Cargando…

Consensus on Integrated Care for Older People Among Dutch Experts: A Delphi Study

INTRODUCTION: In a previous rapid realist review (RRR), an initial programme theory (PT) was established giving insight into the interrelatedness of context items, mechanisms, programme-activities, and outcomes that influence integrated care programmes (ICPs) for community-dwelling frail older peopl...

Descripción completa

Detalles Bibliográficos
Autores principales: Ahmed, Anam, van den Muijsenbergh, Maria ETC, Vrijhoef, Hubertus JM
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Ubiquity Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8663748/
https://www.ncbi.nlm.nih.gov/pubmed/34963759
http://dx.doi.org/10.5334/ijic.5682
_version_ 1784613710798520320
author Ahmed, Anam
van den Muijsenbergh, Maria ETC
Vrijhoef, Hubertus JM
author_facet Ahmed, Anam
van den Muijsenbergh, Maria ETC
Vrijhoef, Hubertus JM
author_sort Ahmed, Anam
collection PubMed
description INTRODUCTION: In a previous rapid realist review (RRR), an initial programme theory (PT) was established giving insight into the interrelatedness of context items, mechanisms, programme-activities, and outcomes that influence integrated care programmes (ICPs) for community-dwelling frail older people. As ICPs need to be tailored to their local setting, the objective of this study is to assess consensus on the relevance of the items identified in the RRR for the Dutch setting, and refine the PT, where appropriate. METHODS: A two-round e-Delphi study was carried out among Dutch experts to determine the relevance of 71 items. RESULTS: Consensus on relevance was reached on 57 out of 71 items (80%). Items added to refine the PT included: increasing number of older people, decreasing access to hospital beds, well-designed ICP implementation processes, case management, having a clear portfolio of patients, the role of the government, aligning existing health and social care systems, management and monitoring of care activities, strong relationship between older person and healthcare providers (HCP), and providing continuous feedback to HCPs. CONCLUSION AND DISCUSSION: The initial PT was refined for the Dutch setting. Items on which no consensus was found, need to be further investigated on the reason behind it.
format Online
Article
Text
id pubmed-8663748
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Ubiquity Press
record_format MEDLINE/PubMed
spelling pubmed-86637482021-12-27 Consensus on Integrated Care for Older People Among Dutch Experts: A Delphi Study Ahmed, Anam van den Muijsenbergh, Maria ETC Vrijhoef, Hubertus JM Int J Integr Care Research and Theory INTRODUCTION: In a previous rapid realist review (RRR), an initial programme theory (PT) was established giving insight into the interrelatedness of context items, mechanisms, programme-activities, and outcomes that influence integrated care programmes (ICPs) for community-dwelling frail older people. As ICPs need to be tailored to their local setting, the objective of this study is to assess consensus on the relevance of the items identified in the RRR for the Dutch setting, and refine the PT, where appropriate. METHODS: A two-round e-Delphi study was carried out among Dutch experts to determine the relevance of 71 items. RESULTS: Consensus on relevance was reached on 57 out of 71 items (80%). Items added to refine the PT included: increasing number of older people, decreasing access to hospital beds, well-designed ICP implementation processes, case management, having a clear portfolio of patients, the role of the government, aligning existing health and social care systems, management and monitoring of care activities, strong relationship between older person and healthcare providers (HCP), and providing continuous feedback to HCPs. CONCLUSION AND DISCUSSION: The initial PT was refined for the Dutch setting. Items on which no consensus was found, need to be further investigated on the reason behind it. Ubiquity Press 2021-12-08 /pmc/articles/PMC8663748/ /pubmed/34963759 http://dx.doi.org/10.5334/ijic.5682 Text en Copyright: © 2021 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.
spellingShingle Research and Theory
Ahmed, Anam
van den Muijsenbergh, Maria ETC
Vrijhoef, Hubertus JM
Consensus on Integrated Care for Older People Among Dutch Experts: A Delphi Study
title Consensus on Integrated Care for Older People Among Dutch Experts: A Delphi Study
title_full Consensus on Integrated Care for Older People Among Dutch Experts: A Delphi Study
title_fullStr Consensus on Integrated Care for Older People Among Dutch Experts: A Delphi Study
title_full_unstemmed Consensus on Integrated Care for Older People Among Dutch Experts: A Delphi Study
title_short Consensus on Integrated Care for Older People Among Dutch Experts: A Delphi Study
title_sort consensus on integrated care for older people among dutch experts: a delphi study
topic Research and Theory
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8663748/
https://www.ncbi.nlm.nih.gov/pubmed/34963759
http://dx.doi.org/10.5334/ijic.5682
work_keys_str_mv AT ahmedanam consensusonintegratedcareforolderpeopleamongdutchexpertsadelphistudy
AT vandenmuijsenberghmariaetc consensusonintegratedcareforolderpeopleamongdutchexpertsadelphistudy
AT vrijhoefhubertusjm consensusonintegratedcareforolderpeopleamongdutchexpertsadelphistudy