91
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

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

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Introduction

          Building integrated services in a primary care setting is considered an essential important strategy for establishing a high-quality and affordable health care system. The theoretical foundations of such integrated service models are described by the Rainbow Model of Integrated Care, which distinguishes six integration dimensions (clinical, professional, organisational, system, functional and normative integration). The aim of the present study is to refine the Rainbow Model of Integrated Care by developing a taxonomy that specifies the underlying key features of the six dimensions.

          Methods

          First, a literature review was conducted to identify features for achieving integrated service delivery. Second, a thematic analysis method was used to develop a taxonomy of key features organised into the dimensions of the Rainbow Model of Integrated Care. Finally, the appropriateness of the key features was tested in a Delphi study among Dutch experts.

          Results

          The taxonomy consists of 59 key features distributed across the six integration dimensions of the Rainbow Model of Integrated Care. Key features associated with the clinical, professional, organisational and normative dimensions were considered appropriate by the experts. Key features linked to the functional and system dimensions were considered less appropriate.

          Discussion

          This study contributes to the ongoing debate of defining the concept and typology of integrated care. This taxonomy provides a development agenda for establishing an accepted scientific framework of integrated care from an end-user, professional, managerial and policy perspective.

          Related collections

          Most cited references124

          • Record: found
          • Abstract: found
          • Article: not found

          Self-management education: history, definition, outcomes, and mechanisms.

          Self-management has become a popular term for behavioral interventions as well as for healthful behaviors. This is especially true for the management of chronic conditions. This article offers a short history of self-management. It presents three self-management tasks--medical management, role management, and emotional management--and six self-management skills--problem solving, decision making, resource utilization, the formation of a patient-provider partnership, action planning, and self-tailoring. In addition, the article presents evidence of the effectiveness of self-management interventions and posits a possible mechanism, self-efficacy, through which these interventions work. In conclusion the article discusses problems and solutions for integrating self-management education into the mainstream health care systems.
            Bookmark
            • Record: found
            • Abstract: not found
            • Book: not found

            Qualitative research and evaluation methods.

              Bookmark
              • Record: found
              • Abstract: found
              • Article: found
              Is Open Access

              Outcomes associated with matching patients' treatment preferences to physicians' recommendations: study methodology

              Background Patients often express strong preferences for the forms of treatment available for their disease. Incorporating these preferences into the process of treatment decision-making might improve patients' adherence to treatment, contributing to better outcomes. We describe the methodology used in a study aiming to assess treatment outcomes when patients' preferences for treatment are closely matched to recommended treatments. Method Participants included patients with moderate and severe psoriasis attending outpatient dermatology clinics at the University Medical Centre Mannheim, University of Heidelberg, Germany. A self-administered online survey used conjoint analysis to measure participants' preferences for psoriasis treatment options at the initial study visit. Physicians' treatment recommendations were abstracted from each participant's medical records. The Preference Matching Index (PMI), a measure of concordance between the participant's preferences for treatment and the physician's recommended treatment, was determined for each participant at t1 (initial study visit). A clinical outcome measure, the Psoriasis Area and Severity Index, and two participant-derived outcomes assessing treatment satisfaction and health related quality of life were employed at t1, t2 (twelve weeks post-t1) and t3 (twelve weeks post-t2). Change in outcomes was assessed using repeated measures analysis of variance. The association between participants' PMI scores at t1 and outcomes at t2 and t3 was evaluated using multivariate regressions analysis. Discussion We describe methods for capturing concordance between patients' treatment preferences and recommended treatment and for assessing its association with specific treatment outcomes. The methods are intended to promote the incorporation of patients' preferences in treatment decision-making, enhance treatment satisfaction, and improve treatment effectiveness through greater adherence.
                Bookmark

                Author and article information

                Contributors
                Role: Researcher
                Role: Researcher
                Role: Researcher
                Role: Professor
                Role: Senior Researcher
                Role: Senior Researcher
                Role: Director
                Role: ProfessorRole: Professor
                Journal
                Int J Integr Care
                Int J Integr Care
                ijic
                International Journal of Integrated Care
                Igitur publishing (Utrecht, The Netherlands )
                1568-4156
                Jan-Mar 2015
                4 March 2015
                : 15
                : e003
                Affiliations
                Scientific Centre for Care and Welfare (Tranzo), Tilburg University, Tilburg, The Netherlands
                The Netherlands Expert Centre Integrated Primary Care, Jan van Es Institute, Almere, The Netherlands
                The Netherlands Expert Centre Integrated Primary Care, Jan van Es Institute, Almere, The Netherlands
                TNO, Leiden, The Netherlands
                Public Health and Health Care Innovation, Department of Health Services Research, Faculty of Health, Medicine and Life Sciences, School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands
                Department of Quality of Care and Health Economics, Centre for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment, Bilthoven, The Netherlands
                TNO, Leiden, The Netherlands
                The Netherlands Expert Centre Integrated Primary Care, Jan van Es Institute, Almere, The Netherlands
                Chronic Care, Scientific Centre for Care and Welfare (Tranzo), Tilburg University, Tilburg, The Netherlands
                Health Systems and Policy, Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore
                Author notes
                Correspondence to: Pim P. Valentijn, The Netherlands Expert Centre Integrated Primary Care, Jan van Es Institute, Randstad 2145-a, 1314 BG Almere, The Netherlands, Phone: (+31) 36 76 70 360, E-mail: p.valentijn@ 123456jvei.nl
                Article
                IJIC-15-2015003
                10.5334/ijic.1513
                4353214
                25759607
                358c46b1-6142-4e44-9240-601a34c70d31
                Copyright 2015, Authors retain the copyright of their article

                This work is licensed under a ( http://creativecommons.org/licenses/by/3.0) Creative Commons Attribution 3.0 Unported License

                History
                : 13 December 2013
                : 9 January 2015
                : 20 January 2015
                Categories
                Research and Theory
                Custom metadata
                Int J Integr Care 2015; Jan–Mar; URN:NBN:NL:UI:10-1-114808

                Health & Social care
                integrated care,primary care,delphi study,classification,literature review,taxonomy,coordinated care

                Comments

                Comment on this article