CoChat
Sign Up
Cited by 16Interprofessional Education and CollaborationHealthcare Systems and TechnologyCerebral Palsy and Movement Disorders

Evaluating patient care communication in integrated care settings: application of a mixed method approach in cerebral palsy programs

Gulmans, J., Vollenbroek-Hutten, M. M. R., Van Gemert-Pijnen, J. E. W. C., Van Harten, W. H.·2009·International Journal for Quality in Health Care
DOI 10.1093/intqhc/mzn053
Open this paper in CoChat — free account

Abstract

OBJECTIVE: In this study, we evaluated patient care communication in the integrated care setting of children with cerebral palsy in three Dutch regions in order to identify relevant communication gaps experienced by both parents and involved professionals. DESIGN: A three-step mixed method approach was used starting with a questionnaire to identify communication links in which parents experienced gaps. In subsequent in-depth interviews with parents and focus group meetings with professionals underlying factors were evaluated. RESULTS: In total, 197 parents completed the questionnaire (response 67%); 6% scored negative on parent-professional communication, whereas 17% scored negative on inter-professional communication, especially between the rehabilitation physician and primary care physiotherapy (16%) and (special) education/day care (15%). In-depth interviews among a subset of 20 parents revealed various sources of dissatisfaction such as lack of cooperation and patient centeredness, inappropriate amount of information exchange and professional use of parents as messenger of information. Focus group meetings revealed that professionals recognized these gaps. They attributed them to capacity problems, lack of interdisciplinary guidelines and clear definition of roles, but also a certain hesitance for contact due to unfamiliarity with involved professionals in the care network. CONCLUSIONS: Parents particularly identified gaps in inter-professional communication between (rehabilitation) hospitals and primary care settings. Involved professionals recognized these gaps and primarily attributed them to organizational factors. Improvement initiatives should focus on these factors as well as facilitation of low-threshold contact across the patient's care network.

Integrity signals

Registry

Crossref · 10.1093/intqhc/mzn053

Cites

27 of 27 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • There is not necessarily a limit to the kinds of materials that can be included in desk research, depending on the research question.

    “Second, there is not necessarily a limit to the kinds of materials that can be included in desk research, depending on the research question.”

    From Methods for Human-Centered eHealth Development: Narrative Scoping Review (2022) · cites this paper as [33]

  • When shaping a multi-method or mixed methods development process, an iterative and flexible development approach is key.

    “the lessons learned illustrated that when shaping a multi-method or mixed methods development process, an iterative and flexible development approach is key [33,54,55,64,113,115].”

    From Methods for Human-Centered eHealth Development: Narrative Scoping Review (2022) · cites this paper as [33]

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Related

Authors
Gulmans, J., Vollenbroek-Hutten, M. M. R., Van Gemert-Pijnen, J. E. W. C., & Van Harten, W. H.
Affiliations
Roessingh Research and Development (NL)
Corresponding author
Gulmans, J.
ORCID
Venue
International Journal for Quality in Health Care
Publisher
Oxford University Press (OUP)
Published
2009-02-01
Volume
21
Issue
1
Pages
58-65
ISSN
  • 1353-4505 (ISSN-L)
  • 1464-3677
DOI
10.1093/intqhc/mzn053
OpenAlex
W2160876317
Cited by
15
References
26
Citations by year
2026: 1 · 2024: 1 · 2021: 1 · 2018: 2 · 2017: 1 · 2014: 1 · 2013: 2 · 2012: 2
FWCI
2.57
Type
journal article
Language
en
Open access
closed
Locations
  • International Journal for Quality in Health Care (publishedVersion)
  • PubMed (publishedVersion)
  • University of Twente Research Information (publishedVersion)
  • University of Twente Research Information (submittedVersion)
Funders
Vrije Universiteit Amsterdam
Topics
  • Health Sciences › Health Professions › General Health Professions › Interprofessional Education and Collaboration
  • Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
  • Health Sciences › Medicine › Psychiatry and Mental health › Cerebral Palsy and Movement Disorders
Keywords
cerebral palsy, integrated care, interprofessional communication, parent-professional communication, communication gap, rehabilitation physicians, primary care physiotherapy, special education, daycare centers, patient-centeredness, organizational factors, care networks, children
MeSH terms
Cerebral Palsy, Child, Child, Preschool, Communication, Humans, Interviews as Topic, Netherlands, Patient Care Management, Professional-Family Relations, Surveys and Questionnaires, Focus Groups, Delivery of Health Care, Integrated

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review