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Towards a taxonomy for integrated care: a mixed-methods study.

Pim P Valentijn1, Inge C Boesveld2, Denise M van der Klauw3

  • 1Scientific Centre for Care and Welfare (Tranzo), Tilburg University, Tilburg, The Netherlands.

International Journal of Integrated Care
|March 12, 2015
PubMed
Summary

This study refines the Rainbow Model of Integrated Care by developing a taxonomy of 59 key features across six dimensions. It offers a framework for advancing integrated health care services in primary care settings.

Keywords:
Delphi studyclassificationcoordinated careintegrated careliterature reviewprimary caretaxonomy

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Area of Science:

  • Health Services Research
  • Healthcare Management
  • Primary Care

Background:

  • Integrated care is crucial for high-quality, affordable healthcare.
  • The Rainbow Model of Integrated Care outlines six dimensions of integration.
  • Existing models require refinement for practical application.

Purpose of the Study:

  • To refine the Rainbow Model of Integrated Care.
  • To develop a taxonomy specifying key features for each integration dimension.
  • To establish a scientific framework for integrated care development.

Main Methods:

  • A comprehensive literature review identified features for integrated service delivery.
  • Thematic analysis was employed to categorize features within the Rainbow Model's dimensions.
  • A Delphi study with Dutch experts validated the appropriateness of the identified features.

Main Results:

  • A taxonomy comprising 59 key features across the six dimensions of the Rainbow Model was developed.
  • Experts found features for clinical, professional, organizational, and normative integration appropriate.
  • Features related to functional and system integration were deemed less appropriate by experts.

Conclusions:

  • The developed taxonomy contributes to defining integrated care concepts and typologies.
  • This research provides a roadmap for creating a widely accepted scientific framework for integrated care.
  • The findings support end-users, professionals, managers, and policymakers in advancing integrated care.