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Care Coordination in Primary Care: Views of Clinicians and Clinic Leaders
Robin R Whitebird1, Mary Sue Beran, Leif I Solberg
1Author Affiliations: School of Social Work, Morrison Family College of Health, University of St Thomas, St Paul, Minnesota (Dr Whitebird); HealthPartners Institute, Minneapolis, Minnesota (Drs Beran, Solberg, and Dr Dehmer); Center for Evaluation and Survey Research, HealthPartners Institute, Minneapolis, Minnesota (Dr JaKa); Health Care Homes, Minnesota Department of Health, St Paul, Minnesota (Ms Kindt); Research and Evaluation Division, HealthPartners Institute, Minneapolis, Minnesota (Ms Bergdall).
Background:
Care coordination is an important strategy for addressing patient needs and improving outcomes of care.
Purpose:
The Minnesota Care Coordination Effectiveness Study sought to better understand the perspectives and experiences of clinicians/clinic leaders regarding the value, barriers, and facilitators for care coordination in primary care.
Methods:
We conducted semi-structured interviews with 18 clinic managers, physicians, and advanced practice clinicians. Data were analyzed using a directed content analysis approach.
Results:
Five themes arose in the interviews: financial issues were perceived as a primary barrier to care coordination; participants valued care coordination as an important asset; they employed significant variation in how care coordination was structured; they identified both medical and social needs of patients as important; and care coordinators' background, experience, and integration were viewed as critical to program success.
Conclusions:
Care coordination received strong support from clinicians and clinic leaders who viewed it as a valuable component of successful care delivery.
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