Continuity of Care and Coordination of Care: Can they Be Differentiated?

Introduction: Both care continuity and coordination are considered essential elements of health care system. However, little is known about the relationship between care continuity and coordination. This study aimed to differentiate the concepts of care continuity and coordination by developing and...

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Publicado en:International Journal of Integrated Care (IJIC) Vol. 23; no. 1; pp. 1 - 15
Autores principales: CHI-CHEN CHEN, YI-CHEN CHIANG, YI-CHIEH LIN, SHOU-HSIA CHENG
Formato: research tables/charts Journal Article
Publicado: Ubiquity Press Jan-Mar2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan-Mar2023
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        atl: Continuity of Care and Coordination of Care: Can they Be Differentiated?
      aug:
        au:
          CHI-CHEN CHEN
          YI-CHEN CHIANG
          YI-CHIEH LIN
          SHOU-HSIA CHENG
        affil: Institute of Health Policy & Management, College of Public Health; and Population Health Research Center, National Taiwan University, Taipei, Taiwan
      sug:
        subj:
          Continuity of Patient Care Taiwan
          Quality of Health Care
          Reliability and Validity
          Questionnaires
          Patient Attitudes
          Human
          Taiwan
          Factor Analysis
          Data Analysis Software
          Criterion-Related Validity
          T-Tests
          Coefficient alpha
          Chi Square Test
          Funding Source
      ab: Introduction: Both care continuity and coordination are considered essential elements of health care system. However, little is known about the relationship between care continuity and coordination. This study aimed to differentiate the concepts of care continuity and coordination by developing and testing the reliability and validity of the Combined Outpatient Care Continuity and Coordination Assessment (COCCCA) questionnaire under the universal coverage health care system in Taiwan from a patient perspective. Methods: Face-to-face interviews were conducted nationwide with communitydwelling older adults selected via stratified multistage systematic sampling with probability-proportional-to-size process. A total of 2,144 subjects completed the questionnaire, with a response rate of 44.67%. Results: The 16 items of the COCCCA questionnaire were identified via item analysis and principal component analysis (PCA). The PCA generated five dimensions: three continuity-oriented (interpersonal, information sharing and longitudinal between patients and physicians) and two coordination-oriented (information exchange and communication/cooperation among multiple physicians). The second-order confirmatory factor analysis supported the factor structure and indicated that distinct constructs of care continuity and coordination can be identified. Conclusion: The COCCCA instrument can differentiate the concepts of care continuity and care coordination and has been demonstrated to be valid and reliable in outpatient care settings from a patient perspective.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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