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

2019 ◽  
Vol 28 (2) ◽  
pp. 670-680
Author(s):  
Manon Lette ◽  
Marijke Boorsma ◽  
Lidwien Lemmens ◽  
Annerieke Stoop ◽  
Giel Nijpels ◽  
...  
Keyword(s):  
The Netherlands ◽  
Social Care ◽  
Participatory Approach ◽  
Health And Social Care ◽  
Integrated Health

scholarly journals Improving performance intelligence for governing an integrated health and social care delivery network: a case study on the Amsterdam Noord district

2021 ◽  
Author(s):  
Véronique LLC Bos ◽  
Niek S Klazinga ◽  
Dionne S Kringos
Keyword(s):  
Information Needs ◽  
Social Care ◽  
Care Delivery ◽  
Care Providers ◽  
Data Infrastructure ◽  
Health And Social Care ◽  
Catchment Areas ◽  
Integrated Health ◽  
Delivery Network

Abstract Background: A guiding principle of a successful integrated health and social care delivery network is to establish a governance approach based on learning, grounded in a data and knowledge infrastructure. The ‘Krijtmolen Alliantie’ is a network of health and social care providers with the ambition to realize such a performance intelligence driven governance model in line with the Triple Aim. This study seeks to identify what performance intelligence is available and how it can be improved.Methods: This case study was conducted in the district of Amsterdam Noord, the Netherlands, and employed 23 semi-structured interviews with stakeholders in health and social care, a feasibility analysis of available administrative data, and a reflection meeting with board members of the ‘Krijtmolen Alliantie’. Information needs for performance intelligence by the stakeholders were mapped and a data landscape of the district covered by the network was drafted. Finally, in the reflection meeting with board members of the ‘Krijtmolen Alliantie’ the information needs and data landscape were aligned with governing needs, resulting in priority domains around which to strengthen the data infrastructure for governance of the integrated health and social care delivery network. Results: The ‘Krijtmolen Alliantie’ encompasses a network of providers with a diverse range of catchment areas. There are indicators on population health and welfare, however they have limited actionability for providers due to a misalignment with their respective catchment areas. There is a barrier in data exchange between health and social care providers. It is difficult to construct one indicator for per capita cost in the Dutch health data infrastructure as health and social care are subdivided in financing siloes. Priority domains for improvement of performance intelligence for the ‘Krijtmolen Alliantie’ are: 1) Per capita and per patient cost data integration that would allow combined accountability through bundling of financing, and 2) combined patient experience and outcome measures to reflect network quality of care and patient experience performance. Conclusion: Available performance intelligence lacks actionability for the governance of integrated care networks. Our recommendation is to align performance intelligence with the regional governance responsibilities of stakeholders for health and social care delivery.

A case study evaluation of a community multidisciplinary team in South East England using a mixed-method approach

2020 ◽  
Vol 70 (suppl 1) ◽  
pp. bjgp20X711569
Author(s):  
Jessica Wyatt Muscat
Keyword(s):  
Mental Health ◽  
Mixed Method ◽  
Social Care ◽  
Free Form ◽  
Normalisation Process Theory ◽  
Multidisciplinary Teams ◽  
Mixed Method Approach ◽  
Health And Social Care ◽  
Method Approach

BackgroundCommunity multidisciplinary teams (MDTs) represent a model of integrated care comprising health, social care, and the voluntary sector where members work collaboratively to coordinate care for those patients most at risk.AimThe evaluation will answer the question, ‘What are the enablers and what are the restrictors to the embedding of the case study MDT into the routine practice of the health and social care teams involved in the project?’MethodThe MDT was evaluated using a mixed-method approach with normalisation process theory as a methodological tool. Both quantitative and qualitative data were gathered through a questionnaire consisting of the NoMAD survey followed by free-form questions.ResultsThe concepts of the MDT were generally clear, and participants could see the potential benefits of the programme, though this was found to be lower in GPs. Certain professionals, particularly mental health and nursing professionals, found it difficult to integrate the MDT into normal working patterns because of a lack of resources. Participants also felt there was a lack of training for MDT working. A lack of awareness of evidence supporting the programme was shown particularly within management, GP, and nursing roles.ConclusionSpecific recommendations have been made in order to improve the MDT under evaluation. These include adjustments to IT systems and meeting documentation, continued education as to the purpose of the MDT, and the engagement of GPs to enable better buy-in. Recommendations were made to focus the agenda with specialist attendance when necessary, and to expand the MDT remit, particularly in mental health and geriatrics.

scholarly journals The Return Home Program: integrated health and social care for post-stroke patients

2016 ◽  
Vol 16 (6) ◽  
pp. 219
Author(s):  
Aina Plaza ◽  
Marta Fabà ◽  
Marco Inzitari ◽  
Mercè Salvat ◽  
Patricio Hernández ◽  
...  
Keyword(s):  
Social Care ◽  
Stroke Patients ◽  
Home Program ◽  
Post Stroke ◽  
Health And Social Care ◽  
Integrated Health ◽  
Return Home

Providing Integrated Health and Social Care for Older Persons in Italy

2019 ◽  
pp. 371-414
Author(s):  
Giorgia Nesti ◽  
Stefano Campostrini ◽  
Stefano Garbin ◽  
Paola Piva ◽  
Patrizia Di Santo ◽  
...  
Keyword(s):  
Older Persons ◽  
Social Care ◽  
Health And Social Care ◽  
Integrated Health
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