Implementation Outcomes and Their Determinants for Hospital-Led Care Coordination Interventions Targeting Patients...

Area of Science:

• Health Services Research
• Implementation Science

Background:

• Care coordination interventions are crucial for managing patients with complex needs in hospital settings.
• Understanding implementation determinants is essential for optimizing the effectiveness of these interventions.

Purpose of the Study:

• To systematically review and synthesize the implementation determinants of care coordination interventions within a hospital context.
• To identify factors influencing the successful adoption and integration of care coordination models.

Main Methods:

• A systematic review guided by the Consolidated Framework of Implementation Research (CFIR).
• Searches conducted across multiple databases (CINAHL, EMBASE, MEDLINE, PsycINFO) with a manual reference list search.
• Quality assessment using the Mixed Methods Appraisal Tool and reporting following PRISMA guidelines.

Main Results:

• Sixteen studies, evaluating 15 care coordination models, met the inclusion criteria.
• The CFIR's inner setting and implementation process domains were most prominent.
• Key determinants included 'Partnerships & Connections', 'Work Infrastructure', 'Capability', and 'Reflecting and Evaluating'.

Conclusions:

• Inconsistent care coordination outcomes are influenced by intervention complexity and contextual factors.
• Intra- and inter-organizational relationships, facilitated by experienced coordinators, are vital.
• Continual improvement is necessary to adapt interventions to specific contexts; more research is needed for generalizable principles.