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Journal articles on the topic 'Care coordination mechanisms'

Author: Grafiati

Published: 2 June 2025

Last updated: 31 July 2025

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1

Hilligoss, Brian, Paula H. Song, and Ann Scheck McAlearney. "Coordination mechanisms in four accountable care organizations." International Journal of Organization Theory & Behavior 19, no. 2 (2016): 207–32. http://dx.doi.org/10.1108/ijotb-19-02-2016-b004.

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New organization theory posits that coordination mechanisms work by generating three integrating conditions: accountability (clarity about task responsibilities), predictability (clarity about which, when, and how tasks will be accomplished), and common understanding (shared perspectives about tasks). We apply this new theory to health care to improve understanding of how accountable care organizations (ACOs) are attempting to reduce the fragmentation that characterizes the US health care system. Drawing on four organizational case studies, we find that ACOs rely on a wide variety of coordinat

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Iversen, Tor, Anders Anell, Unto Häkkinen, Christian Kronborg, and Thorhildur Ólafsdóttir. "Coordination of health care in the Nordic countries." Nordic Journal of Health Economics 4, no. 1 (2016): 41–55. http://dx.doi.org/10.5617/njhe.2846.

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Coordination of health care exists at many different levels and in many different forms. We describe the similarities and differences in coordination mechanisms among the Nordic countries. In some respects, the Nordic countries approach coordination problems in similar ways although differences exist. The overall pattern shows that Finland and Sweden have less country-wide coordination compared with the other countries. There are many questions and few answers with regard to which mechanisms work best. Hence, coordination mechanisms in health care seem to be an important area for further resea

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Johnson, Rebecca H., Catherine Fiona Macpherson, Ashley W. Smith, Rebecca G. Block, and Joann Keyton. "Facilitating Teamwork in Adolescent and Young Adult Oncology." Journal of Oncology Practice 12, no. 11 (2016): 1067–74. http://dx.doi.org/10.1200/jop.2016.013870.

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A case of a young adult patient in the days immediately after a cancer diagnosis illustrates the critical importance of three interrelated core coordinating mechanisms—closed-loop communication, shared mental models, and mutual trust—of teamwork in an adolescent and young adult multidisciplinary oncology team. The case illustrates both the opportunities to increase team member coordination and the problems that can occur when coordination breaks down. A model for teamwork is presented, which highlights the relationships among these coordinating mechanisms and demonstrates how balance among the

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Antonelli, Richard C., and Donna M. Antonelli. "Providing a Medical Home: The Cost of Care Coordination Services in a Community-Based, General Pediatric Practice." Pediatrics 113, Supplement_4 (2004): 1522–28. http://dx.doi.org/10.1542/peds.113.s4.1522.

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Objective. To determine the cost of unreimbursable care coordination services for children with special health care needs (CSHCN) in 1 community-based, general pediatric practice. Methods. A measurement tool was developed to quantify the precise activities involved in providing comprehensive, coordinated care for CSHCN. Costs of providing this care were calculated on the basis of time spent multiplied by the average salary of the office personnel performing the care coordination service. In addition, data were collected regarding the complexity level of the patient requiring the service, the t

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Sobis, Iwona. "The Alleged Culprit of Poor Coordination of Integration of Health and Social Care Services for Very Ill Older Persons in Sweden, 2000-2022." NISPAcee Journal of Public Administration and Policy 16, no. 2 (2023): 194–219. http://dx.doi.org/10.2478/nispa-2023-0019.

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Abstract Despite numerous attempts to transform Swedish older adult care, similar problems regarding its coordination have persisted over the years. This literature review aims to identify which coordination mechanisms can be perceived as the alleged culprit of poor coordination of integrated health and social services for seriously ill older individuals in Sweden between 2000 and 2022. Classical and contemporary coordination theories are utilised to pinpoint these coordination mechanisms, and the analysis is based on the content of collected articles from this thematic area. This literature r

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Vargas, Ingrid, Pérez Amparo Susana Mogollón, Paepe Pierre De, Silva Maria Rejane Ferreira da, Jean Pierre Unger, and María Luisa Vázquez. "Do existing mechanisms contribute to improvements in care coordination across levels of care in health services networks? Opinions of the health personnel in Colombia and Brazil." BMC Health Services Research 15 (May 29, 2015): 213. https://doi.org/10.1186/s12913-015-0882-4.

