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Patient Perspectives on Coordinated Care: Preliminary Results from the Implementation Stage Using Patient-Reported
Beata Wieczorek-Wójcik1, Anna Justyna Milewska2, Dorota Kilańska3,4
1Department of Nursing and Medical Rescue, Pomeranian University in Slupsk, Westerplatte Street 64, 76-200 Słupsk, Poland.
Healthcare (Basel, Switzerland)
|May 14, 2025
Summary
Coordinated care significantly improved patient experiences, particularly in care coordination and physician time, six months post-implementation. The JOP-POP tool effectively measured these patient-reported experience measures (PREMs).
Area of Science:
- Health Services Research
- Patient Experience Measurement
- Integrated Health Systems
Background:
- Integrated health services ensure a continuum of care across the life course, encompassing promotion, prevention, diagnosis, treatment, management, rehabilitation, and palliative care.
- Patient-reported experience measures (PREMs) objectively assess patient experiences with healthcare services, such as timeliness and recommendations.
- Assessing patient perspectives is crucial for evaluating the effectiveness of integrated and coordinated care implementation.
Purpose of the Study:
- To evaluate patient-experienced coordinated care (PREMs) before and after the introduction of a coordinated care program.
- To utilize the JOP-POP tool as a key measure for assessing patient experiences with coordinated care.
- To identify specific areas of improvement in patient care following the implementation of coordinated care.
Main Methods:
- A longitudinal study conducted in two stages, with data collected before and six months after joining a coordinated care program.
- Inclusion of 40 patients at each study stage.
- Statistical analysis using Shapiro-Wilk test, Wilcoxon test for paired samples, Mann-Whitney test, and Kruskal-Wallis ANOVA by ranks.
Main Results:
- A statistically significant relationship was found between the number of chronic diseases and health status assessment prior to coordinated care (p = 0.00157).
- Patients reported statistically significant improvements in their experiences six months after coordinated care implementation.
- Improvements were noted in physician time spent with patients, with the greatest gains in care coordination and the smallest in patient approach.
Conclusions:
- The JOP-POP tool demonstrated utility in assessing patient experiences with coordinated care implementation.
- Coordinated care programs can lead to measurable improvements in patient-reported experiences.
- Further research using the JOP-POP tool is recommended for evaluating coordinated care effectiveness.
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