TY - JOUR
AU - D. M. Hynes
AU - A. Hickok
AU - H. McCready
AU - M. Niederhausen
AU - M. Rowneki
AU - D. J. Govier
AU - S. J. Singer
AU - K. M. Cordasco
AU - C. G. Slatore
AU - M. L. Maciejewski
AU - K. McDonald
AU - L. Perla
AU - A. Moss
A1 - 
AB - Research shows care coordination contributes to integrated care experiences. Yet evidence from system-level initiatives is lacking. Using a survey of Veterans Health Administration (VHA) patients linked with clinical records, this nonrandomized, cross-sectional study compares perceived care integration among patients at high risk of hospitalization or mortality who did and did not receive care coordination services at 31 VHA sites during early implementation of a national initiative. Six validated dimensions included: knowledge about patient's medical history among staff, providers, and specialists; provider support for self-directed care and for medication adherence and home care; and test results communication. Among 714 respondents, 48% had received care coordination services, 78% were 65 or older, and 95% were male. Regression models suggest little association between receipt of care coordination and perceived care integration. Implementation monitoring followed by responsive adaptations may be needed to boost patient perceptions of care integration.
AD - VA Portland Health Care System, OR, USA.; Oregon State University, Corvallis, USA.; Oregon Health & Science University, Portland, USA.; Oregon Health & Science University-Portland State University School of Public Health, Oregon Health & Science University, USA.; Stanford University, CA, USA.; VA Greater Los Angeles Healthcare System, CA, USA.; University of California, Los Angeles, USA.; Durham VA Medical Center, NC, USA.; Duke University, Durham, NC, USA.; Johns Hopkins University, Baltimore, MD, USA.; Veterans Affairs Central Office, Washington, DC, USA.
AN - 41617222
BT - Med Care Res Rev
C5 - Healthcare Disparities
CP - 3
DA - Jun
DO - 10.1177/10775587251413444
DP - NLM
ET - 20260130
IS - 3
JF - Med Care Res Rev
LA - eng
N2 - Research shows care coordination contributes to integrated care experiences. Yet evidence from system-level initiatives is lacking. Using a survey of Veterans Health Administration (VHA) patients linked with clinical records, this nonrandomized, cross-sectional study compares perceived care integration among patients at high risk of hospitalization or mortality who did and did not receive care coordination services at 31 VHA sites during early implementation of a national initiative. Six validated dimensions included: knowledge about patient's medical history among staff, providers, and specialists; provider support for self-directed care and for medication adherence and home care; and test results communication. Among 714 respondents, 48% had received care coordination services, 78% were 65 or older, and 95% were male. Regression models suggest little association between receipt of care coordination and perceived care integration. Implementation monitoring followed by responsive adaptations may be needed to boost patient perceptions of care integration.
PY - 2026
SN - 1077-5587 (Print); 1077-5587
SP - 183
EP - 194+
ST - Patient Perspectives of Care Integration During Early Implementation of a Care Coordination Initiative
T1 - Patient Perspectives of Care Integration During Early Implementation of a Care Coordination Initiative
T2 - Med Care Res Rev
TI - Patient Perspectives of Care Integration During Early Implementation of a Care Coordination Initiative
U1 - Healthcare Disparities
U3 - 10.1177/10775587251413444
VL - 83
VO - 1077-5587 (Print); 1077-5587
Y1 - 2026
ER -