Health care remains fragmented, with a lack of coordination, posing a major challenge to the quality of home care services. The way care is organised and coordinated plays a crucial role in ensuring high quality care. Factors at the system level (e.g., regulatory requirements) and at the organisational level (e.g., work environment) influence coordination.
The aims of this study are (1) to explore how funding sources and regulations (macro level) explain differences between home care agencies (meso level) in regard to agency structures, processes and the work environment, (2) to explore how the macro and meso levels are associated with coordination and (3) to explore how coordination is related to the quality of care.
Design and Methods
This study will be a national, multi-centre, cross-sectional survey of 103 Swiss home care agencies. Data will be collected between September 2020 and February 2021. We will assess financing mechanisms and regulations (information from cantons), agency structures and processes (agency questionnaire), the working environment of home care employees as well as the perceived coordination and quality of care (employee, relative and client questionnaires, routine data). Multi-level analyses will be conducted.