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BACKGROUND: The fragmentation of healthcare provision has given rise to a wide range of interventions within organizations to improve coordination across levels of care, primarily in high income countries but also in some middle and low-income countries. The aim is to analyze the use of coordination mechanisms in healthcare networks and its implications for the delivery of health care. This is studied from the perspective of health personnel in two countries with different health systems, Colombia and Brazil. METHODS: A qualitative, exploratory and descriptive-interpretative study was con

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Osarogiagbon, Raymond U., Hector P. Rodriguez, Danielle Hicks, et al. "Deploying Team Science Principles to Optimize Interdisciplinary Lung Cancer Care Delivery: Avoiding the Long and Winding Road to Optimal Care." Journal of Oncology Practice 12, no. 11 (2016): 983–91. http://dx.doi.org/10.1200/jop.2016.013813.

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The complexity of lung cancer care mandates interaction between clinicians with different skill sets and practice cultures in the routine delivery of care. Using team science principles and a case-based approach, we exemplify the need for the development of real care teams for patients with lung cancer to foster coordination among the multiple specialists and staff engaged in routine care delivery. Achieving coordinated lung cancer care is a high-priority public health challenge because of the volume of patients, lethality of disease, and well-described disparities in quality and outcomes of c

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Janich, Nicole K., and Michael S. Shafer. "Challenges in implementing models of coordinated care." Journal of Social Work 20, no. 3 (2018): 365–82. http://dx.doi.org/10.1177/1468017318817230.

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Summary The purpose of this study is to explore implementation challenges behavioral health agencies have faced in moving toward new models of care coordination which have been mandated by health care policy. Specifically, this study looks at six behavioral health agencies in a rural region of a southwestern state. Three agencies had adopted a colocated model of care coordination which involved partnering with a local Federally Qualified Health Center to provide primary care services at the behavioral health agency facilities. Three other agencies included in the study had adopted a fully inte

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Cucciniello, Maria, Claudia Guerrazzi, Greta Nasi, and Edoardo Ongaro. "Coordination Mechanisms for Implementing Complex Innovations in the Health Care Sector." Public Management Review 17, no. 7 (2015): 1040–60. http://dx.doi.org/10.1080/14719037.2015.1029348.

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Bologna, Silvio. "Internal coordination of social security in Italy." European Journal of Social Security 21, no. 2 (2019): 141–52. http://dx.doi.org/10.1177/1388262719847808.

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This contribution deals with the internal coordination of health care, long-term social care and social assistance schemes – covered by EU regulation no. 883/2004 – in Italy after the constitutional reform enacted in 2001, which significantly decentralised legislative and administrative machinery by strengthening the prerogatives of the Regions, especially in terms of organisation and funding of the services. This article seeks to demonstrate that, although the decentralisation of health care and long-term social care has been accompanied by mechanisms of internal coordination among the Region

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ESPARCIA, SERGIO, ESTEFANÍA ARGENTE, ROBERTO CENTENO, and RAMÓN HERMOSO. "ENHANCING MAS ENVIRONMENTS WITH ORGANIZATIONAL MECHANISMS." International Journal on Artificial Intelligence Tools 20, no. 04 (2011): 663–90. http://dx.doi.org/10.1142/s0218213011000395.

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This work proposes a new coordination system for the environment of a Multi-Agent System by merging the features from two important contributions to this field of research, Organizational Mechanisms and Artifacts. Organizational mechanisms can be introduced into a Multi-Agent System with the aim of influencing the behavior of agents populating it to achieve their goals in a proper way. In this paper, we propose to model organizational mechanisms by means of artifacts, which are non-proactive entities used by agents. Artifacts were presented within the Agents & Artifacts conceptual framewor

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Mann, Denise, Noreen Cushen-Brewster, and Giovambattista Zeppetella. "Exploring the experiences of a community palliative care team as services were adapted to meet the demand of the COVID-19 pandemic." British Journal of Community Nursing 27, no. 8 (2022): 402–10. http://dx.doi.org/10.12968/bjcn.2022.27.8.402.

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During COVID-19, it was critical that services adapted to meet the high demands of the pandemic. This qualitative study explores the experiences of several staff members of the community palliative care team, as they adapted the delivery of their services to such pressures. Semi-structured interviews via a virtual platform were conducted and four themes were identified: service development, communication, inter-professional relationships and support mechanisms. The participants supported the change in service delivery and use of technology to triage patients. The participants also reported imp

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Veerman, Laura, Eva Mulder, Laura Nooteboom, and Robert Vermeiren. "From paper to practice: implementing integrated care for youth-at risk." International Journal of Integrated Care 23, S1 (2023): 277. http://dx.doi.org/10.5334/ijic.icic23434.

