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Implementing coordination of care--task performance and problems encountered

T van Achterberg, F C Stevens, M J Hekkink

    Scandinavian Journal of Caring Sciences
    |January 1, 1995
    PubMed
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    Implementing coordinated care for elderly patients presented challenges for 38 caregivers in the Netherlands. Key issues included role conflicts and privacy concerns, while care planning and evaluation require further attention.

    Area of Science:

    • Gerontology
    • Healthcare Management
    • Implementation Science

    Background:

    • Coordination of care interventions have been widely reported.
    • The practical implementation of these care coordination strategies remains under-explored.

    Purpose of the Study:

    • To investigate the implementation process of care coordination for elderly individuals.
    • To identify challenges and successes in real-world community care settings.

    Main Methods:

    • A qualitative study involving 38 professional and non-professional caregivers acting as coordinators.
    • Data collected through open interviews, group meeting minutes, forms, and logbooks over one year.

    Main Results:

    • Implementation challenges included role conflicts, client privacy issues, lack of recognition, and perceived necessity of coordination.

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  • Caregivers successfully performed care inventory and organization tasks.
  • Introducing oneself as a coordinator, planning, and evaluation emerged as areas needing improvement.

    • Conclusions:

    • Successful implementation of care coordination requires addressing caregiver role perceptions and communication strategies.
    • Future interventions should focus on enhancing the planning and evaluation phases of care coordination.
    • Support for caregivers in navigating role complexities and advocating for the necessity of coordination is crucial.