Coordination of care: effects on the continuity and quality of care

Chronically ill elderly clients in three communities in the Netherlands were provided with the services of care coordinators. Two studies were performed to evaluate the effects of this intervention. A study among 38 coordinators addressed the effects on the continuity of care. A second study among 7...

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Bibliographic Details
Published in:International journal of nursing studies 1996-12, Vol.33 (6), p.638-650
Main Authors: Van Achterberg, Theo, Stevens, Fred C.J., Crebolder, Harry F.J.M., De Witte, Luc P., Philipsen, Hans
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Care
Caregivers - organization & administration
Case Management
Continuity of Patient Care
Coordination
Elderly people
Evaluation Studies as Topic
Female
Home Nursing - organization & administration
Humans
Interpersonal Relations
Male
Medical sciences
Netherlands
Nursing
Nursing Care - organization & administration
Patient Satisfaction
Prevention and actions
Public health. Hygiene
Public health. Hygiene-occupational medicine
Quality of Health Care
Specific populations (family, woman, child, elderly...)
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Summary:Chronically ill elderly clients in three communities in the Netherlands were provided with the services of care coordinators. Two studies were performed to evaluate the effects of this intervention. A study among 38 coordinators addressed the effects on the continuity of care. A second study among 72 elderly clients addressed the effects on client satisfaction. While the study among coordinators clearly revealed effects on continuity (especially for inter-personal continuity), hardly any effects on satisfaction with care were reported by clients. Therefore, the appointment of care coordinators seems valuable when aimed at increasing contunity, but other intervention can be more appropriate for the improvement of client care.
ISSN:0020-7489
1873-491X
DOI:10.1016/S0020-7489(96)00021-1