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Patient Perspectives on Coordinated Care: Preliminary Results from the Implementation Stage Using Patient-Reported Experience Measures (PREMs).

作者信息

Wieczorek-Wójcik Beata, Milewska Anna Justyna, Kilańska Dorota, Kulma-Pytlak Aneta, Iltchev Peter, Gaworska-Krzemińska Aleksandra, Kozlowski Remigiusz

机构信息

Department of Nursing and Medical Rescue, Pomeranian University in Slupsk, Westerplatte Street 64, 76-200 Słupsk, Poland.

Department of Biostatistics and Medical Informatics, Medical University of Białystok, 15-295 Białystok, Poland.

出版信息

Healthcare (Basel). 2025 Apr 29;13(9):1026. doi: 10.3390/healthcare13091026.


DOI:10.3390/healthcare13091026
PMID:40361804
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12071257/
Abstract

Integrated health services are health services that are managed and delivered in a way that ensures patients receive a continuum of health promotion, disease prevention, diagnosis, treatment, disease management, rehabilitation, and palliative care services at different levels and sites of care within the health system, and according to their needs, throughout their life course. Assessing the effectiveness of their implementation, the perspective of the process participant-the patient-is examined. There are three main types of patient-reported measures: PROM, PREM and HLS. PREM (patient-reported experience measure) is a tool that allows the objective measurement of the patient's experience related to healthcare services, for instance, the timeliness of visits or receiving recommendations. The aim of this study was to evaluate the coordinated care experienced by patients (PREMs) before and after the introduction of coordinated care, using the JOP-POP tool as a key measure. This longitudinal study was conducted in two stages. The first stage concerned the joining of the coordinated care program by the entity in which the study was conducted; the study was repeated six months after joining coordinated care (CC). At each stage of the study, the study group included 40 patients. The Shapiro-Wilk test was used to verify the normality of the distribution of quantitative variables. For statistical analysis, the Wilcoxon test for paired samples was used to compare two ordinal dependent variables. For independent variables, the Mann-Whitney and the Kruskal-Wallis ANOVA by ranks tests were used, with a post hoc test of multiple comparisons of mean ranks. A statistically significant relationship ( = 0.00157) was observed between the number of chronic diseases and health status assessment before inclusion in coordinated care. The patients' responses showed statistically significant improvement 6 months after the introduction of coordinated care (CC). The improvement in assessment was related to the time physicians spent with patients. The greatest improvement over 6 months was achieved in coordination of care and the smallest improvement was noted in the approach to the patient. The JOP-POP tool may be useful in future studies to assess patients' experiences with implementing coordinated care.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee9/12071257/c1cc6a4c3211/healthcare-13-01026-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee9/12071257/6fb5ddd11c73/healthcare-13-01026-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee9/12071257/c88cdeb0b76d/healthcare-13-01026-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee9/12071257/39d751286720/healthcare-13-01026-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee9/12071257/b47896f52598/healthcare-13-01026-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee9/12071257/a8143209607b/healthcare-13-01026-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee9/12071257/1506e6b3b15c/healthcare-13-01026-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee9/12071257/c293fe78d4a9/healthcare-13-01026-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee9/12071257/25e84e438365/healthcare-13-01026-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee9/12071257/c1cc6a4c3211/healthcare-13-01026-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee9/12071257/6fb5ddd11c73/healthcare-13-01026-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee9/12071257/c88cdeb0b76d/healthcare-13-01026-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee9/12071257/39d751286720/healthcare-13-01026-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee9/12071257/b47896f52598/healthcare-13-01026-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee9/12071257/a8143209607b/healthcare-13-01026-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee9/12071257/1506e6b3b15c/healthcare-13-01026-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee9/12071257/c293fe78d4a9/healthcare-13-01026-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee9/12071257/25e84e438365/healthcare-13-01026-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee9/12071257/c1cc6a4c3211/healthcare-13-01026-g009.jpg

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本文引用的文献

[1]
Patient Experiences and Perceptions of Care Coordination in Primary Care.

J Nurs Care Qual.

[2]
Influence of Participation in a Medical-Themed Science Café on Patient Activation.

Patient Prefer Adherence. 2023-11-28

[3]
Does value-based healthcare support patient-centred care? A scoping review of the evidence.

BMJ Open. 2023-7-10

[4]
Impact of digital technologies on self-efficacy in people with Parkinson's: a scoping review protocol.

BMJ Open. 2023-3-23

[5]
Effectiveness of nurse-led services for people with chronic disease in achieving an outcome of continuity of care at the primary-secondary healthcare interface: A quantitative systematic review.

Int J Nurs Stud. 2021-9

[6]
Value-Based Healthcare Initiatives in Practice: A Systematic Review.

J Healthc Manag. 2021-6-29

[7]
Systematic Review of Care Coordination Interventions Linking Health and Social Services for High-Utilizing Patient Populations.

Popul Health Manag. 2022-2

[8]
Ensuring Quality in the Era of Virtual Care.

JAMA. 2021-2-2

[9]
Virtual Care, Telemedicine Visits, and Real Connection in the Era of COVID-19: Unforeseen Opportunity in the Face of Adversity.

JAMA. 2021-2-2

[10]
Changes in health-related quality of life before and after a 12-month enhanced primary care model among chronically ill primary care patients in Australia.

Health Qual Life Outcomes. 2020-8-24

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