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A four phase development model for integrated care services in the Netherlands

BACKGROUND: Multidisciplinary and interorganizational arrangements for the delivery of coherent integrated care are being developed in a large number of countries. Although there are many integrated care programs worldwide, the process of developing these programs and interorganizational collaborati...

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Autores principales: Minkman, Mirella MN, Ahaus, Kees TB, Huijsman, Robbert
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2660899/
https://www.ncbi.nlm.nih.gov/pubmed/19261176
http://dx.doi.org/10.1186/1472-6963-9-42
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author Minkman, Mirella MN
Ahaus, Kees TB
Huijsman, Robbert
author_facet Minkman, Mirella MN
Ahaus, Kees TB
Huijsman, Robbert
author_sort Minkman, Mirella MN
collection PubMed
description BACKGROUND: Multidisciplinary and interorganizational arrangements for the delivery of coherent integrated care are being developed in a large number of countries. Although there are many integrated care programs worldwide, the process of developing these programs and interorganizational collaboration is described in the literature only to a limited extent. The purpose of this study is to explore how local integrated care services are developed in the Netherlands, and to conceptualize and operationalize a development model of integrated care. METHODS: The research is based on an expert panel study followed by a two-part questionnaire, designed to identify the development process of integrated care. Essential elements of integrated care, which were developed in a previous Delphi and Concept Mapping Study, were analyzed in relation to development process of integrated care. RESULTS: Integrated care development can be characterized by four developmental phases: the initiative and design phase; the experimental and execution phase; the expansion and monitoring phase; and the consolidation and transformation phase. Different elements of integrated care have been identified in the various developmental phases. CONCLUSION: The findings provide a descriptive model of the development process that integrated care services can undergo in the Netherlands. The findings have important implications for integrated care services, which can use the model as an instrument to reflect on their current practices. The model can be used to help to identify improvement areas in practice. The model provides a framework for developing evaluation designs for integrated care arrangements. Further research is recommended to test the developed model in practice and to add international experiences.
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spelling pubmed-26608992009-03-26 A four phase development model for integrated care services in the Netherlands Minkman, Mirella MN Ahaus, Kees TB Huijsman, Robbert BMC Health Serv Res Research Article BACKGROUND: Multidisciplinary and interorganizational arrangements for the delivery of coherent integrated care are being developed in a large number of countries. Although there are many integrated care programs worldwide, the process of developing these programs and interorganizational collaboration is described in the literature only to a limited extent. The purpose of this study is to explore how local integrated care services are developed in the Netherlands, and to conceptualize and operationalize a development model of integrated care. METHODS: The research is based on an expert panel study followed by a two-part questionnaire, designed to identify the development process of integrated care. Essential elements of integrated care, which were developed in a previous Delphi and Concept Mapping Study, were analyzed in relation to development process of integrated care. RESULTS: Integrated care development can be characterized by four developmental phases: the initiative and design phase; the experimental and execution phase; the expansion and monitoring phase; and the consolidation and transformation phase. Different elements of integrated care have been identified in the various developmental phases. CONCLUSION: The findings provide a descriptive model of the development process that integrated care services can undergo in the Netherlands. The findings have important implications for integrated care services, which can use the model as an instrument to reflect on their current practices. The model can be used to help to identify improvement areas in practice. The model provides a framework for developing evaluation designs for integrated care arrangements. Further research is recommended to test the developed model in practice and to add international experiences. BioMed Central 2009-03-04 /pmc/articles/PMC2660899/ /pubmed/19261176 http://dx.doi.org/10.1186/1472-6963-9-42 Text en Copyright © 2009 Minkman et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Minkman, Mirella MN
Ahaus, Kees TB
Huijsman, Robbert
A four phase development model for integrated care services in the Netherlands
title A four phase development model for integrated care services in the Netherlands
title_full A four phase development model for integrated care services in the Netherlands
title_fullStr A four phase development model for integrated care services in the Netherlands
title_full_unstemmed A four phase development model for integrated care services in the Netherlands
title_short A four phase development model for integrated care services in the Netherlands
title_sort four phase development model for integrated care services in the netherlands
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2660899/
https://www.ncbi.nlm.nih.gov/pubmed/19261176
http://dx.doi.org/10.1186/1472-6963-9-42
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