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Background: At present, professionals experience difficulties applying known facilitators and barriers of integrated care in practice [1]. This is particularly intricate when working with youth at-risk and their families. These families have a diversity of problems in different life-areas, that often do not seek or accept care, and with a continuing risk of crisis situations occurring. To improve integrated care for youth at-risk, we aimed at deepening insights into how to enable facilitators or overcome barriers when implementing integrated care for youth at risk. Targeted population an

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Albert, Francis A., Aduli E. O. Malau-Aduli, Melissa J. Crowe, and Bunmi S. Malau-Aduli. "Optimising care coordination strategies for physical activity referral scheme patients by Australian health professionals." PLOS ONE 17, no. 7 (2022): e0270408. http://dx.doi.org/10.1371/journal.pone.0270408.

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Physical activity (PA) has been identified as an essential tool for the prevention and management of multi-morbidity in patients. Coordination of patients’ care through interventions like physical activity referral schemes (PARS) could foster the utilization of PA. This study explored the views of General Practitioners (GPs) and Exercise Physiologists (EPs) as key stakeholders, for optimizing patient care and efficiency of PARS. Sequential explanatory mixed methods design was used to explore the perceptions of these health professionals on PA and coordination strategies for PARS patient care.

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Esteve-Matalí, Laura, Ingrid Vargas, Franco Amigo, et al. "Understanding How to Improve the Use of Clinical Coordination Mechanisms between Primary and Secondary Care Doctors: Clues from Catalonia." International Journal of Environmental Research and Public Health 18, no. 6 (2021): 3224. http://dx.doi.org/10.3390/ijerph18063224.

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Clinical coordination between primary (PC) and secondary care (SC) is a challenge for health systems, and clinical coordination mechanisms (CCM) play an important role in the interface between care levels. It is therefore essential to understand the elements that may hinder their use. This study aims to analyze the level of use of CCM, the difficulties and factors associated with their use, and suggestions for improving clinical coordination. A cross-sectional online survey-based study using the questionnaire COORDENA-CAT was conducted with 3308 PC and SC doctors in the Catalan national health

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AlFawaz, Abdulrahman. "Enhancing Primary Health Care with Urgent Care and Minor Procedures: Narrative Review." International Journal of Innovative Research in Medical Science 10, no. 03 (2025): 118–24. https://doi.org/10.23958/ijirms/vol10-i03/2040.

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The modern healthcare landscape demands easily accessible, timely, and patient-focused healthcare services. Though the primary health-care serves as the important pillar of healthcare delivery, increasing patient needs demands innovative and technology-based models. Integrating urgent care services and minor procedures within primary care settings presents a promising approach to further enhance healthcare access, improve care coordination, and optimize resource utilization. This narrative review aimed to critically examine the current literature on the integration of urgent care and minor pro

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Prætorius, Thim, Atanu Chaudhuri, S. Venkataramanaiah, Peter Hasle, and Ajai Singh. "Achieving Better Integration in Trauma Care Delivery in India." Journal of Health Management 20, no. 3 (2018): 234–54. http://dx.doi.org/10.1177/0972063418779896.

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Interdependencies among healthcare providers result in complex healthcare supply chains with fragmented healthcare processes characterized by coordination failure and incentive misalignment. In developing countries where resources are scarce such coordination failures can have a severe impact on patient health. However, limited knowledge exists about how coordination takes place across and within the different healthcare service providers and how this influences hospital transfer time and length of stay. This article research this gap by studying trauma care delivery in India using a patient s

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Burau, Viola, Ellen Kuhlmann, and Loni Ledderer. "The contribution of professions to the governance of integrated care: Towards a conceptual framework based on case studies from Denmark." Journal of Health Services Research & Policy 27, no. 2 (2021): 106–13. http://dx.doi.org/10.1177/13558196211055652.

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Objective Good governance of integrated care is key to better health care, but we know little about how professions can help make this happen. Our aim is to introduce a conceptual framework to analyse how professions contribute to the governance of integrated care, and to apply the framework to a secondary analysis of selected case studies from Denmark. Methods We developed a framework, which identified the what, how and why of the contribution professions make to the governance of integrated care. We included five qualitative Danish studies, using coordination as an indicator of integrated ca

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de Jong, Febe, and Gijsbert Vonk. "Internal coordination of social security in the Netherlands." European Journal of Social Security 21, no. 2 (2019): 163–73. http://dx.doi.org/10.1177/1388262719844985.

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This article outlines the internal coordination of regional and local social security schemes in the Netherlands. The Netherlands is a decentralised state with a strong central government. Social security is largely a matter for central government. The article therefore focuses on the area of social assistance and social care, characterised by a system of ‘regulated decentralisation’. It outlines the state of decentralisation, the conflict rules and the coordination mechanisms and, finally, describes the financial regime of the decentralised schemes.

