Unpacking Care Coordination Through a Multiteam System Lens

Sallie J. Weaver, Xin Xuan Che, Laura A. Petersen, Sylvia J. Hysong

Research output: Contribution to journalReview articlepeer-review

Abstract

Background: The 2016 President's Cancer Panel Connected Health report calls for thoroughly characterizing the team structures and processes involved in coordinating care for people with chronic conditions. We developed a multilevel care coordination framework by integrating existing frameworks from the teams and care coordination literatures, and used it to review evidence examining care coordination processes for patients with cancer, diabetes, cardiovascular disease, and combinations of these conditions. Methods: We searched Pubmed/MedLINE, CINAHL Plus, Cochrane, PsycINFO (December 2009-June 2016), and references from previous reviews. Studies describing behavioral markers of coordination between ≥2 US health care providers caring for adults with cancer, chronic heart disease, diabetes, or populations with a combination of these conditions were included. Two investigators screened 4876 records and 180 full-text articles yielding 33 studies. One investigator abstracted data, a second checked abstractions for accuracy. Results: Most studies identified information sharing or monitoring as key coordination processes. To execute these processes, most studies used a designated role (eg, coordinator), objects and representations (eg, survivorship plans), plans and rules (eg, protocols), or routines (eg, meetings). Few examined the integrating conditions. None statistically examined coordination processes or integrating conditions as mediators of relationships between specific coordination mechanisms and patient outcomes. Limitations: Restricted to United States, English-language studies; heterogeneity in methods and outcomes. Conclusions: Limited research unpacks relationships between care coordination mechanisms, coordination processes, integrating conditions, and patient outcomes suggested by existing theory. The proposed framework offers an organizer for examining behaviors and conditions underlying effective care coordination.

Original languageEnglish (US)
Pages (from-to)247-259
Number of pages13
JournalMedical care
Volume56
Issue number3
DOIs
StatePublished - 2018

Keywords

  • care coordination
  • communication
  • patient-centered care
  • teams
  • teamwork

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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