NDLI: The role of personalised professional relations across care sectors in achieving high continuity of care

Content Provider	Springer Nature : BioMed Central
Author	Forstner, Johanna Bossert, Jasmin Weis, Aline Litke, Nicola Strassner, Cornelia Szecsenyi, Joachim Wensing, Michel
Abstract	Background High continuity of care has a positive impact on health outcomes, but insight into the mechanisms underlying this impact is limited. Information continuity, on which our study focuses, is especially important when relational continuity is not given, which is often the case at hospital admission or hospital discharge. The aim of this study is to provide insight into the information flows between general practices and hospitals in Germany, and to identify factors associated with these flows of information. Methods This is a qualitative interview study in a purposeful sample of staff from hospitals and general practices (general practitioners, care assistants in general practice, hospital management, hospital physicians, and nursing staff). Interviews were conducted via telephone or face-to-face using a self-developed semi-structured interview guide. Stepwise systematic content analysis was used to structure collected material into themes and sub-themes that related to the study aim. Data was analysed by two researchers in several cycles, alternating between inductive and deductive approaches. Results A total of 49 interviews were conducted. Duration of the interviews varies between 21 and 78 min (mean duration 43 min). Across all groups, more than two thirds of participants were female (n = 34, 69%). The analysis highlighted six interdependent main themes regarding factors that affect information flows between hospitals and general practices: organisational, legal, financial, patient factors, individual characteristics, and emotional & social factors. The latter theme emerged as particularly rich and was therefore divided into four subthemes: appreciation and understanding of the respective other, (intrinsic) motivation, socialisation, and relationships. Organised meetings and events were mentioned as strategies to address emotional and social factors. Conclusions Digitalisation can facilitate information flows between care providers. However, knowing each other and good personal relations remain important for effective collaboration. Cooperation between all stakeholders is needed to aim to achieve continuity of care. Trial registration: DRKS00015183 on DRKS/ Universal Trial Number (UTN): U1111-1218–0992. Date of registration 23/08/2018.
Related Links	https://bmcprimcare.biomedcentral.com/counter/pdf/10.1186/s12875-021-01418-8.pdf
Ending Page	13
Page Count	13
Starting Page	1
File Format	HTM / HTML
ISSN	27314553
DOI	10.1186/s12875-021-01418-8
Journal	BMC Primary Care
Issue Number	1
Volume Number	22
Language	English
Publisher	BioMed Central
Publisher Date	2021-04-14
Access Restriction	Open
Subject Keyword	General Practice Family Medicine Primary Care Medicine Continuity of care Care coordination Hospital Hospital admission Hospital discharge Information flows Cooperation
Content Type	Text
Resource Type	Article
Subject	Family Practice
Journal Impact Factor	3.2/2023
5-Year Journal Impact Factor	3.3/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Unlocking information for coordination of care in Australia: a qualitative study of information continuity in four primary health care models

Communication, continuity and coordination of care are the most important patients' values for family medicine in a fee-for-services health system

General practitioner contributions to achieving sustained healthcare for offenders: a qualitative study

Cross-sectorial cooperation and supportive care in general practice: cancer patients' experiences.

Predictors of relational continuity in primary care: patient, provider and practice factors

Designing and describing an electronic referral system to facilitate direct hospital admissions

Improving continuity of patient care across sectors: study protocol of the process evaluation of a quasi-experimental multi-centre study regarding an admission and discharge model in Germany (VESPEERA).

The quality of primary care performance in private sector facilities in Nairobi, Kenya: a cross-sectional descriptive survey

Low hospital admission rates for respiratory diseases in children

The role of personalised professional relations across care sectors in achieving high continuity of care

Similar Documents

Unlocking information for coordination of care in Australia: a qualitative study of information continuity in four primary health care models

Communication, continuity and coordination of care are the most important patients' values for family medicine in a fee-for-services health system

General practitioner contributions to achieving sustained healthcare for offenders: a qualitative study

Cross-sectorial cooperation and supportive care in general practice: cancer patients' experiences.

Predictors of relational continuity in primary care: patient, provider and practice factors

Designing and describing an electronic referral system to facilitate direct hospital admissions

Improving continuity of patient care across sectors: study protocol of the process evaluation of a quasi-experimental multi-centre study regarding an admission and discharge model in Germany (VESPEERA).

The quality of primary care performance in private sector facilities in Nairobi, Kenya: a cross-sectional descriptive survey

Low hospital admission rates for respiratory diseases in children

The role of personalised professional relations across care sectors in achieving high continuity of care