PURPOSE The purpose of this study was to investigate how changes in patient-rated health and disability from baseline to after rehabilitation were associated with communication and relationships in rehabilitation teams and patient-rated continuity of care. METHODS Linear models were used to assess the associations between relational coordination [RC] and Nijmegen Continuity Questionnaire-Norwegian version [NCQ-N] with changes in the World Health Association Disability Assessment Schedule 2.0 [WHODAS 2.0] and EuroQol EQ-VAS [EQ-VAS]. To express change in WHODAS 2.0 and EQ-VAS, the model was adjusted for WHODAS 2.0 and EQ-VAS baseline scores. Analyses for possible slopes for the various diagnosis groups were performed. RESULTS A sample of 701 patients were included in the patient cohort, followed from before rehabilitation to 1 year after a rehabilitation stay involving treatment by 15 different interprofessional teams. The analyses revealed associations between continuity of care and changes in patient-rated health, measured with EQ-VAS (all p values < 0.01). RC communication was associated with more improvement in functioning in neoplasms patient group, compared to improvement of health among included patient groups. The results revealed no associations between NCQ-N and WHODAS 2.0 global score, or between RC in the rehabilitation teams treating the patients and changes in WHODAS 2.0 global score. CONCLUSION The current results revealed that better personal, team and cross-boundary continuity of rehabilitation care was associated with better patient health after rehabilitation at 1-year follow-up. Measures of patient experiences with different types of continuity of care may provide a promising indicator of the quality of rehabilitation care.

中文翻译：

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团队合作和护理连续性对康复患者健康和残疾的影响：一项来自挪威西部的纵向调查研究。

目的本研究的目的是调查从基线到康复后患者评估的健康和残疾状况的变化与康复团队中的沟通和关系以及患者评估的护理连续性之间的关系。方法采用线性模型评估世界卫生协会残疾评估时间表2.0 [WHODAS 2.0]和EuroQol EQ-VAS [EQ-N]之间的关系协调[RC]与奈梅亨连续性问卷-挪威版本[NCQ-N]之间的关联。 [VAS]。为了表达WHODAS 2.0和EQ-VAS的变化，针对WHODAS 2.0和EQ-VAS基准分数对模型进行了调整。进行了各种诊断组可能的斜率分析。结果纳入了701名患者的样本，然后从康复前到康复后的1年，由15个不同的专业团队进行治疗。分析显示，用EQ-VAS衡量的护理连续性与患者评价的健康变化之间的关联（所有p值均<0.01）。与包括在内的患者组的健康状况改善相比，RC交流与肿瘤患者组的功能改善程度更大有关。结果表明，NCQ-N与WHODAS 2.0总体评分之间没有关联，或者在康复团队中，患者治疗与RC之间没有关联。结论当前的结果表明，在1年的随访中，康复后个人，团队和跨境连续性的改善与患者康复后的健康状况有关。