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Published on: September 30, 2020
Do integrated care structures foster processes of integration? A quasi-experimental study in frail elderly care from
Benjamin Janse1, Robbert Huijsman1, Ruben Dennis Maurice de Kuyper2
1Institute of Health Policy and Management, Erasmus University Rotterdam , PO Box 1738, 3000 DR Rotterdam, The Netherlands.
Objective:
This study explores the processes of integration that are assumed to underlie integrated care delivery.
Design:
A quasi-experimental design with a control group was used; a new instrument was developed to measure integration from the professional perspective.
Setting And Participants:
Professionals from primary care practices and home-care organizations delivering care to the frail elderly in the Walcheren region of the Netherlands.
Intervention:
An integrated care intervention specifically targeting frail elderly patients was implemented.
Main Outcome Measures:
Structural, cultural, social and strategic integration and satisfaction with integration.
Results:
The intervention significantly improved structural, cultural and social integration, agreement on goals, interests, power and resources and satisfaction with integration.
Conclusions:
This study confirms that integrated care structures foster processes of integration among professionals.
Trial Registration:
Current Controlled Trials ISRCTN05748494.
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