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A four phase development model for integrated care services in the Netherlands.
Mirella M N Minkman1, Kees T B Ahaus, Robbert Huijsman
1Vilans, National Center of Excellence in Long-term care, Utrecht, the Netherlands. m.minkman@vilans.nl
BMC Health Services Research
|March 6, 2009
Summary
This study introduces a four-phase model for developing integrated care services, aiding organizations in Netherlands to refine practices and evaluation designs for better healthcare delivery.
Area of Science:
- Healthcare Management
- Health Services Research
- Organizational Development
Background:
- Global trend towards multidisciplinary, interorganizational integrated care delivery.
- Limited literature details the development processes and collaboration in integrated care programs.
- Need for understanding local integrated care development pathways.
Purpose of the Study:
- To explore the development process of local integrated care services in the Netherlands.
- To conceptualize and operationalize a development model for integrated care.
- To provide a framework for improving integrated care practices.
Main Methods:
- Expert panel study.
- Two-part questionnaire to identify integrated care development processes.
- Analysis of essential integrated care elements within development phases.
Main Results:
- Identified four distinct developmental phases: initiative/design, experimental/execution, expansion/monitoring, and consolidation/transformation.
- Different integrated care elements manifest across these developmental phases.
- A descriptive model of integrated care development in the Netherlands was established.
Conclusions:
- The developed model serves as a practical tool for integrated care services to assess and improve current practices.
- The model offers a framework for designing evaluations of integrated care arrangements.
- Further research is recommended to validate the model in practice and incorporate international perspectives.
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