ArticleBMC health services research2015
Development and testing of indicators to measure coordination of clinical information and management across levels of care.
Article in BMC health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Multicentric Design and Validation of a Set of Democratized Hospital Patient Reported Experience Measures in Spain.Journal of patient experience · 2026Article
- Healthcare stakeholders' perspectives on coordinating cancer diagnosis in Chile, Colombia, and Ecuador.Revista panamericana de salud publica = Pan American journal of public health · 2026Article
- Clinical coordination between primary-level physicians and referral-level specialists in Morocco: a cross-sectional study.BMC primary care · 2025Article
- A co-designed conceptual model for implementing falls prevention programmes for community-dwelling older adults in Singapore: a systems thinking approach.Age and ageing · 2025Article
- Ecuadorian healthcare professionals' perspectives on attributes of asthma care coordination: a qualitative study.BMJ open · 2024Article
- Can care coordination across levels be improved through the implementation of participatory action research interventions? Outcomes and conditions for sustaining changes in five Latin American countries.BMC health services research · 2020Article
- Do primary and secondary care doctors have a different experience and perception of cross-level clinical coordination? Results of a cross-sectional study in the Catalan National Health System (Spain).BMC family practice · 2020Article
- Organizational Coordination and Patient Experiences of Specialty Care Integration.Journal of general internal medicine · 2019Article
- Relational continuity with primary and secondary care doctors: a qualitative study of perceptions of users of the Catalan national health system.BMC health services research · 2018Article
- Doctors' opinion on the contribution of coordination mechanisms to improving clinical coordination between primary and outpatient secondary care in the Catalan national health system.BMC health services research · 2017Article
- Continuity of clinical management and information across care levels: perceptions of users of different healthcare areas in the Catalan national health system.BMC health services research · 2016Article
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Authors and funding
10 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundCoordination across levels of care is becoming increasingly important due to rapid advances in technology, high specialisation and changes in the organization of healthcare services; to date, however, the development of indicators to evaluate coordination has been limited. The aim of this study is to develop and test a set of indicators to comprehensively evaluate clinical coordination across levels of care.
methodsA systematic review of literature was conducted to identify indicators of clinical coordination across levels of care. These indicators were analysed to identify attributes of coordination and classified accordingly. They were then discussed within an expert team and adapted or newly developed, and their relevance, scientific soundness and feasibility were examined. The indicators were tested in three healthcare areas of the Catalan health system.
results52 indicators were identified addressing 11 attributes of clinical coordination across levels of care. The final set consisted of 21 output indicators. Clinical information transfer is evaluated based on information flow (4) and the adequacy of shared information (3). Clinical management coordination indicators evaluate care coherence through diagnostic testing (2) and medication (1), provision of care at the most appropriate level (2), completion of diagnostic process (1), follow-up after hospital discharge (4) and accessibility across levels of care (4). The application of indicators showed differences in the degree of clinical coordination depending on the attribute and area.
conclusionA set of rigorous and scientifically sound measures of clinical coordination across levels of care were developed based on a literature review and discussion with experts. This set of indicators comprehensively address the different attributes of clinical coordination in main transitions across levels of care. It could be employed to identify areas in which health services can be improved, as well as to measure the effect of efforts to improve clinical coordination in healthcare organizations.
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