The importance of relational coordination for integrated care delivery to older patients in the hospital

Hartgerink, Jacqueline; Cramm, Jane Murray; Bakker, Ton; Eijsden, Rianne A.M. van; Mackenbach, Johan P.; Nieboer, Anna P.

doi:10.1111/j.1365-2834.2012.01481.x

Cited by 38 publications

(29 citation statements)

References 56 publications

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“…The study points to attributes and relational features of care coordination involving multiple disciplines and stakeholder groups. The concept of ‘relational processes’ in care coordination that involve complementary roles of each professional and their interdependencies have been identified as important processes in emerging interprofessional teams where the building of ‘relational coordination’ may ensure team functioning based upon shared goals, shared knowledge, and mutual respect [30]. …”

Section: Discussionmentioning

confidence: 99%

Building workforce capacity for complex care coordination: a function analysis of workflow activity

2014

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BackgroundThe care coordination workforce includes a range of clinicians who manage care for patients with multiple chronic conditions both within and outside a hospital, in the community, or in a patient’s home. These patients require a multi-skilled approach to support complex care and social support needs as they are typically high users of health, community, and social services. In Australia, workforce structures have not kept pace with this new and emerging workforce. The aim of the study was to develop, map, and analyse workforce functions of a care coordination team.MethodsWorkflow modelling informed the development of an activity log that was used to collect workflow data in 2013 from care coordinators located within the care coordination service offered by a Local Health Network in Australia. The activity log comprised a detailed classification of care coordination functions based on two major categories – direct and indirect care. Direct care functions were grouped into eight domains. A descriptive quantitative investigation design was used for data analysis. The data was analysed using univariate descriptive statistics with results presented in tables and a figure.ResultsCare coordinators spent more time (70.9%) on direct care than indirect care (29.1%). Domains of direct care that occupied the most time relative to the 38 direct care functions were ‘Assessment’ (14.1%), ‘Documentation’ (13.9%), ‘Travel time’ (6.3%), and ‘Accepting/discussing referral’ (5.7%). ‘Administration’ formed a large component of indirect care functions (14.8%), followed by ‘Travel’ (12.4%). Sub-analyses of direct care by domains revealed that a group of designated ‘core care coordination functions’ contributed to 40.6% of direct care functions.ConclusionsThe modelling of care coordination functions and the descriptions of workflow activity support local development of care coordination capacity and workforce capability through extensive practice redesigns.

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Section: Discussionmentioning

confidence: 99%

Building workforce capacity for complex care coordination: a function analysis of workflow activity

2014

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“…The Relational Coordination Survey was among the 10 recommended measurement tools [8]. This survey is used within health-care services as well as in primary care, community, and hospital settings; it is a useful tool when measuring the quality of communication and relational ties in inter-professional teams in different parts of health care [2223242526]. …”

Section: Theory and Methodsmentioning

confidence: 99%

Communication and Relational Ties in Inter-Professional Teams in Norwegian Specialized Health Care: A Multicentre Study of Relational Coordination

Hustoft

Hetlevik

Aßmus

et al. 2018

International Journal of Integrated Care

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Introduction:The delivery of integrated care depends on the quality of communication and relationships among health-care professionals in inter-professional teams. The main aim of this study was to investigate individual and team communication and relational ties of teams in specific care processes within specialized health care.Methods:This cross-sectional multi-centre study used data from six somatic hospitals and six psychiatric units (N = 263 [response rate, 52%], 23 care processes) using a Norwegian version of the Relational Coordination Survey. We employed linear mixed-effect regression models and one-way analyses of variance.Results:The mean (standard deviation) relational coordination total score ranged from 4.5 (0.33) to 2.7 (0.50). The communication and relationship sub-scale scores were significantly higher within similar functional groups than between contrasting functional groups (P < .05). Written clinical procedures were significantly associated with higher communication scores (P < .05). The proportion of women in a team was associated with higher communication and relationship scores (P < .05).Conclusion:The Relational Coordination Survey shows a marked variation in team functions within inter-professional teams in specialized health-care settings. Further research is needed to determine the reasons for these variations.

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“…It is based on such mechanisms as: partner-specific communication, rules and procedures, routines, liaison, and integration roles, interim authorities, etc. [59] (pp. 909-910).…”

Section: Coordination As a Factor Of Inter-organisational Collaborationmentioning

confidence: 99%

“…the act of managing interdependencies between activities performed to achieve a goal" [58] (p. 6). It is a relational process based on task interdependencies [59]. It originates from the need for simultaneous execution of activities falling under the powers of various organisations, and results from the specifics of their operations.…”

Section: Coordination As a Factor Of Inter-organisational Collaborationmentioning

confidence: 99%

Inter-Organisational Coordination for Sustainable Local Governance: Public Safety Management in Poland

Kożuch

Sienkiewicz-Małyjurek

2016

Sustainability

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Abstract:The goal of this article is to examine the basic characteristics and factors that impact inter-organisational coordination in sustainable local governance to address: 1. What are the factors that effective inter-organisational coordination between independent units creating public safety system on local level in sustainable local governance depends on? 2. What are the principal features of inter-organisational coordination in the public safety management system studied in the context of sustainable local governance? The article's goal was reached using desk research analysis and empirical research. The desk research covers an analysis of international scientific publications. In turn, the empirical research was based on the example of public safety management. It covered interviews with practitioners dealing with public safety and a hermeneutic process within a focus group of scholars. As a result of the conducted research, interdependencies between coordination and other factors of inter-organisational collaboration were identified and the process of inter-organisational coordination during the emergency situations was characterised.

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The importance of relational coordination for integrated care delivery to older patients in the hospital

Cited by 38 publications

References 56 publications

Building workforce capacity for complex care coordination: a function analysis of workflow activity

Building workforce capacity for complex care coordination: a function analysis of workflow activity

Communication and Relational Ties in Inter-Professional Teams in Norwegian Specialized Health Care: A Multicentre Study of Relational Coordination

Inter-Organisational Coordination for Sustainable Local Governance: Public Safety Management in Poland

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