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Ball, Sherry, Michelle Montpetite, Christine Kowalski, et al. "Care coordination agreements in the Veterans Healthcare Administration." Journal of Integrated Care 25, no. 3 (2017): 208–21. http://dx.doi.org/10.1108/jica-11-2016-0045.

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Purpose The Veterans Healthcare Administration (VHA) has promoted Specialty Care Neighborhoods (SCN) to enhance the coordination of services between primary and specialty care. Care coordination agreements (CCAs) were included as a critical element in the SCN program. The purpose of this paper is to examine the role of these documents in the successful implementation of SCNs. Design/methodology/approach Content, quality, and perceived usefulness of CCAs from 19 SCN sites were evaluated. CCA content was defined as the presence or absence of eight key components: contact information, process for

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García Celedón, Paula Sofía, Marta Beatriz Aller Hernández, Ingrid Vargas Lorenzo, and María Luisa Vázquez Navarrete. "Impact of care coordination mechanisms across healthcare levels in latin america: a systematic review." Medwave 16, Suppl6 (2016): 6766. http://dx.doi.org/10.5867/medwave.2016.6766.

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Plegat, Manon, and Myriam Lewkowicz. ""I do not see the point of using the system". Understanding a Broken Policy Knot in the Primary Care Sector." Proceedings of the ACM on Human-Computer Interaction 9, no. 2 (2025): 1–28. https://doi.org/10.1145/3711003.

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This paper explores the implementation of a policy promoting new cooperative practices in the primary care sector. Through a two-year multi-sited ethnographic study of Multi-Professional Healthcare Centers (MPHCs) and their coordination mechanisms, we highlight the gaps between the coordinative protocols that prescribe how these structures operate, and the certified Health Information System (HIS) that has been defined by public authorities to support the new practices. These gaps make us say that the policy knot - that entangles policy, practice, and design - broke. To understand why, we stud

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Hucko, Ania. "Informal coordination of care in Praktyka Lekarza Rodzinnego (PHC facility)- the auto-ethnographic study on building the theoretical model of integrated care based on grassroots initiative." International Journal of Integrated Care 23, S1 (2023): 545. http://dx.doi.org/10.5334/ijic.icic23549.

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Since the adoption of the 2017 bill on primary health care (PHC) introducing a model of integrated care in PHC in Poland, family doctors have been obliged to coordinate the care and to manage the PHC teams. Till now only a small number of PHC facilities decided to conclude contracts on coordinated care with National Health Fund (NHF). There are serious reservations over rural and remote PHC facilities' capabilities to meet all the NHF's criteria regarding coordinated care. This auto-ethnographic study presenting the case of a family doctor in remote area in lubuskie voivodeship shows that mech

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Hoffer Gittell, Jody. "Coordinating Mechanisms in Care Provider Groups: Relational Coordination as a Mediator and Input Uncertainty as a Moderator of Performance Effects." Management Science 48, no. 11 (2002): 1408–26. http://dx.doi.org/10.1287/mnsc.48.11.1408.268.

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Gaytamirova, Satsita A., Abubakar I. Adaev, and Maka A. Sadulaeva. "THE STUDY OF BARRIERS TO INTERPERSONAL COMMUNICATION AND COORDINATION MECHANISMS AMONG STUDENTS." EKONOMIKA I UPRAVLENIE: PROBLEMY, RESHENIYA 12/13, no. 153 (2024): 211–16. https://doi.org/10.36871/ek.up.p.r.2024.12.13.026.

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Harmonious interpersonal relationships and interpersonal communication con-tribute to the formation and development of healthy personal qualities of students, contribute to individual self-development and the realization of students' self-esteem. This is a basic require-ment for learning and improving students' professional skills and abilities in all aspects. How-ever, there are currently many obstacles and challenges in the interpersonal care and interper-sonal communication of students. In colleges and universities, we can actively and effectively use courses and club activities as a bridge

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Bernard, G. R., A. Artigas, K. L. Brigham, et al. "Report of the American-European consensus conference on ARDS: Definitions, mechanisms, relevant outcomes and clinical trial coordination." Intensive Care Medicine 20, no. 3 (1994): 225–32. http://dx.doi.org/10.1007/bf01704707.

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Bernard, G. R., A. Artigas, K. L. Brigham, et al. "The American-European Consensus Conference on ARDS. Definitions, mechanisms, relevant outcomes, and clinical trial coordination." American Journal of Respiratory and Critical Care Medicine 149, no. 3 (1994): 818–24. http://dx.doi.org/10.1164/ajrccm.149.3.7509706.

