Shared Understanding in Care Coordination for Children's Behavioral Health

Shared Understanding in Care Coordination for Children's Behavioral Health
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儿童行为健康护理协调的共识

DOI:
10.1145/3449095
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发表时间:
2021
影响因子:
--
通讯作者:
Marcu, Gabriela
Marcu, Gabriela
中科院分区:
--
文献类型:
--
作者:
Richards, Olivia K.;Choi, Adrian;Marcu, Gabriela

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护理协调涉及跨越界限,将各种服务连接起来,以支持个人的健康和福祉。在本文中,我们描述了护理协调如何取决于发展护理目标和进展的共同理解的能力。分散的专业人员和非专业护理人员需要共享信息,以便在不同环境中提供一致和全面的支持。我们进行了实地调查,包括20个访谈和51个小时的观察,在三个不同的程序集中在儿童的行为健康。从这一经验调查的做法,分布式护理团队,我们产生了一个概念框架,共同理解护理协调。我们确定了共享理解的障碍,以及通过两个关键机制促进其发展的九种做法:(1)建立跨边界关系,(2)共享可操作的信息。我们的结论与设计的影响,提高护理团队的成员的协作实践,跨越边界,尽管在行为健康和其他情况下,需要复杂的护理协调的障碍是常见的。
Care coordination involves crossing boundaries to connect services in support of the health and well-being of an individual. In this paper, we describe how care coordination depends on the ability to develop a shared understanding of care goals and progress. A distributed group of professionals and non-professional caregivers need to share information to provide consistent and holistic support across settings. We conducted fieldwork comprising of 20 interviews and 51 hours of observation across three different programs focused on children's behavioral health. From this empirical investigation of practices used by distributed care teams, we generated a conceptual framework of shared understanding in care coordination. We identified barriers to shared understanding, as well as nine practices that contribute to its development via two key mechanisms: (1) building relationships across boundaries, and (2) sharing actionable information. We conclude with design implications for enhancing the collaborative practices of members of a care team to cross boundaries despite the barriers that are common in behavioral health and other contexts requiring complex care coordination.
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