Predicting Use of Nurse Care Coordination by Older Adults With Chronic Conditions

Catherine E. Vanderboom, Diane E. Holland, Jay Mandrekar, Christine M. Lohse, Stephanie G. Witwer, Vicki L. Hunt

Research output: Contribution to journalArticlepeer-review

Abstract

To be effective, nurse care coordination must be targeted at individuals who will use the service. The purpose of this study was to identify variables that predicted use of care coordination by primary care patients. Data on the potential predictor variables were obtained from patient interviews, the electronic health record, and an administrative database of 178 adults eligible for care coordination. Use of care coordination was obtained from an administrative database. A multivariable logistic regression model was developed using a bootstrap sampling approach. Variables predicting use of care coordination were dependence in both activities of daily living (ADL) and instrumental activities of daily living (IADL; odds ratio [OR] = 5.30, p =.002), independent for ADL but dependent for IADL (OR = 2.68, p =.01), and number of prescription medications (OR = 1.12, p =.002). Consideration of these variables may improve identification of patients to target for care coordination.

Original languageEnglish (US)
Pages (from-to)862-885
Number of pages24
JournalWestern Journal of Nursing Research
Volume39
Issue number7
DOIs
StatePublished - Jul 1 2017

Keywords

  • health service use
  • nurse care coordination
  • primary care

ASJC Scopus subject areas

  • Nursing(all)

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