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Development of an evidence-based reference framework for care coordination with a focus on the micro level of
Françoise Colombani1, Gaëlle Encrenaz2, Matthieu Sibé3
1CHU Bordeaux, Centre de Coordination en Cancérologie (3C), Groupe hospitalier Saint André, 1 rue Jean Burguet, 33075, Bordeaux F-33000, France; INSERM, Centre INSERM U1219-Bordeaux Population Health, EMOS (Economie et Management des Organisations de Santé), Bordeaux F-33000, France.
Background:
Because of the limits in conceptualisation of care coordination linked to a large array of care coordination models and definitions available, a care coordination framework is needed with a particular focus on the micro level.
Objective:
To develop an evidence-based reference framework for person-centred care coordination interventions based on international validated definitions.
Methods:
This two-step mixed-methods study included first, a scoping review of reviews focus on the impact of care coordination interventions and then, a nominal group technique. The scoping review aimed at identifying the components of the four dimensions of the framework (contexts, activities, actors and tools, and effects). The nominal group technique was to select the relevant components of the dimension 'activities' of the reference framework.
Results:
The scoping review selected 52 articles from the 1407 retrieved at first. The nominal group selected the 66 most relevant activities from the 159 retrieved in the literature (28 activities of care organisation, 24 activities of care, and 14 activities of facilitation).
Conclusion:
This operational framework focused on care coordination at the micro level, is a useful and innovative tool, applicable in any clinical condition, and in any health care system for describing, implementing and evaluating care coordination programmes.
Insights
A new framework for person-centred care coordination interventions was developed. This micro-level framework aids in describing, implementing, and evaluating care coordination programs across diverse health systems.
Area of Science:
- Healthcare Management
- Health Services Research
- Patient-Centered Care
Background:
- Existing care coordination models lack conceptual clarity due to numerous definitions.
- A need exists for a standardized framework, particularly at the micro-level of care delivery.
Purpose of the Study:
- To develop an evidence-based reference framework for person-centred care coordination.
- The framework is grounded in internationally validated definitions of care coordination.
Main Methods:
- A two-step mixed-methods approach was employed.
- Included a scoping review of care coordination interventions and a nominal group technique.
- Identified framework components across contexts, activities, actors, tools, and effects.
Main Results:
- A scoping review identified 52 relevant articles from 1407 initial retrievals.
- A nominal group technique selected 66 key activities from 159 literature-identified activities.
- Activities were categorized into care organization (28), care delivery (24), and facilitation (14).
Conclusions:
- An operational, micro-level framework for care coordination has been established.
- This innovative tool is applicable across all clinical conditions and healthcare systems.
- The framework facilitates the description, implementation, and evaluation of care coordination programs.
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