tailieunhanh - báo cáo khoa học: " Information exchange networks for chronic illness care in primary care practices: an observational study"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Information exchange networks for chronic illness care in primary care practices: an observational study | Wensing et al. Implementation Science 2010 5 3 http content 5 1 3 Implementation Science IMPLEMENTATION SCIENCE RESEARCH ARTICLE Open Access Information exchange networks for chronic illness care in primary care practices an observational study Michel Wensing1 Jan van Lieshout1 Jan Koetsenruiter1 David Reeves2 Abstract Background Information exchange networks for chronic illness care may influence the uptake of innovations in patient care. Valid and feasible methods are needed to document and analyse information exchange networks in healthcare settings. This observational study aimed to examine the usefulness of methods to study information exchange networks in primary care practices related to chronic heart failure diabetes and chronic obstructive pulmonary disease. Methods The study was linked to a quality improvement project in the Netherlands. All health professionals in the practices were asked to complete a short questionnaire that documented their information exchange relations. Feasibility was determined in terms of response rates and reliability in terms of reciprocity of reports of receiving and providing information. For each practice a number of network characteristics were derived for each of the chronic conditions. Results Ten of the 21 practices in the quality improvement project agreed to participate in this network study. The response rates were high in all but one of the participating practices. For the analysis we used data from 67 health professionals from eight practices. The agreement between receiving and providing information was on average . The values for density centralization hierarchy and overlap of the information exchange networks showed substantial variation between the practices as well as between the chronic conditions. The most central individual in the information exchange network could be a nurse or a physician. Conclusions Further research is needed to refine the measure of information .

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