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A qualitative study of care coordination in community physical rehabilitation

Symons, JL, Jamison, J, Dening, J, Murray, L and Pearson, S ORCID: 0000-0001-6592-6494 2019 , 'A qualitative study of care coordination in community physical rehabilitation' , International Journal of Care Coordination, vol. 22, no. 3-4 , pp. 148-156 , doi: 10.1177/2053434519895418.

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Abstract

Introduction: This study explored the factors influencing effective care coordination in a community physical rehabilitation service. The two research questions answered were “What was effective care coordination?” and “What werethe barriers and enablers?”Methods: This qualitative study, influenced by an interprofessional skill framework, was conducted in a regional servicein Australia. Participants were 35 allied health, nursing, and client administration team members. Individual interviews,group observations, and focus groups generated data. This article will present the descriptive thematic analysis methodand results.Results: Care coordination resulted from a suite of informal and formal tools that smoothed the client’s rehabilitationjourney. Effectiveness and efficiency were sought alongside client-centred, holistic, and flexible yet consistent approachesto care coordination. All staff undertook care coordination relevant to their managerial, clinical, or administrationsupport roles. The involvement of many people and processes required effective teamwork, notably communication,collaboration, coordination, and navigation of stakeholder differences. The barriers to and enablers of care coordinationwere the service’s resources including integrated workspaces, transport and communication systems, and the individuals’ resources including clinical reasoning skills in, and familiarity and buy in with care coordination and rehabilitation.Discussion: Staff viewed care coordination as an integral and valued part of rehabilitation, with some responsibilitiesshared by all staff. Additional time and support were required for stakeholders to enact their assigned care coordinationroles. Effective care coordination required staff to be trained and competent in interprofessional collaboration. Systemsthat were efficient to use and encouraged accountability were desired.

Item Type: Article
Authors/Creators:Symons, JL and Jamison, J and Dening, J and Murray, L and Pearson, S
Keywords: community health services, rehabilitation, patient care, communication, coordination, multidisciplinary teamwork
Journal or Publication Title: International Journal of Care Coordination
Publisher: Sage Publications Ltd.
ISSN: 2053-4345
DOI / ID Number: 10.1177/2053434519895418
Copyright Information:

Copyright The Author(s) 2019

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