Related Experiment Videos
Integrated dementia care in The Netherlands: a multiple case study of case management programmes
Mirella M N Minkman1, Suzanne A Ligthart, Robbert Huijsman
1Vilans, Center of Excellence for Long-term Care, Utrecht, The Netherlands. m.minkman@vilans.nl
Health & Social Care in the Community
|August 21, 2009
Summary
Integrated dementia care programs in the Netherlands enhance community living for patients. Key success factors include expert case managers, strong networks, and collaboration, leading to high patient satisfaction.
Area of Science:
- Gerontology
- Healthcare Management
- Social Work
Background:
- Growing dementia patient numbers necessitate innovative healthcare and social care delivery models.
- Integrated care is crucial for enabling dementia patients to remain in the community.
Purpose of the Study:
- To describe and analyze a novel approach in extensive case management programs for long-term dementia care in the Netherlands.
- To identify characteristics, success factors, and failure points of these dementia care programs.
Main Methods:
- A multiple case study design was employed, examining eight regional dementia care provider networks.
- Data collection involved literature review, questionnaires for managers and case managers, 16 semi-structured interviews, and project documentation analysis.
Main Results:
- Programs demonstrated shared visions, case manager roles, processes, and network partners, but varied in patient groups and case manager backgrounds.
- Success factors included case manager expertise, robust provider networks, and effective inter-organizational cooperation for integrated care.
- High caregiver and patient satisfaction were reported.
Conclusions:
- The analyzed approach shows promise for improving the quality and continuity of long-term dementia care.
- Further research is recommended to evaluate client outcomes, service utilization, and cost-effectiveness.
- Policy recommendations emphasize incentives for collaborative financial contracts to support joint provider responsibilities.
Related Concept Videos
01:15Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...
01:29Documentation in Long-Term and Home Healthcare Setting
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
01:22Dementia l: Introduction
Dementia is an acquired, progressive syndrome characterized by a decline in multiple cognitive domains severe enough to impair daily functioning and reduce independence. Although memory loss is a central feature, the diagnosis requires additional deficits involving language, executive function, visuospatial skills, judgment, calculation, or abstract reasoning. These cognitive impairments reflect underlying neurodegenerative or vascular processes that gradually disrupt neuronal networks...
01:30Dementia
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual.
The progression of dementia is generally gradual.
01:19Restorative Care
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
01:21Interdisciplinary Care: The Health Care Team-I
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution itself.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution itself.