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Care Integration in Primary Dementia Care Networks: A Longitudinal Mixed-Methods Study
INTRODUCTION: Currently, care integration for community-dwelling persons with dementia is poor and knowledge on how to effectively facilitate development of integrated dementia care is lacking. The DementiaNet program aims to overcome this with a focus on interprofessional collaboration. The objecti...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Ubiquity Press
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8663750/ https://www.ncbi.nlm.nih.gov/pubmed/34963758 http://dx.doi.org/10.5334/ijic.5675 |
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author | Oostra, Dorien L. Harmsen, Anne Nieuwboer, Minke S. Rikkert, Marcel G. M. Olde Perry, Marieke |
author_facet | Oostra, Dorien L. Harmsen, Anne Nieuwboer, Minke S. Rikkert, Marcel G. M. Olde Perry, Marieke |
author_sort | Oostra, Dorien L. |
collection | PubMed |
description | INTRODUCTION: Currently, care integration for community-dwelling persons with dementia is poor and knowledge on how to effectively facilitate development of integrated dementia care is lacking. The DementiaNet program aims to overcome this with a focus on interprofessional collaboration. The objective of this study is to investigate how care integration in interprofessional primary dementia care networks matures and to identify factors associated with (un)successfully maturation. THEORY AND METHODS: A longitudinal mixed-methods study, including 17 primary care networks participating in the DementiaNet study, was performed. Semi-structured interviews based on the Rainbow Model of Integrated Care were conducted at start, at 12- and 24 months. Network maturity scores (range 1–4) were derived from the interviews and qualitative data was used to explain the observed patterns. RESULTS: Networks consisted on average of 9 professionals (range 4–22) covering medical, care and social disciplines. Network maturity yearly increased with 0.29 (95%-CI: 0.20–0.38). Important factors for improvement included getting to know each other’s expertise, having a capable network leader(s), stable network composition and participation of a general practitioner. CONCLUSIONS: The DementiaNet approach enables a transition towards more mature networks. Identified success factors provide better understanding of how network maturity can be achieved and gives guidance to future care integration strategies. |
format | Online Article Text |
id | pubmed-8663750 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Ubiquity Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-86637502021-12-27 Care Integration in Primary Dementia Care Networks: A Longitudinal Mixed-Methods Study Oostra, Dorien L. Harmsen, Anne Nieuwboer, Minke S. Rikkert, Marcel G. M. Olde Perry, Marieke Int J Integr Care Research and Theory INTRODUCTION: Currently, care integration for community-dwelling persons with dementia is poor and knowledge on how to effectively facilitate development of integrated dementia care is lacking. The DementiaNet program aims to overcome this with a focus on interprofessional collaboration. The objective of this study is to investigate how care integration in interprofessional primary dementia care networks matures and to identify factors associated with (un)successfully maturation. THEORY AND METHODS: A longitudinal mixed-methods study, including 17 primary care networks participating in the DementiaNet study, was performed. Semi-structured interviews based on the Rainbow Model of Integrated Care were conducted at start, at 12- and 24 months. Network maturity scores (range 1–4) were derived from the interviews and qualitative data was used to explain the observed patterns. RESULTS: Networks consisted on average of 9 professionals (range 4–22) covering medical, care and social disciplines. Network maturity yearly increased with 0.29 (95%-CI: 0.20–0.38). Important factors for improvement included getting to know each other’s expertise, having a capable network leader(s), stable network composition and participation of a general practitioner. CONCLUSIONS: The DementiaNet approach enables a transition towards more mature networks. Identified success factors provide better understanding of how network maturity can be achieved and gives guidance to future care integration strategies. Ubiquity Press 2021-12-08 /pmc/articles/PMC8663750/ /pubmed/34963758 http://dx.doi.org/10.5334/ijic.5675 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 Oostra, Dorien L. Harmsen, Anne Nieuwboer, Minke S. Rikkert, Marcel G. M. Olde Perry, Marieke Care Integration in Primary Dementia Care Networks: A Longitudinal Mixed-Methods Study |
title | Care Integration in Primary Dementia Care Networks: A Longitudinal Mixed-Methods Study |
title_full | Care Integration in Primary Dementia Care Networks: A Longitudinal Mixed-Methods Study |
title_fullStr | Care Integration in Primary Dementia Care Networks: A Longitudinal Mixed-Methods Study |
title_full_unstemmed | Care Integration in Primary Dementia Care Networks: A Longitudinal Mixed-Methods Study |
title_short | Care Integration in Primary Dementia Care Networks: A Longitudinal Mixed-Methods Study |
title_sort | care integration in primary dementia care networks: a longitudinal mixed-methods study |
topic | Research and Theory |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8663750/ https://www.ncbi.nlm.nih.gov/pubmed/34963758 http://dx.doi.org/10.5334/ijic.5675 |
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