Unknown makes unloved—A case study on improving integrated health and social care in the Netherlands using a participatory approach

Lette, Manon; Boorsma, Marijke; Lemmens, Lidwien C.; Stoop, Annerieke; Nijpels, Giel; Baan, Caroline A.; Bruin, Simone de

doi:10.1111/hsc.12901

Cited by 15 publications

(23 citation statements)

References 47 publications

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“…One should, however, realize that these processes of collaboration, co-creation, learning, and reflection take time. Taking small steps and building on existing experiences and practice will help leverage commitment to the change process and thereby support its feasibility and sustainability [7,22].…”

Section: The Project Was Funded Under Horizon 2020 -The Frameworkmentioning

confidence: 99%

Different Contexts, Similar Challenges. SUSTAIN’s Experiences with Improving Integrated Care in Europe

Bruin¹,

Billings²,

Stoop³

et al. 2020

International Journal of Integrated Care

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Section: The Project Was Funded Under Horizon 2020 -The Frameworkmentioning

confidence: 99%

Different Contexts, Similar Challenges. SUSTAIN’s Experiences with Improving Integrated Care in Europe

Bruin¹,

Billings²,

Stoop³

et al. 2020

International Journal of Integrated Care

Self Cite

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“…The program outcomes presented in the logic model were derived from studies of related care models [ 9 10 11 82 83 84 85 ]; outcomes that have been proposed for integrated care initiatives [ 8 86 ]; the program team’s realistic assumptions and/or stakeholder expectations (e.g., relief and support, coordination, costs and perception of aging). Achievement of these outcomes relies on important assumptions such as trusting relationships and strong communication between providers [ 87 ] as well as “provider commitment to and understanding of the model” [ 88 ]. However, previous authors have questioned whether some of the outcomes hypothesized for integrated care for this population are in fact appropriate or realistic, such as improvements in activities of daily living or quality adjusted life years [ 9 10 ].…”

Section: Discussionmentioning

confidence: 99%

A Contextual Analysis and Logic Model for Integrated Care for Frail Older Adults Living at Home: The INSPIRE Project

et al. 2021

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Introduction: Implementation science methods and a theory-driven approach can enhance the understanding of whether, how, and why integrated care for frail older adults is successful in practice. In this study, we aimed to perform a contextual analysis, develop a logic model, and select preliminary implementation strategies for an integrated care model in newly created information and advice centers for older adults in Canton Basel-Landschaft, Switzerland. Methods: We conducted a contextual analysis to determine factors which may influence the integrated care model and implementation strategies needed. A logic model depicting the overall program theory, including inputs, core components, outputs and outcomes, was designed using a deductive approach, and included stakeholders’ feedback and preliminary implementation strategies. Results: Contextual factors were identified (e.g., lack of integrated care regulations, existing community services, and a care pathway needed). Core components of the care model include screening, referral, assessment, care plan creation and coordination, and follow-up. Outcomes included person-centred coordinated care experiences, hospitalization rate and symptom burden, among others. Implementation strategies (e.g., nurse training and co-developing educational materials) were proposed to facilitate care model adoption. Conclusion: Contextual understanding and a clear logic model should enhance the potential for successful implementation of the integrated care model.

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“…Collaborative initiatives may offer multiple benefits and are growing in numbers; however, they do not always meet expectations (Cameron et al., 2014; Lette et al., 2020), which calls for a deeper understanding of how they can be successfully managed, i.e., identification of potential facilitators and constraints.…”

Section: Introductionmentioning

confidence: 99%

“…Prior research on collaboration in organising and delivering LTC services and its facilitators and/or constraints is rather extensive (Clarkson et al., 2011; Lette et al., 2020; Pearson & Watson, 2018). However, due to the variety of joint working forms and inconsistency in the use of their terminology and lack of information on the relationship formality in existing research, drawing firm conclusions is difficult.…”

Section: Introductionmentioning

confidence: 99%

Stakeholder collaboration in long‐term care of older people in Lithuania

Poškutė

Kazlauskaitė

Matonytė

2021

Health Soc Care Community

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Demographic situation, changes in the role of women in society and growing demand for long‐term care (LTC) of older people have challenged the ability to meet the growing LTC needs in most developed countries. In countries where responsibility for LTC is still largely laid on families, it is, however, even more critical and calls for improvements in formal LTC systems. More intensive stakeholder collaboration in LTC policy development, organising and delivery are of primary importance in improving LTC systems. Such collaboration, however, is not always successful; thus, it is critical to understand what makes it effective and efficient. In this paper, we specifically look into multistakeholder collaboration in LTC in Lithuania, one of the fastest ageing countries in the EU, with the demand for LTC services growing fast and exceeding the supply despite rising business and NGO engagement. To determine facilitators of such collaboration, we build on the data obtained through eight focus group discussions with all key stakeholder representatives (LTC policymakers, organisers and service providers [public, private and NGOs], 54 participants in total). Our findings indicate that in addition to national and organisational level facilitators studied in prior research, there are important individual level factors, such as meaningfulness at work, concern and care for others, possibility for personal growth and development, satisfaction with supervision, a sense of belonging and role clarity. On the other hand, our results show that collaboration is constrained by a shortage of human resources, increased workload caused by growing LTC demand, bureaucratic requirements, legal restrictions, lack of awareness of LTC service availability among elder persons, and prevailing social norms and attitudes to institutionalised care. Interestingly, a lack of financial resources is not perceived as a major constraint.

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Unknown makes unloved—A case study on improving integrated health and social care in the Netherlands using a participatory approach

Cited by 15 publications

References 47 publications

Different Contexts, Similar Challenges. SUSTAIN’s Experiences with Improving Integrated Care in Europe

Different Contexts, Similar Challenges. SUSTAIN’s Experiences with Improving Integrated Care in Europe

A Contextual Analysis and Logic Model for Integrated Care for Frail Older Adults Living at Home: The INSPIRE Project

Stakeholder collaboration in long‐term care of older people in Lithuania

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