Exploring New Models for Implementing Sustainable Integrated Health Access for People in Vulnerable Positions:...

Area of Science:

• Public Health
• Health Services Research
• Mental Health Services

Background:

• Social inequalities in health persist despite universal healthcare rights in European welfare states.
• Health care organization significantly influences health inequalities by either mitigating or exacerbating determinants of health.
• The Client-Centered Coordination Platform (3CP) model aims to provide integrated health access for individuals with severe mental illness through multidisciplinary professional teams.

Purpose of the Study:

• To analyze how the 3CP model enhances integrated health and social care access for vulnerable individuals with severe mental health problems.
• To assess the potential for upscaling the 3CP model based on its implementation outcomes.
• To explore the impact of integrated care models on reducing health disparities.

Main Methods:

• A 5-year multiple case study in 3 Danish municipalities implementing the 3CP model.
• A 1-year pilot study involving quantitative registry data collection and qualitative data gathering (observations, interviews, focus groups).
• A subsequent 4-year qualitative study with extensive observations, interviews, and focus groups, alongside a co-creation process for sustaining integrated access.

Main Results:

• As of January 2024, individual interviews with 3CP users and professionals, and focus groups are complete.
• Manager interviews are scheduled for Q1 2024, and quantitative data collection is ongoing.
• The study is actively gathering data to characterize 3CP participants and assess model implementation.

Conclusions:

• Addressing inequality is a critical challenge for European societies.
• Innovative integrated care approaches, like the 3CP model, offer potential solutions to health inequality.
• Designing health and social care systems tailored to user needs is vital for tackling inequality effectively.