학술논문

Incorporating Theory into Practice: Reconceptualizing Exemplary Care Coordination Initiatives from the US Veterans Health Delivery System
Document Type
article
Source
Journal of General Internal Medicine. 34(Suppl 1)
Subject
Health Services and Systems
Health Sciences
Prevention
Mental Health
Generic health relevance
Good Health and Well Being
Congresses as Topic
Continuity of Patient Care
Delivery of Health Care
Integrated
Humans
Organizational Case Studies
United States
United States Department of Veterans Affairs
Veterans Health
care coordination
integrated care
theoretical model
theoretical framework
Clinical Sciences
General & Internal Medicine
Clinical sciences
Health services and systems
Public health
Language
Abstract
This perspective paper seeks to lay out an efficient approach for health care providers, researchers, and other stakeholders involved in interventions aimed at improving care coordination to partner in locating and using applicable care coordination theory. The objective is to learn from relevant theory-based literature about fit between intervention options and coordination needs, thereby bringing insights from theory to enhance intervention design, implementation, and troubleshooting. To take this idea from an abstract notion to tangible application, our workgroup on models and measures from the Veterans Health Administration (VA) State of the Art (SOTA) conference on care coordination first summarizes our distillation of care coordination theoretical frameworks (models) into three common conceptual domains-context of an intervention, locus in which an intervention is applied, and specific design features of the intervention. Then we apply these three conceptual domains to four cases of care coordination interventions ("use cases") chosen to represent various scopes and stages of interventions to improve care coordination for veterans. Taken together, these examples make theory more accessible and practical by demonstrating how it can be applied to specific cases. Drawing from theory offers one method to anticipate which intervention options match a particular coordination situation.