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Dissertation/Thesis Abstract

Integration and Coordination of Care Delivery: Improving Care Delivery for Older Adults with Chronic Diabetes
by Plange-Kaye, Samuel, Ph.D., Northcentral University, 2020, 186; 28314241
Abstract (Summary)

The concept of relational coordination (RC) refers to the harmonization that ensues through frequent, high-quality communications reinforced by relationships involving shared goals, shared knowledge, and mutual respect and facilitates accomplishing desired goals by healthcare organizations. Coordination among healthcare providers can impact patient outcomes, especially for older adults with chronic diseases. The failure to adopt relational coordination widely has been known to impair care delivery for chronic diseases. The purpose of this study was to examine how the use of relational coordination techniques could improve performance and enhance job satisfaction among healthcare professionals and improve the quality of health of older adults (60 years and over) with T2D in Bergen County, NJ. The time, interaction, and performance (TIP) theory and the relational coordination theory (RCT) were used as the framework to guide this study. A survey design was used for data collection, and data were analyzed using SPSS version 25. The findings indicated that (a) higher levels of RC among health professionals facilitated improvements in team performance; (b) higher levels of RC positively related to job satisfaction for healthcare professionals; and (c) higher levels of RC improved patient satisfaction for older adults' with T2D in Bergen County, NJ. One recommendation is that when health professionals work in teams, frequent and timely communications in health care settings can produce quick responses to new data that becomes accessible and can help reduce delays and improve receptiveness to patient needs. Health activities centered on building relationships and communication between health professional groups may be essential to develop effective care models to facilitate improved outcomes in professional practice settings.

Indexing (document details)
Advisor: Aquino, Cesar
Commitee: Claxton, Loranzo, Kimmel, Sharon
School: Northcentral University
Department: School of Business and Technology Management
School Location: United States -- California
Source: DAI-A 82/8(E), Dissertation Abstracts International
Subjects: Health care management, Aging, Gerontology
Keywords: Health care delivery, Older adults, Chronic Diabetes, Relational Coordination
Publication Number: 28314241
ISBN: 9798582535959
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