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Sibanda, Robert, Belinda Ndlovu, Sibusisiwe Dube, and Kudakwashe Maguraushe. "Towards Health 4.0: Blockchain-Based Electronic Health Record for Care Coordination." European Conference on Innovation and Entrepreneurship 19, no. 1 (2024): 712–20. http://dx.doi.org/10.34190/ecie.19.1.2606.

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Inter-organizational data sharing in healthcare is fraught with challenges, including diverse healthcare terminologies, incompatible data structures, and issues with data consistency and security. Establishing a unified patient record across a data-sharing network is problematic, and centralized data stores and authority providers are prime targets for cyberattacks. This study proposes a blockchain-based patient data-sharing strategy that relies on network consensus rather than a single, centralized source of trust. The consensus is based on evidence of both structural and semantic interoperab

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Lawan, Mohammed Isa, Jacob Amakama Nimisingha, Gilles Dusserre, et al. "Fostering Mobile Field Hospitals Collaboration During Disaster Response for Seamless Continuity of Care: A Mini Review." American Journal of Physical Education and Health Science 2, no. 2 (2024): 86–96. http://dx.doi.org/10.54536/ajpehs.v2i2.3441.

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When mobile field hospitals are deployed in response to a disaster, they may sometimes face unprecedented challenges that require collaboration either with other mobile field hospitals or with existing regional hospitals to maintain continuity of care for the impacted populations. This article explores the pivotal role of enhancing healthcare team collaboration to ensure seamless care continuity during disaster response in an austere disaster-stricken environment. To improve patient outcomes during disasters, this study aims to investigate the barriers to care continuity in disaster response a

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Alvarez-Rosete, Arturo, Edelweiss Aldasoro, Liz Cairncross, and Brian Jones. "International case studies of integrated models of chronic disease care at the primary-secondary care interface." International Journal of Integrated Care 25 (April 9, 2025): 103. https://doi.org/10.5334/ijic.icic24546.

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Introduction: Better management of chronic disease care at the primary-secondary care interface is pivotal in managing the challenge of increasing health care demand in the context of an ageing population. However, compared to the substantial body of research and policy literature exploring international best practice in chronic disease care more broadly, there has been more limited effort to examine integrated models of chronic disease care at the primary-secondary care interface. Context: Although the project initially responds to a UK-focused request, the search for good practice integrated

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Rachev, Boris T. "The economics of health service transformation." Clinical Governance: An International Journal 20, no. 3 (2015): 113–22. http://dx.doi.org/10.1108/cgij-07-2015-0024.

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Purpose – This is a report on a recent development of an innovative coordinated care solution named the Care Coordination Centre (CCC), which targets coordinated care arrangements for a populations expected to benefit the most. The purpose of this paper is to identify the patients who might comprise this group, and to assess the best ways to meet their health, community, and social care needs before and after introducing the coordinated care solution across care settings. Design/methodology/approach – This is a summary of the author’s experience in the design and development of a care coordina

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Do Nascimento, Marineide Martiniano, Bruna Scarletti Gomes De Lima Francelino, and Juliene Ferreira De Aragão. "A ATUAÇÃO DO SISTEMA ÚNICO DE SAÚDE (SUS) NA INSTITUIÇÃO FILANTRÓPICA LIGA CONTRA O CÂNCER DO HOSPITAL DR. LUIZ ANTÔNIO, REFERÊNCIA NO TRATAMENTO CONTRA O CÂNCER EM NATAL/RN." Revista Multidisciplinar do Nordeste Mineiro 13, no. 1 (2025): 1–18. https://doi.org/10.61164/rmnm.v13i1.4246.

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This study aimed to analyze the challenges faced by the Unified Health System (SUS) in providing care to cancer patients at the philanthropic Dr. Luiz Antônio Hospital, maintained by the Liga Contra o Câncer, in Natal/RN, Brazil. Using a qualitative approach based on bibliographic review, document analysis, and direct observation, the research identified significant obstacles related to underfunding, limitations in human and structural resources, bureaucratic regulatory processes, and fragmented coordination among governmental levels. Although philanthropic, the institution provides essential

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Möckli, Nathalie, Matthias Wächter, Giusi Moffa, Michael Simon, Tania Martins, and Franziska Zúñiga. "How regulatory frameworks drive differences in home-care agencies: Results from a national multicenter cross-sectional study in Switzerland." International Journal of Health Planning and Management 2024, Volume 39, no. 2 (2023): 477–501. https://doi.org/10.5281/zenodo.13938944.

