An ecosystem perspective on care coordination: Lessons from the field

IF 0.8 Q4 NURSING
E. Dessers, B. Mohr
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引用次数: 3

Abstract

The vast majority of research and efforts towards greater care coordination have taken place at the level of single, sovereign organizations, or at the level of networks formed to address the need for cross-organizational collaboration. The recently emerging ecosystem level of analysis and intervention is still under-researched, with few if any available innovation practices that match the complexity experienced at the level of care ecosystems. Beginning with the challenge of care coordination, we discuss what care ecosystems are and how they can be defined and describe the possibilities and opportunities that come when viewing care coordination through an ecosystem lens. We underpin our plea for an ecosystem approach to health and social care coordination with seven lessons, which we draw from an extensive study of 15 care ecosystem cases from seven different countries. We end the paper with an appeal for further research in this promising field.
护理协调的生态系统视角:实地经验教训
绝大多数为加强护理协调而进行的研究和努力都是在单一的主权组织一级,或在为满足跨组织协作的需要而形成的网络一级进行的。最近出现的生态系统层面的分析和干预研究仍然不足,几乎没有任何可用的创新实践与护理生态系统层面的复杂性相匹配。从护理协调的挑战开始,我们讨论了什么是护理生态系统以及如何定义它们,并描述了从生态系统的角度看待护理协调时出现的可能性和机会。我们从对来自7个不同国家的15个护理生态系统案例的广泛研究中得出了7条经验教训,以此作为我们呼吁采用生态系统方法来协调卫生和社会护理的基础。最后,我们呼吁对这一前景广阔的领域进行进一步的研究。
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来源期刊
CiteScore
3.10
自引率
14.30%
发文量
15
期刊介绍: The International Journal of Care Coordination (formerly published as the International Journal of Care Pathways) provides an international forum for the latest scientific research in care coordination. The Journal publishes peer-reviewed original articles which describe basic research to a multidisciplinary field as well as other broader approaches and strategies hypothesized to improve care coordination. The Journal offers insightful overviews and reflections on innovation, underlying issues, and thought provoking opinion pieces in related fields. Articles from multidisciplinary fields are welcomed from leading health care academics and policy-makers. Published articles types include original research, reviews, guidelines papers, book reviews, and news items.
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