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Understanding care coordination for Veterans with complex care needs: protocol of a multiple-methods study to build

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This study investigates care coordination for Veterans with complex needs. It aims to improve integrated care and health outcomes by examining current practices and developing enhanced interventions.

Keywords:
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Area of Science:

  • Health Services Research
  • Veterans Health
  • Care Coordination

Background:

  • Care coordination is vital for patients with complex health and social needs, yet evidence on core elements and standardized needs assessment is inconsistent.
  • Fragmented care and communication challenges hinder optimal care delivery for these patients.
  • The Veterans Health Administration (VA) is implementing initiatives to improve care coordination processes and services.

Purpose of the Study:

  • To build evidence for designing and implementing effective care coordination practices within the VA.
  • To enhance care integration and improve health and care outcomes for Veterans with complex care needs.

Main Methods:

  • A prospective observational, multiple-methods study is being conducted.
  • Aim 1: Analyze existing data to link care coordination services with health outcomes in Veterans.
  • Aim 2: Survey Veterans on their experiences with care coordination and integration.
  • Aim 3: Interview providers on their perceptions of current care coordination needs assessment tools and processes.

Main Results:

  • The study will identify Veterans with complex care needs and assess the impact of care coordination services on their health outcomes.
  • Veteran and provider perceptions of care coordination will be gathered to inform intervention development.
  • Analysis of existing data will examine the relationship between care coordination services and health outcomes.

Conclusions:

  • The study will inform the development of an enhanced care coordination intervention.
  • The goal is to improve care and health outcomes for Veterans facing complex health and social needs.