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<em><strong>This is the peer reviewed version of the following article: Möckli N, Wächter M, Moffa G, Simon M, Martins T, Zúñiga F. How regulatory frameworks drive differences in home-care agencies: Results from a national multicenter cross-sectional study in Switzerland. Int J Health Plann Mgmt. 2024;39(2):477-501. , which has been published in final form at https://doi.org/10.1002/hpm.3744. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriche

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Calltorp, Johan, and Björn Smedby. "Technology Assessment Ativities in Sweden." International Journal of Technology Assessment in Health Care 5, no. 2 (1989): 263–68. http://dx.doi.org/10.1017/s0266462300006474.

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A rapidly growing interest in medical technology assessment has been noted in Sweden during the last 5 years. This interest is reflected both in a variety of research efforts and in new organizational arrangements for coordination and stimulus of research. A special area of concern is a group of mechanisms to make the results of assessment useful to medical practitioners and in the political and administrative process within health care.

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Henry, Elizabeth, Abigail Silva, Elizabeth Tarlov, et al. "Delivering Coordinated Cancer Care by Building Transactive Memory in a Team of Teams." Journal of Oncology Practice 12, no. 11 (2016): 992–99. http://dx.doi.org/10.1200/jop.2016.013730.

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Cancer care delivery is highly complex. Treatment involves coordination within oncology health-care teams and across other teams of referring primary and specialty providers (a team of teams). Each team interfaces with patients and caregivers to offer component parts of comprehensive care. Because patients frequently obtain specialty care from divergent health-care systems resulting in cross-system health-care use, oncology teams need mechanisms to coordinate and collaborate within and across health-care systems to optimize clinical outcomes for all cancer patients. Transactive memory is one p

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Fu, Yangfang. "Study on the Precision Supply Mechanism of Smart Community Elderly Care Services Empowered by Digital Technology." International Journal of Social Sciences and Public Administration 7, no. 3 (2025): 91–100. https://doi.org/10.62051/ijsspa.v7n3.12.

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The empowerment of digital technology injects new momentum into the digital supply of smart community elderly care services and facilitates the deep restructuring of service scenarios, technological embedding, and governance frameworks. The precision supply of smart community elderly care services enabled by digital technology follows a practical logic centered on "technology embedding-platform-based decision-making-data-driven operation-collaborative co-governance." The realization of such precision supply depends on the synergistic support among multiple elements, including governance coordi

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Ashok, Paul Batra, Anu Mutneja Dr., and Arti Dr. "Rehabilitation of Child Victims of Sexual Offences: A Critical Analysis of Government Support Mechanisms." SIDDHANTA'S INTERNATIONAL JOURNAL OF ADVANCED RESEARCH IN ARTS & HUMANITIES 2, no. 3 (2025): 56–68. https://doi.org/10.5281/zenodo.15287426.

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The sexual abuse of children represents one of the gravest violations of human rights. In India, while legal provisions such as the Protection of Children from Sexual Offences (POCSO) Act provide a robust framework for addressing abuse, the rehabilitation of victims often receives less focused attention. This paper critically examines government support mechanisms in India aimed at rehabilitating child victims of sexual offences. It explores legal frameworks, institutional support systems, challenges in implementation, and proposes recommendations for a more holistic and child-centric rehabili

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Otto, David Ekwang, and David Mwesigwa Mwesigwa. "Relationship between partnership and the sustainability of institutionalized child care in Lira City, northern Uganda." Journal of Advanced Sociology 3, no. 2 (2022): 1–21. http://dx.doi.org/10.47941/jas.1122.

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Purpose: This study assessed the relationship between partnership and the sustainability of institutionalized child care in Lira City, northern Uganda. Specifically, three objectives guided the study, namely; to examine the relationship between networks and sustainability of institutionalized child care, to examine the relationship between coordination and sustainability of institutionalized child care, and to determine the relationship between collaboration and sustainability of institutionalized child care. As a consequence, the paper reverts to three selected variables of partnership, that

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Lisy, Karolina, Jennifer Kent, Jodi Dumbrell, Helana Kelly, Amanda Piper, and Michael Jefford. "Sharing Cancer Survivorship Care between Oncology and Primary Care Providers: A Qualitative Study of Health Care Professionals’ Experiences." Journal of Clinical Medicine 9, no. 9 (2020): 2991. http://dx.doi.org/10.3390/jcm9092991.

