Improving Interorganizational Coordination Between Primary Care and Oncology: Adapting a Chronic Care Management Model for Patients With Cancer
Improving Interorganizational Coordination Between Primary Care and Oncology: Adapting a Chronic Care Management Model for Patients With Cancer
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DOI：
10.1177/1077558719870699
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发表时间：
2019-08-28
影响因子：
2.5
通讯作者：
Prottas, Jeffrey
中科院分区：
文献类型：
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作者：
Flieger, Signe Peterson;Thomas, Cindy Parks;Prottas, Jeffrey
本研究的目的是探索实施支付和交付系统创新，以改善初级保健和肿瘤学之间的协调和沟通。我们采用了定性的案例研究方法，进行访谈（n = 18），并审查档案材料。慢性病护理协调员和癌症中心社会工作者担任边界监督员。慢性病护理协调员的角色建立在医疗家庭基础设施上，将慢性病护理模式应用于癌症护理。从初级保健到肿瘤学的协调变得更加专业化，具体事件促使信息共享。这些新的边界协调角色使得围绕不确定和相互依赖的任务进行更大的协调成为可能。关于扩大规模的建议包括：建立从执行工作中学习的系统方法，利用现有能力扩大规模，并注意信息共享的内容和目的。
The objective of this study was to explore the implementation of a payment and delivery system innovation to improve coordination and communication between primary care and oncology. We employed a qualitative case study approach, conducting interviews (n = 18), and reviewing archival materials. Chronic care coordinators and the cancer center social worker acted as boundary spanners. The chronic care coordinator role built on medical home infrastructure, applying the chronic care model to cancer care. Coordination from primary care to oncology became more routinized, with information sharing prompted by specific events. These new boundary spanner roles enabled greater coordination around uncertain and interdependent tasks. Recommendations for scaling up include the following: establish systematic approaches to learning from implementation, leverage existing capacity for scalability, and attend to the content and purpose of information sharing.