Arnold, Christine; Hennrich, Patrick; Peters-Klimm, Frank; Wensing, Michel (2023). Influence of Cooperation Work on Management Continuity of Ambulatory Cardiovascular Care: A Cross-Sectional Exploratory Study in Germany. International journal of integrated care, 23(4), p. 14. 10.5334/ijic.7019
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INTRODUCTION
A wide range of factors influence coordination and continuity of care. The aim of this study was to explore how management continuity of cardiovascular-related ambulatory care is influenced by the following network characteristics: presence of a case coordinator, network reciprocity, network composition and team climate.
METHODS
This cross-sectional observational study included three written surveys. The primary outcome management continuity of cardiovascular care was measured with the team/cross-boundary scale in the Nijmegen Continuity Questionnaire. The final analysis comprised a multivariate linear multilevel model with the predictors: presence of a case coordinator, network reciprocity, network composition and team climate.
RESULTS
Eighteen general practices with 83 health workers and 340 patients participated. The linear multilevel regression analysis showed a positive influence of team climate on cross-boundary continuity of care (b-coefficient 0.44, 95% confidence interval 0.09-0.78, p = 0.02). No statistically significant influence was measured for the other predictors.
DISCUSSION
To improve integrated care, therefore, emphasis should also be placed on promoting the team climate within individual practices. Regarding network characteristics, further research is needed, especially in larger practices.
CONCLUSION
This study showed that team climate had an independent, relevant and statistically significant association with cross-boundary continuity of cardiovascular ambulatory care.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine 04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine > Neonatology |
UniBE Contributor: |
Arnold, Christine |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1568-4156 |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
13 Dec 2023 14:37 |
Last Modified: |
20 Dec 2023 13:56 |
Publisher DOI: |
10.5334/ijic.7019 |
PubMed ID: |
38074514 |
Uncontrolled Keywords: |
ambulatory cardiovascular care continuity of care integrated care team climate |
BORIS DOI: |
10.48350/190158 |
URI: |
https://boris.unibe.ch/id/eprint/190158 |
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