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dc.contributor.authorWalton, Holly
dc.contributor.authorSimpson, Amy
dc.contributor.authorRamsay, Angus IG
dc.contributor.authorHudson, Emma
dc.contributor.authorHunter, Amy
dc.contributor.authorJones, Jennifer
dc.contributor.authorNg, Pei Li
dc.contributor.authorLeeson-Beevers, Kerry
dc.contributor.authorBloom, Lara
dc.contributor.authorKai, Joe
dc.contributor.authorKerecuk, Larissa
dc.contributor.authorKokocinska, Maria
dc.contributor.authorSutcliffe, Alastair G
dc.contributor.authorMorris, Stephen
dc.contributor.authorFulop, Naomi J
dc.description.abstractBACKGROUND: Improving care coordination is particularly important for individuals with rare conditions (who may experience multiple inputs into their care, across different providers and settings). To develop and evaluate strategies to potentially improve care coordination, it is necessary to develop a method for organising different ways of coordinating care for rare conditions. Developing a taxonomy would help to describe different ways of coordinating care and in turn facilitate development and evaluation of pre-existing and new models of care coordination for rare conditions. To the authors' knowledge, no studies have previously developed taxonomies of care coordination for rare conditions. This research aimed to develop and refine a care coordination taxonomy for people with rare conditions. METHODS: This study had a qualitative design and was conducted in the United Kingdom. To develop a taxonomy, six stages of taxonomy development were followed. We conducted interviews (n = 30 health care professionals/charity representatives/commissioners) and focus groups (n = 4 focus groups, 22 patients/carers with rare/ultra-rare/undiagnosed conditions). Interviews and focus groups were audio-recorded with consent, and professionally transcribed. Findings were analysed using thematic analysis. Themes were used to develop a taxonomy, and to identify which types of coordination may work best in which situations. To refine the taxonomy, we conducted two workshops (n = 12 patients and carers group; n = 15 professional stakeholder group). RESULTS: Our taxonomy has six domains, each with different options. The six domains are: (1) Ways of organising care (local, hybrid, national), (2) Ways of organising those involved in care (collaboration between many or all individuals, collaboration between some individuals, a lack of collaborative approach), (3) Responsibility for coordination (administrative support, formal roles and responsibilities, supportive roles and no responsibility), (4) How often appointments and coordination take place (regular, on demand, hybrid), (5) Access to records (full or filtered access), and (6) Mode of care coordination (face-to-face, digital, telephone). CONCLUSIONS: Findings indicate that there are different ways of coordinating care across the six domains outlined in our taxonomy. This may help to facilitate the development and evaluation of existing and new models of care coordination for people living with rare conditions.
dc.publisherSpringer Science and Business Media LLC
dc.rightsAttribution 4.0 International
dc.sourcenlmid: 101266602
dc.sourceessn: 1750-1172
dc.subjectCare Coordination
dc.subjectRare Diseases
dc.subjectHealth Care Organisation
dc.subjectRare Conditions
dc.subjectFocus Groups
dc.subjectQualitative Research
dc.subjectUnited Kingdom
dc.titleDeveloping a taxonomy of care coordination for people living with rare conditions: a qualitative study.
prism.publicationNameOrphanet J Rare Dis
dc.contributor.orcidWalton, Holly [0000-0002-8746-059X]
pubs.funder-project-idNIHR Evaluation Trials and Studies Coordinating Centre (16/116/82)

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Attribution 4.0 International
Except where otherwise noted, this item's licence is described as Attribution 4.0 International