Coordinating the Care of the Chronically Ill in a World of Managed Care

Schifalacqua, Mary; Hook, Mary L; O'Hearn, Paula; Schmidt, Matthew

doi:10.1097/00006216-200004000-00004

Cited by 10 publications

(36 citation statements)

References 0 publications

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“…Vulnerable populations could be supported across the care continuum (Dorman Marek et al. 2005), and service duplication could be reduced (Schifalacqua et al. 2000).…”

Section: Resultsmentioning

confidence: 99%

“…2006) and included assessment; planning; monitoring and review; and self‐management support and client education. Person‐centred care began with an assumption that individuals could access all the services and care they required across levels and settings (Schifalacqua et al. 2000, Segal et al.…”

Section: Resultsmentioning

confidence: 99%

“…2004), social and psychological support (Aiken et al. 2006), empowerment (Schifalacqua et al. 2000), upholding rights and confidentiality (Schifalacqua et al.…”

Section: Resultsmentioning

confidence: 99%

“…2006), empowerment (Schifalacqua et al. 2000), upholding rights and confidentiality (Schifalacqua et al. 2000), customisation of care to comply with the values and needs of people (Wertenberger et al.…”

Section: Resultsmentioning

confidence: 99%

“…2000), customisation of care to comply with the values and needs of people (Wertenberger et al. 2006) and addressing their spiritual and/or cultural needs (Schifalacqua et al. 2000).…”

Section: Resultsmentioning

confidence: 99%

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Coordinated care: what does that really mean?

Ehrlich

Kendall

Muenchberger

et al. 2009

Health &Amp; Social Care in the Community

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The healthcare system in Australia is struggling to meet the healthcare needs of the ageing population. The pressure on health systems to solve these complex problems can create a sense of urgency to find a panacea in concepts such as coordinated care. A common understanding of coordinated care is often assumed when, in reality, the concept is neither clearly defined nor completely understood. The purpose of this review was to examine and identify the attributes of coordinated care to facilitate a shared definition of this concept within the primary care context. The study was a conceptual review of the literature relating to coordinated care in chronic disease. Two key electronic databases (MEDLINE and CINAHL) were searched using terms generated by a panel of primary healthcare practitioners and researchers. Following the application of inclusion and exclusion criteria, 20 studies were selected from an initial pool of 128. Several key attributes of coordinated care were identified together with a definitional statement. Coordinated care in the primary healthcare setting can be broadly defined as the delivery of systematic, responsive and supportive care to people with complex chronic care needs. It relies heavily on complicated concepts such as partnerships, networking, collaboration, knowledge transfer, person-centred practice and self-management support. The expression of these concepts in the literature was relatively superficial, with little discussion of the actual practices that might be implemented in order to enact them. This paper provides a framework of coordinated care within the primary care setting that can guide future work around implementation and evaluation.

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“…Vulnerable populations could be supported across the care continuum (Dorman Marek et al. 2005), and service duplication could be reduced (Schifalacqua et al. 2000).…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…2004), social and psychological support (Aiken et al. 2006), empowerment (Schifalacqua et al. 2000), upholding rights and confidentiality (Schifalacqua et al.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…2000), customisation of care to comply with the values and needs of people (Wertenberger et al. 2006) and addressing their spiritual and/or cultural needs (Schifalacqua et al. 2000).…”

Section: Resultsmentioning

confidence: 99%

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