Table 1.
Construct | Description |
---|---|
1. Coordinated within care team | The individual providers (which may include physicians, nurses, other clinicians, support staff, and administrative personnel who routinely work together to provide medical care for a specified group of patients; hereafter the “care team”) deliver consistent and informed patient care and administrative services for individual patients, regardless of the care team member providing them. |
2. Coordinated across care teams | All care teams that interact with patients, including specialists, hospital personnel, and pharmacies and deliver consistent and informed patient care and administrative services, regardless of the care team providing them. |
3. Coordinated between care teams and community resources | Care teams consider and coordinate support for patients by other teams offered in the community (e.g., Meals on Wheels). |
4. Continuous familiarity with patient over time | Clinical care team members are familiar with the patient’s past medical condition and treatments; administrative care team members are familiar with patient’s payment history and needs. |
5. Continuous proactive and responsive action between visits | Care team members reach out and respond to patients between visits; patients can access care and information 24/7. |
6. Patient centered | Care team members design care to meet patients’ (also family members and other informal caregivers’) needs and preferences; processes enhance patients’ engagement in self-management. |
7. Shared responsibility | Both the patient and his or her family and care team members are responsible for the provision of care, maintenance of good health, and management of financial resources. |
This table to display Singer et al.’s Framework for Measuring Integrated Patient Care first appeared as Table 2 in the original article: Singer, S. J., Burgers, J., Friedberg, M., Rosenthal, M. B., Leape, L., & Schneider, E. (2011). Defining and measuring integrated patient care: Promoting the next frontier in health care delivery. Medical Care Research and Review, 68(1), 112–127.