Chronic Patients’ Values Associated to Continuity of Care – the Results of Qualitative Study (Wartosci przypisywane ciaglosci opieki przez pacjentów przewlekle chorych – wyniki badania jakosciowego)

Iga Rudawska ()
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Iga Rudawska: University of Szczecin, Faculty of Economics and Management, Institute of Economics Department of Health Economics

Problemy Zarzadzania, 2015, vol. 13, issue 53, 196-215

Abstract: The aim of this paper is to identify chronic patients’ experiences and values associated to continuity in care in integrated health care settings in Poland. The author answers two major research questions: (1) what variables do patients perceive to be significant in the continuity of care?, (2) how can the isolated elements be grouped in order to establish a model of evaluating patient care quality in the respect of continuity of care? Applying the qualitative study, focus group interview with 10 chronic ill patients has been carried. Collected responses were analysed thematically and grouped into dimensions of continuity of care. A patient-based framework for evaluating continuity of care was developed. 8 central categories and 36 sub-dimensions were constructed, that allow quality of integrated health care to be examined holistically. The following central dimensions of experienced continuity of care were identified: patients’ involvement, decision-making support, cross-boundary continuity, coordination of activities, communication with the patient, problem solving, flexibility and availability, and patient-centeredness. This study develops a patient-based framework for evaluating continuity of care. Is also identifies key transition points with problems of lack of continuity.

Keywords: continuity of care; patient perceptions; chronic care; quality indicators; Poland (search for similar items in EconPapers)
JEL-codes: I11 (search for similar items in EconPapers)
Date: 2015
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Persistent link: https://EconPapers.repec.org/RePEc:sgm:pzwzuw:v:13:i:53:y:2015:p:196-215

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