Factors associated with homecare coordination and quality of care: a research protocol for a national multi-center cross-sectional study.

Möckli, Nathalie; Simon, Michael; Meyer-Massetti, Carla; Pihet, Sandrine; Fischer, Roland; Wächter, Matthias; Serdaly, Christine; Zúñiga, Franziska (2021). Factors associated with homecare coordination and quality of care: a research protocol for a national multi-center cross-sectional study. BMC health services research, 21(1), p. 306. BioMed Central 10.1186/s12913-021-06294-7

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INTRODUCTION

The persistent fragmentation of home healthcare reflects inadequate coordination between care providers. Still, while factors at the system (e.g., regulations) and organisational (e.g., work environment) levels crucially influence homecare organisation, coordination and ultimately quality, knowledge of these factors and their relationships in homecare settings remains limited.

OBJECTIVES

This study has three aims: [1] to explore how system-level regulations lead to disparities between homecare agencies' structures, processes and work environments; [2] to explore how system- and organisation-level factors affect agency-level homecare coordination; and [3] to explore how agency-level care coordination is related to patient-level quality of care.

DESIGN AND METHODS

This study focuses on a national multi-center cross-sectional survey in Swiss homecare settings. It will target 100 homecare agencies, their employees and clients for recruitment, with data collection period planned from January to June 2021. We will assess regulations and financing mechanisms (via public records), agency characteristics (via agency questionnaire data) and homecare employees' working environments and coordination activities, as well as staff- and patient-level perceptions of coordination and quality of care (via questionnaires for homecare employees, clients and informal caregivers). All collected data will be subjected to descriptive and multi-level analyses.

DISCUSSION

The first results are expected by December 2021. Knowledge of factors linked to quality of care is essential to plan and implement quality improvement strategies. This study will help to identify modifiable factors at multiple health system levels that might serve as access points to improve coordination and quality of care.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Medical Education > Institute of General Practice and Primary Care (BIHAM)

UniBE Contributor:

Simon, Michael and Meyer-Massetti, Carla

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

1472-6963

Publisher:

BioMed Central

Language:

English

Submitter:

Andrea Flükiger-Flückiger

Date Deposited:

16 Apr 2021 10:09

Last Modified:

18 Apr 2021 07:21

Publisher DOI:

10.1186/s12913-021-06294-7

PubMed ID:

33823850

Uncontrolled Keywords:

Care coordination Delivery of health care Health services research Home care services Nursing administration research Quality of care

BORIS DOI:

10.48350/155844

URI:

https://boris.unibe.ch/id/eprint/155844

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