Influence of cooperation work on management continuity of ambulatory cardiovascular care

• Verfasst von: Arnold, Christine [VerfasserIn]
• Verfasst von: Hennrich, Patrick [VerfasserIn]
• Verfasst von: Peters-Klimm, Frank [VerfasserIn]
• Verfasst von: Wensing, Michel [VerfasserIn]
• Titel: Influence of cooperation work on management continuity of ambulatory cardiovascular care
• Titelzusatz: a cross-sectional exploratory study in Germany
• Verf.angabe: Christine Arnold, Patrick Hennrich, Frank Peters-Klimm, Michel Wensing
• E-Jahr: 2023
• Jahr: 06 December 2023
• Umfang: 8 S.
• Fussnoten: Gesehen am 14.06.2024
• Titel Quelle: Enthalten in: International journal of integrated care
• Ort Quelle: Utrecht : Igitur, 2000
• Jahr Quelle: 2023
• Band/Heft Quelle: 23(2023), 4, Artikel-ID 14, Seite 1-8
• ISSN Quelle: 1568-4156
• DOI: doi:10.5334/ijic.7019
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1891277286

Abstract

Introduction: A wide range of factors influence coordination and continuity of care. The aim of this study was to explore how management continuity of cardiovascular-related ambulatory care is influenced by the following network characteristics: presence of a case coordinator, network reciprocity, network composition and team climate. - Methods: This cross-sectional observational study included three written surveys. The primary outcome management continuity of cardiovascular care was measured with the team/cross-boundary scale in the Nijmegen Continuity Questionnaire. The final analysis comprised a multivariate linear multilevel model with the predictors: presence of a case coordinator, network reciprocity, network composition and team climate. - Results: Eighteen general practices with 83 health workers and 340 patients participated. The linear multilevel regression analysis showed a positive influence of team climate on cross-boundary continuity of care (b-coefficient 0.44, 95% confidence interval 0.09–0.78, p = 0.02). No statistically significant influence was measured for the other predictors. - Discussion: To improve integrated care, therefore, emphasis should also be placed on promoting the team climate within individual practices. Regarding network characteristics, further research is needed, especially in larger practices. - Conclusion: This study showed that team climate had an independent, relevant and statistically significant association with cross-boundary continuity of cardiovascular ambulatory care.