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Towards personalized integrated dementia care: a qualitative study into the implementation of different models of case management

BACKGROUND: The aim of this process evaluation was to provide insight into facilitators and barriers to the delivery of community-based personalized dementia care of two different case management models, i.e. the linkage model and the combined intensive case management/joint agency model. These two...

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Autores principales: Van Mierlo, Lisa D, Meiland, Franka JM, Van Hout, Hein PJ, Dröes, Rose-Marie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4105787/
https://www.ncbi.nlm.nih.gov/pubmed/25005129
http://dx.doi.org/10.1186/1471-2318-14-84
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author Van Mierlo, Lisa D
Meiland, Franka JM
Van Hout, Hein PJ
Dröes, Rose-Marie
author_facet Van Mierlo, Lisa D
Meiland, Franka JM
Van Hout, Hein PJ
Dröes, Rose-Marie
author_sort Van Mierlo, Lisa D
collection PubMed
description BACKGROUND: The aim of this process evaluation was to provide insight into facilitators and barriers to the delivery of community-based personalized dementia care of two different case management models, i.e. the linkage model and the combined intensive case management/joint agency model. These two emerging dementia care models differ considerably in the way they are organized and implemented. Insight into facilitators and barriers in the implementation of different models is needed to create future guidelines for successful implementation of case management in other regions. METHODS: A qualitative case study design was used; semi-structured interviews were conducted with 22 stakeholders on the execution and continuation phases of the implementation process. The stakeholders represented a broad range of perspectives (i.e. project leaders, case managers, health insurers, municipalities). RESULTS: The independence of the case management organization in the intensive model facilitated the implementation, whereas the presence of multiple competing case management providers in the linkage model impeded the implementation. Most impeding factors were found in the linkage model and were related to the organizational structure of the dementia care network and how partners collaborate with each other in this network. CONCLUSIONS: The results of this process evaluation show that the intensive case management model is easier to implement as case managers in this model tend to be more able to provide quality of care, are less impeded by competitiveness of other care organizations and are more closely connected to the expert team than case managers in the linkage model.
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spelling pubmed-41057872014-07-23 Towards personalized integrated dementia care: a qualitative study into the implementation of different models of case management Van Mierlo, Lisa D Meiland, Franka JM Van Hout, Hein PJ Dröes, Rose-Marie BMC Geriatr Research Article BACKGROUND: The aim of this process evaluation was to provide insight into facilitators and barriers to the delivery of community-based personalized dementia care of two different case management models, i.e. the linkage model and the combined intensive case management/joint agency model. These two emerging dementia care models differ considerably in the way they are organized and implemented. Insight into facilitators and barriers in the implementation of different models is needed to create future guidelines for successful implementation of case management in other regions. METHODS: A qualitative case study design was used; semi-structured interviews were conducted with 22 stakeholders on the execution and continuation phases of the implementation process. The stakeholders represented a broad range of perspectives (i.e. project leaders, case managers, health insurers, municipalities). RESULTS: The independence of the case management organization in the intensive model facilitated the implementation, whereas the presence of multiple competing case management providers in the linkage model impeded the implementation. Most impeding factors were found in the linkage model and were related to the organizational structure of the dementia care network and how partners collaborate with each other in this network. CONCLUSIONS: The results of this process evaluation show that the intensive case management model is easier to implement as case managers in this model tend to be more able to provide quality of care, are less impeded by competitiveness of other care organizations and are more closely connected to the expert team than case managers in the linkage model. BioMed Central 2014-07-08 /pmc/articles/PMC4105787/ /pubmed/25005129 http://dx.doi.org/10.1186/1471-2318-14-84 Text en Copyright © 2014 Van Mierlo 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 credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Van Mierlo, Lisa D
Meiland, Franka JM
Van Hout, Hein PJ
Dröes, Rose-Marie
Towards personalized integrated dementia care: a qualitative study into the implementation of different models of case management
title Towards personalized integrated dementia care: a qualitative study into the implementation of different models of case management
title_full Towards personalized integrated dementia care: a qualitative study into the implementation of different models of case management
title_fullStr Towards personalized integrated dementia care: a qualitative study into the implementation of different models of case management
title_full_unstemmed Towards personalized integrated dementia care: a qualitative study into the implementation of different models of case management
title_short Towards personalized integrated dementia care: a qualitative study into the implementation of different models of case management
title_sort towards personalized integrated dementia care: a qualitative study into the implementation of different models of case management
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4105787/
https://www.ncbi.nlm.nih.gov/pubmed/25005129
http://dx.doi.org/10.1186/1471-2318-14-84
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