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Kontinuitet i vården: Framtagandet av en metod för kontinuerlig mätning av kontinuitet på sjukvårdsmottagningar
Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology.
Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology.
2015 (Swedish)Independent thesis Advanced level (professional degree), 20 credits / 30 HE creditsStudent thesisAlternative title
Continuity of Care : The development of a method for continuous measurement of continuity of care (English)
Abstract [en]

Good continuity of care is considered desirable and is often referred to as an essential component in creating a more patient-centered health care. However, what is meant by continuity of care is not entirely self-evident and there are different ways to quantify and address it. The purpose of this study is to introduce a method for continuous measurement of continuity, where visits between patients and physicians in various care clinics are of interest.

Five established measurements (indices) of continuity of care were evaluated; MFPC, K, COC, MCI and SECON. Calculations on these indices were made using hospital visits-related data from January 2011 to April 2015, where a  time window of 1.5 years was used when calculating index values. The results from the calculations show a high correlation between all indices when calculated on an average of all patients at a clinic. Based on this, properties such as intuitive interpretation and simple calculations made MFPC-index this study’s single choice of index. It can be used to examine the change of  a clinic’s patient’s continuity over time. The index also allows to assign a value to a physician, showing how much continuity that doctor contributes to all its patients. A tool was also developed to visualises how many visits each patient has had with how many different doctors at a clinic. This tool allows the identification of individual patients whose continuity can be seen as undesired. These three components of the method for continuous measurement of continuity can be seen as representations of continuity from a system’s, physician’s and patient’s perspective.

Place, publisher, year, edition, pages
2015. , 83 p.
Series
UPTEC STS, ISSN 1650-8319 ; 15026
Keyword [en]
Continuity, Healthcare, measurement, Continuity of care, clinic
Keyword [sv]
Kontinuitet, läkarbesök, besök, mätning, sjukvård, klinikstatistik
National Category
Information Systems
Identifiers
URN: urn:nbn:se:uu:diva-260702OAI: oai:DiVA.org:uu-260702DiVA: diva2:848051
External cooperation
CTMH
Educational program
Systems in Technology and Society Programme
Supervisors
Examiners
Available from: 2015-09-02 Created: 2015-08-23 Last updated: 2015-09-02Bibliographically approved

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