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Health Serv Res. 2012 Oct;47(5):1960-79. doi: 10.1111/j.1475-6773.2012.01405.x. Epub 2012 Mar 30.

Care coordination for the chronically ill: understanding the patient's perspective.

Author information

1
Geisinger Center for Health Research, 100 N. Academy Ave. M.C. 44-00 Danville, PA 17822, USA. ddmaeng@geisinger.edu

Abstract

OBJECTIVE:

To identify factors associated with perception of care coordination problems among chronically ill patients.

METHODS:

Patient-level data were obtained from a random-digit dial telephone survey of adults with chronic conditions. The survey measured respondents' self-report of care coordination problems and level of patient activation, using the Patient Activation Measure (PAM-13). Logistic regression was used to assess association between respondents' self-report of care coordination problems and a set of patient characteristics.

RESULTS:

Respondents in the highest activation stage had roughly 30-40 percent lower odds of reporting care coordination problems compared to those in the lowest stage (p < .01). Respondents with multiple chronic conditions were significantly more likely to report coordination problems than those with hypertension only. Respondents' race/ethnicity, employment, insurance status, income, and length of illness were not significantly associated with self-reported care coordination problems.

CONCLUSION:

We conclude that patient activation and complexity of chronic illness are strongly associated with patients' self-report of care coordination problems. Developing targeted strategies to improve care coordination around these patient characteristics may be an effective way to address the issue.

PMID:
22985032
PMCID:
PMC3513613
DOI:
10.1111/j.1475-6773.2012.01405.x
[Indexed for MEDLINE]
Free PMC Article

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