Self-Reported Quality, Health, and Cost-Related Outcomes of Care Coordination Among Patients with Complex Health Needs.

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  • Additional Information
    • Source:
      Publisher: Mary Ann Liebert Country of Publication: United States NLM ID: 101481266 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1942-7905 (Electronic) Linking ISSN: 19427891 NLM ISO Abbreviation: Popul Health Manag Subsets: MEDLINE
    • Publication Information:
      Original Publication: New Rochelle, NY : Mary Ann Liebert
    • Subject Terms:
      Continuity of Patient Care* ; Patient-Centered Care*; Patient Satisfaction/*statistics & numerical data ; Quality of Health Care/*statistics & numerical data; Adult ; Female ; Health Care Costs ; Humans ; Male ; Middle Aged ; Self Report ; Surveys and Questionnaires ; Texas
    • Abstract:
      Care coordination is an increasingly popular strategy to help patients with complex health conditions manage their diseases more effectively. The purpose of the current study was to assess associations between patient-reported receipt of care coordination and their experiences of health, health care quality, and cost-related outcomes. Regression analyses of data from 431 patients across 13 Texas providers indicate that patients who reported receiving care coordination had higher odds of perceiving having enough information about how to manage their conditions (OR 2.02, P  < .01), having information about education and treatments available (OR 1.87, P  < .01), and reporting better access to care (beta = .27, P  < .01). Receipt of care coordination was not associated with patients' reports of how up-to-date their doctors were about care from other providers, patients' health-related functioning, or patients' intention to return to the emergency department. Patients' reasons for intending to return to the emergency department included the speed of care there relative to alternatives and satisfaction with the quality of care they had received previously in the emergency department. Results suggest that care coordination in usual practice may improve patient preventive care, but not some other health or cost-related outcomes.
    • Contributed Indexing:
      Keywords: care coordination; care management; patient experience; patient-centered practice
    • Publication Date:
      Date Created: 20190521 Date Completed: 20210208 Latest Revision: 20210208
    • Publication Date:
      20221213
    • Accession Number:
      10.1089/pop.2019.0007
    • Accession Number:
      31107162