Coordination, Comprehensiveness and Continuity as the Quality Measures of Remote Primary Healthcare in Poland

Objective: The purpose of this article is to examine the quality of remote primary healthcare in Poland measured through three dimensions: coordination, comprehensiveness, and continuity (3Cs) and examine the relationship between them. Research Design & Methods: The 3Cs were measured using a...

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Main Authors: Liliana Hawrysz, Renata Walczak, Agnieszka Bitkowska, Piotr Korneta, Wioletta Pomaranik, Magdalena Kludacz-Alessandri
Format: Article
Language:English
Published: Krakow University of Economics 2025-06-01
Series:Zeszyty Naukowe Uniwersytetu Ekonomicznego w Krakowie
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Online Access:https://krem.uek.krakow.pl/index.php/krem/article/view/17394
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author Liliana Hawrysz
Renata Walczak
Agnieszka Bitkowska
Piotr Korneta
Wioletta Pomaranik
Magdalena Kludacz-Alessandri
author_facet Liliana Hawrysz
Renata Walczak
Agnieszka Bitkowska
Piotr Korneta
Wioletta Pomaranik
Magdalena Kludacz-Alessandri
author_sort Liliana Hawrysz
collection DOAJ
description Objective: The purpose of this article is to examine the quality of remote primary healthcare in Poland measured through three dimensions: coordination, comprehensiveness, and continuity (3Cs) and examine the relationship between them. Research Design & Methods: The 3Cs were measured using a proprietary questionnaire to measure the quality of primary healthcare in a teleconsultation setting. The survey was conducted among 98 patients in primary healthcare facilities nationwide in 2021. Structural equation modelling was used in the data analysis. Findings: The survey results showed that coordination and continuity are one common dimension of quality of primary healthcare. In Poland, patients distinguish only between continuity of care and comprehensiveness. Coordination can be considered part of continuity because it requires a long-term relationship between the patient and the general practitioners. We found that continuity positively affects the comprehensiveness of primary healthcare. Implications / Recommendations: This study is the first of its kind in primary healthcare in Poland, and its results may be of particular value to general practitioners and healthcare managers wishing to improve the quality of teleconsultation services. Contribution: The evidence can help develop appropriate strategies for improving the quality of 3Cs-based care. Validated research tools provide basic metrics that can be used for future research to see to what extent the development of the telehealth system improves the continuity, coordination and comprehensiveness of remote primary healthcare.  
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spelling doaj-art-be3f8911afd24d1ba1a9ffd77d18ba522025-08-20T02:21:34ZengKrakow University of EconomicsZeszyty Naukowe Uniwersytetu Ekonomicznego w Krakowie1898-64472545-32382025-06-012(1008)10.15678/krem.17394Coordination, Comprehensiveness and Continuity as the Quality Measures of Remote Primary Healthcare in PolandLiliana Hawrysz0https://orcid.org/0000-0002-0357-9930Renata Walczak1https://orcid.org/0000-0002-9882-5195Agnieszka Bitkowska2https://orcid.org/0000-0002-2817-8244Piotr Korneta3https://orcid.org/0000-0003-2726-8309Wioletta Pomaranik4https://orcid.org/0000-0001-9552-2677Magdalena Kludacz-Alessandri5https://orcid.org/0000-0002-7011-2302Wrocław University of Science and Technology, Faculty of ManagementWarsaw University of Technology, Branch in Płock, Faculty of Civil Engineering, Mechanics and PetrochemistryWarsaw University of Technology, Faculty of ManagementWarsaw University of Technology, Faculty of ManagementWarsaw University of Technology, Branch in Płock, College of Economics and Social SciencesWarsaw University of Technology, Branch in Płock, College of Economics and Social Sciences Objective: The purpose of this article is to examine the quality of remote primary healthcare in Poland measured through three dimensions: coordination, comprehensiveness, and continuity (3Cs) and examine the relationship between them. Research Design & Methods: The 3Cs were measured using a proprietary questionnaire to measure the quality of primary healthcare in a teleconsultation setting. The survey was conducted among 98 patients in primary healthcare facilities nationwide in 2021. Structural equation modelling was used in the data analysis. Findings: The survey results showed that coordination and continuity are one common dimension of quality of primary healthcare. In Poland, patients distinguish only between continuity of care and comprehensiveness. Coordination can be considered part of continuity because it requires a long-term relationship between the patient and the general practitioners. We found that continuity positively affects the comprehensiveness of primary healthcare. Implications / Recommendations: This study is the first of its kind in primary healthcare in Poland, and its results may be of particular value to general practitioners and healthcare managers wishing to improve the quality of teleconsultation services. Contribution: The evidence can help develop appropriate strategies for improving the quality of 3Cs-based care. Validated research tools provide basic metrics that can be used for future research to see to what extent the development of the telehealth system improves the continuity, coordination and comprehensiveness of remote primary healthcare.   https://krem.uek.krakow.pl/index.php/krem/article/view/17394comprehensivenesscontinuitycoordinationquality of primary healthcare
spellingShingle Liliana Hawrysz
Renata Walczak
Agnieszka Bitkowska
Piotr Korneta
Wioletta Pomaranik
Magdalena Kludacz-Alessandri
Coordination, Comprehensiveness and Continuity as the Quality Measures of Remote Primary Healthcare in Poland
Zeszyty Naukowe Uniwersytetu Ekonomicznego w Krakowie
comprehensiveness
continuity
coordination
quality of primary healthcare
title Coordination, Comprehensiveness and Continuity as the Quality Measures of Remote Primary Healthcare in Poland
title_full Coordination, Comprehensiveness and Continuity as the Quality Measures of Remote Primary Healthcare in Poland
title_fullStr Coordination, Comprehensiveness and Continuity as the Quality Measures of Remote Primary Healthcare in Poland
title_full_unstemmed Coordination, Comprehensiveness and Continuity as the Quality Measures of Remote Primary Healthcare in Poland
title_short Coordination, Comprehensiveness and Continuity as the Quality Measures of Remote Primary Healthcare in Poland
title_sort coordination comprehensiveness and continuity as the quality measures of remote primary healthcare in poland
topic comprehensiveness
continuity
coordination
quality of primary healthcare
url https://krem.uek.krakow.pl/index.php/krem/article/view/17394
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