Coordinating Specialty Care Across Health Systems: Primary Care Provider Survey

A survey of primary care providers in the Veterans Health Administration found that coordinating specialty care is more challenging across health systems than within them. The study suggests that strategies to support direct clinician-clinician interactions could improve cross-system care coordination.
Primary care providers in the US face challenges in coordinating specialty care with specialists in other health systems. A recent survey found that within-system care coordination is better than cross-system care. The survey included 351 primary care providers who reported on within-system care and 226 who reported on cross-system care. The results showed that overall coordination was higher for within-system care. The strongest association with overall coordination was relationships and collaboration between primary care providers and specialists. Strategies to support direct clinician-clinician interactions could improve cross-system care coordination.
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