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Survivorship care that is shared between oncology and primary care providers may be a suitable model to effectively and efficiently care for the growing survivor population, however recommendations supporting implementation are lacking. This qualitative study aimed to explore health care professionals’ (HCPs) perceived facilitators and barriers to the implementation, delivery and sustainability of shared survivorship care. Data were collected via semi-structured focus groups and analysed by inductive thematic analysis. Results identified four overarching themes: (1) considerations for HCPs; (2

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Bukhsh, Faiza Allah, and Hans Weigand. "E-Government Controls in Service-Oriented Auditing Perspective." International Journal of Electronic Government Research 8, no. 4 (2012): 34–53. http://dx.doi.org/10.4018/jegr.2012100103.

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Whereas e-government used to be focused mainly on digitalizing documents, the attention is currently shifting to the question how the main governmental functions service, care and control can be realized in the best way in an information age. In this respect, e-customs is a case in point. Worldwide Customs is transforming from the labor intensive paper work it used to be for ages to “e-customs,” where international trade is facilitated by fully exploiting the current global digital infrastructure. As a consequence, a shift in the distribution of responsibilities can be observed (so-called hori

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Van Broeck, Nady, and Germain Lietaer. "Psychology and Psychotherapy in Health Care." European Psychologist 13, no. 1 (2008): 53–63. http://dx.doi.org/10.1027/1016-9040.13.1.53.

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During the last 20 years, psychological interventions and psychotherapy have acquired a modest but significant place in health care. The lack of a uniform legal definition of these professional activities in the domain of health care hampers quality control of training programs and delivered services and complicates coordination of care. Training requirements are not always made explicit, and often there are no mechanisms for quality control or for monitoring compliance with ethical codes of conduct. In this review, the legal regulation of the professional activity of psychologists in health c

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Hu, Huihua, Hua Shao, Yang Li, Mengfan Guan, and Jiaxing Tong. "GIS-Based Analysis of Elderly Care Facility Distribution and Supply–Demand Coordination in the Yangtze River Delta." Land 14, no. 4 (2025): 723. https://doi.org/10.3390/land14040723.

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This study addresses the challenges related to the distribution of elderly care facilities in the Yangtze River Delta (YRD) region, which is experiencing a rapidly aging population. With over 176 million people aged 65 and above in China as of 2019 and the elderly population in the YRD continuing to grow, the study analyzes the spatial distribution, evolution, and supply–demand balance of elderly care facilities. Using GIS technologies, multi-source data analysis, and spatial autocorrelation techniques, the research identifies key regional patterns. Shanghai exhibits a clear hierarchical distr

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Correia de Matos, Ricardo, Generosa do Nascimento, Adalberto Campos Fernandes, and Cristiano Matos. "The Integration of Social and Health Sectors in Scotland: An Analysis from the Prism of Different Public Policy Models." Journal of Market Access & Health Policy 13, no. 1 (2025): 8. https://doi.org/10.3390/jmahp13010008.

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The integration of health and social care has been a key focus in Scotland, driven by demographic changes, rising healthcare costs, and the need for more efficient service delivery. The Public Bodies (Joint Working) (Scotland) Act 2014 sought to formalise this integration by restructuring governance and service provision to improve coordination between health and social care sectors. Despite these efforts, challenges remain in fully achieving the intended outcomes of the integration. This study analysed Scotland’s integrated health and social care through the theoretical frameworks of public c

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Rolim, Leonardo Barbosa, Janássia Gondim Monteiro, Anya Pimentel Gomes Fernandes Vieira Meyer, Sharmênia de Araújo Soares Nuto, Márcio Flávio Moura de Araújo, and Roberto Wagner Junior Freire Freitas. "Evaluation of Primary Health Care attributes of Fortaleza city, Ceará State, Brazil." Revista Brasileira de Enfermagem 72, no. 1 (2019): 19–26. http://dx.doi.org/10.1590/0034-7167-2018-0033.

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ABSTRACT Objective: To evaluate the Primary Health Care attributes of Fortaleza city, Ceará State. Method: Evaluative study carried out at 97 Primary Health Care Units, from August 2015 to June 2016. 451 professionals from the Family Health Strategy participated in the study. We used the Primary Care Assessment Tool - Brazil, which evaluates the attributes, assigning scores on a scale of zero to ten. We adopted as a cut-off point, to consider high Primary Care score, attributes with a value of 6.60 or higher. Results: Among the eight attributes evaluated the First Contact Access and the Coordi

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Ogunmodede, Oyenike Temiloye, Ifeoluwa Oluwafunke Kolawole, Beatrice M. Ohaeri, and Oluwatoyin Babarimisa. "Primary Healthcare Under One Roof: Way Out of Primary Healthcare Dilemma." British Journal of Multidisciplinary and Advanced Studies 5, no. 3 (2024): 20–31. http://dx.doi.org/10.37745/bjmas.2022.04109.

