviews were recorded, transcribed, and analyzed using constant comparison. The coding and retrieval of information was facilitated by the computer software program Nud*ist. PRINCIPAL FINDINGS: The resulting model has four components: (1) the meaning of coordination to consumers; (2) aspects of health care system support that are important for coordination; (3) elements that prepared consumers to return home; and (4) the components of a successful transition experience. Consumers appeared to play a crucial role in spanning organizational boundaries by participating in the coordination of their own care. CONCLUSIONS: Consumers must be included in health care decisions as recipients of services and major players in the transition processes related to their care. Health care providers need to ensure that consumers are prepared to carry out their coordination role and managers need to foster a culture that values the consumer "voice" in organizational processes.
OBJECTIVE: To understand and develop a model about the meaning of coordination to consumers who experienced a transition from acute care to home care. STUDY DESIGN: A qualitative, exploratory study using Grounded Theory. DATA SOURCES/ANALYSIS: Thirty-three consumers in the Calgary Regional Health Authority who had experienced the transition from an acute care hospital back into the community with home care support were interviewed. They were asked to describe their transition experience and what aspects of coordination were important to them. Interviews were recorded, transcribed, and analyzed using constant comparison. The coding and retrieval of information was facilitated by the computer software program Nud*ist. PRINCIPAL FINDINGS: The resulting model has four components: (1) the meaning of coordination to consumers; (2) aspects of health care system support that are important for coordination; (3) elements that prepared consumers to return home; and (4) the components of a successful transition experience. Consumers appeared to play a crucial role in spanning organizational boundaries by participating in the coordination of their own care. CONCLUSIONS: Consumers must be included in health care decisions as recipients of services and major players in the transition processes related to their care. Health care providers need to ensure that consumers are prepared to carry out their coordination role and managers need to foster a culture that values the consumer "voice" in organizational processes.
Authors: C Sicotte; F Champagne; A P Contandriopoulos; J Barnsley; F Béland; S G Leggat; J L Denis; H Bilodeau; A Langley; M Brémond; G R Baker Journal: Health Serv Manage Res Date: 1998-02
Authors: Lena K Makaroun; Joan M Teno; Vicki A Freedman; Judith D Kasper; Pedro Gozalo; Vincent Mor Journal: J Am Geriatr Soc Date: 2018-07-04 Impact factor: 5.562
Authors: Pedro Gozalo; Joan M Teno; Susan L Mitchell; Jon Skinner; Julie Bynum; Denise Tyler; Vincent Mor Journal: N Engl J Med Date: 2011-09-29 Impact factor: 91.245
Authors: Eirini Oikonomou; Eleanor Chatburn; Helen Higham; Jenni Murray; Rebecca Lawton; Charles Vincent Journal: BMC Health Serv Res Date: 2019-07-19 Impact factor: 2.655
Authors: Bruno Marchal; Tom Hoerée; Valéria Campos da Silveira; Sara Van Belle; Nuggehalli S Prashanth; Guy Kegels Journal: BMC Public Health Date: 2014-04-17 Impact factor: 3.295