Patient-centered Coordination in Healthcare Service Networks. Measuring and Improving Inter-organizational Information Flow

      Аннотация: This work investigates the idea of a coordination service that improves the information flow between independent stakeholders along the patient care pathway. Based on identified requirements regarding process, ICT-structure, and legal constraints, a stroke-specific coordination service was developed, validated, implemented, and evaluated accordingly. The coordination service, the so called Stroke Manager, was analyzed by evaluating its effectiveness, efficiency, and acceptance in an 18-months randomized controlled trial in the German region Rh?n Grabfeld. The randomized controlled trial confirmed a significant positive impact on patients' health-related quality of life (HRQoL) and competences while providing a positive cost-benefit ratio and acceptance by the involved stakeholders.

Ключевые слова: Healthcare, stroke, Service Networks, Cost Utility Analysis, Case Management, health, Information Systems, Quality of Life, TAM, UTAUT, QOL, HRQOL, CUA, Stroke Manager, telemedicine, mobile health, Cost Benefit Analysis, CBA, coordination, Information flow