We Rely on Relationships: Homeless Service Providers' Experiences in Coordinating Care Transitions During COVID-19.
Purpose of Study: Care coordination occurring across multiple sectors of care, such as when professionals in health or social service organizations collaborate to transition patients from hospitals to community-based settings like homeless shelters, happens regularly in practice. While health servic...
| Publicado en: | Professional Case Management Vol. 30; no. 2; pp. 57 - 64 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Mar/Apr2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=182462309&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 182462309 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 19328087 3AD2 jtl: Professional Case Management issn: 19328087 maglogo: N pubinfo: dt: Mar/Apr2025 vid: 30 iid: 2 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 182462309 182462309 182462309 10.1097/NCM.0000000000000754 182462309 ppf: 57 ppct: 7 formats: tig: atl: We Rely on Relationships: Homeless Service Providers' Experiences in Coordinating Care Transitions During COVID-19. aug: au: Anderson, Amanda Joy Bowen, Elizabeth affil: Amanda Joy Anderson, PhD, MPA, RN is a 2020–2023 Robert Wood Johnson Foundation Clinical Scholar and 2024 postdoctoral fellow of the National Center for Homelessness Among Veterans sug: subj: COVID-19 Pandemic Homelessness Case Management Continuity of Patient Care Social Work Service New York Acute Care Transitional Care Patient Safety Social Worker Attitudes Health Services Human New York Hospitalization Qualitative Studies Semi-Structured Interview Content Analysis Cross Sectional Studies Case Managers Thematic Analysis Funding Source Implementation Science Conceptual Framework Purposive Sample ab: Purpose of Study: Care coordination occurring across multiple sectors of care, such as when professionals in health or social service organizations collaborate to transition patients from hospitals to community-based settings like homeless shelters, happens regularly in practice. While health services research is full of studies on the experiences of case management and care coordination professionals within health care settings, few studies highlight the perspective of nonclinical homeless service providers (HSPs) in coordinating care transitions. Primary Practice Setting: This study explores the experience of nonclinical HSPs, employed in a large homeless service agency in New York, United States, responsible for coordinating care transitions of patients presenting to a homeless shelter after hospitalization, with attention to COVID-19 impact. Methodology and Sample: Semi-structured interviews were conducted with providers at three hierarchical levels (frontline, managerial, and executive). The data were analyzed using qualitative content analysis. The implementation science framework Normalization Process Theory was used to structure semi-deductive coding categories. Results: The findings included three major themes that highlight promoting and inhibiting factors in care coordination, including a reliance on informal relationships, the impact of strong hierarchical structures, and a lack of collaborative cross-sector information exchange pathways. Altogether, findings offer insights from an infrequently studied professional group engaging in cross-sector care coordination for a high-risk population. Operational insights can inform future research to ensure that the implementation of interventions to improve cross-sector care coordination is evidence-based. Implications for Case Management Practice: This study of nonclinical HSPs facilitating care transitions demonstrates the importance of understanding this critical provider population. Opportunities for acute care case managers and administrators include the importance of relationships, reciprocal education on the differences in work settings, and the need for administrative structure to ensure complex clinical information is effectively translated. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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