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The adoption of the Primary Health Care Under One Roof (PHCUOR) initiative serves as a crucial approach to tackle the complex challenges encountered by primary healthcare systems worldwide. This paper explores the historical background, present difficulties, and possible remedies related to primary healthcare in Nigeria, with a particular emphasis on the PHCUOR model. By referencing important papers like the Alma Ata Declaration and current research, we highlight the importance of Primary Health Care (PHC) in public health systems. This emphasis how PHC helps to promote health equity and achie

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Davila, Heather, Mary Good, Aaron Seaman, et al. "INTEGRATING HOME HEALTH IN AN INTEGRATED CARE SYSTEM: VETERAN EXPERIENCES WITH A VA PILOT PROGRAM." Innovation in Aging 7, Supplement_1 (2023): 1069–70. http://dx.doi.org/10.1093/geroni/igad104.3436.

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Abstract The Veterans Health Administration (VA) serves nearly 3 million Veterans aged 65 and over, 350,000 of whom use skilled home health (e.g., nursing, rehabilitation therapy) or homemaker/home health aide services annually. Despite being the nation’s largest integrated healthcare system, VA has traditionally purchased home health services from contract agencies. Coordinating care between VA and contract agencies is an ongoing challenge, and accessing home health has become increasingly difficult, especially in rural areas. To address these challenges, the Iowa City VA launched VA’s first

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Willems, Jana, Isabella Bablok, Erik Farin-Glattacker, and Thorsten Langer. "Barriers and facilitating factors of care coordination for children with spinal muscular atrophy type I and II from the caregivers' perspective: an interview study." Orphanet Journal of Rare Diseases 18, no. 1 (2023). http://dx.doi.org/10.1186/s13023-023-02739-w.

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Abstract Background Children with medical complexity (CMC) require long-term care accompanied by different health- and social care professionals. Depending on the severity of the chronic condition, caregivers spend a lot of time coordinating appointments, communicating between providers, clarifying social legal issues, and more. Effective care coordination is seen as key to addressing the fragmented care that CMC and their families often face. Spinal muscular atrophy (SMA) is a rare genetic, neuromuscular disease which care involves drug therapy and supportive treatment. We examined the care c

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Möckli, Nathalie, Michael Simon, Kris Denhaerynck, et al. "How external and agency characteristics are related to coordination in homecare – findings of the national multicenter, cross-sectional SPOTnat study." BMC Health Services Research 24, no. 1 (2024). http://dx.doi.org/10.1186/s12913-024-10751-4.

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Abstract Background Homecare client services are often distributed across several interdependent healthcare providers, making proper care coordination essential. However, as studies exploring care coordination in the homecare setting are scarce, serious knowledge gaps exist regarding how various factors influence coordination in this care sector. To fill such gaps, this study’s central aim was to explore how external factors (i.e., financial and regulatory mechanisms) and homecare agency characteristics (i.e., work environment, workforce, and client characteristics) are related to care coordin

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"Examining the relationship of organizational mechanisms and relational coordination on the outcome of care coordination among nurses at the unit level of the Greater Accra Regional Hospital." Health Sciences Investigations Journal Fourth Edition 2, no. 2 (2021): 261–72. http://dx.doi.org/10.46829/hsijournal.2021.12.2.2.261-272.

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Background: Nurses and other healthcare professionals function interdependently for the coordination of patient care which can be unpredictable and varies from setting to setting. Objective: The study examined the influence of organizational mechanisms and relational coordination on the outcome of care coordination among nurses in the unit. Methods: A cross-sectional approach was adopted, and 262 participants were selected from eight units in the hospital using a convenient sampling technique. A structured questionnaire was used in gathering data. Results: Average organizational mechanism in t

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Campaz, D., I. Vargas, P. Plaja, et al. "A questionnaire to measure the impact of ICT-based coordination mechanisms on clinical coordination." European Journal of Public Health 32, Supplement_3 (2022). http://dx.doi.org/10.1093/eurpub/ckac130.118.

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Abstract Background In national health systems based on primary care, cross-level clinical coordination (CC) is a priority, as it may improve quality of care. Evidence on the impact of information and communication technology (ICT)-based coordination mechanisms on CC is inconclusive. The implementation of those mechanisms increased during the pandemic. The aim is to adapt the validated COORDENA-CAT questionnaire, for measuring CC, to analyse the implementation of ICT-based coordination mechanisms and its impact on CC in three regions of Spain. Methods The COORDENA-CAT questionnaire underwent a

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