Cristin-resultat-ID: 1856703
Sist endret: 11. januar 2021 09:51
NVI-rapporteringsår: 2020
Resultat
Vitenskapelig artikkel
2020

The patient at the centre: evidence from 17 European integrated care programmes for persons with complex needs

Bidragsytere:
  • Thomas Czypionka
  • Markus Kraus
  • Miriam Reiss
  • Josep Roca
  • Sabine Ruths
  • Jonathan Stokes
  • mfl.

Tidsskrift

BMC Health Services Research
ISSN 1472-6963
e-ISSN 1472-6963
NVI-nivå 2

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2020
Publisert online: 2020
Open Access

Importkilder

Scopus-ID: 2-s2.0-85096897780

Klassifisering

Vitenskapsdisipliner

Medisinske fag

Emneord

multimorbiditet • Personsentrert omsorg • Helsetjenesteforskning

Beskrivelse Beskrivelse

Tittel

The patient at the centre: evidence from 17 European integrated care programmes for persons with complex needs

Sammendrag

Background As the prevalence of multi-morbidity increases in ageing societies, health and social care systems face the challenge of providing adequate care to persons with complex needs. Approaches that integrate care across sectors and disciplines have been increasingly developed and implemented in European countries in order to tackle this challenge. The aim of the article is to identify success factors and crucial elements in the process of integrated care delivery for persons with complex needs as seen from the practical perspective of the involved stakeholders (patients, professionals, informal caregivers, managers, initiators, payers). Methods Seventeen integrated care programmes for persons with complex needs in 8 European countries were investigated using a qualitative approach, namely thick description, based on semi-structured interviews and document analysis. In total, 233 face-to-face interviews were conducted with stakeholders of the programmes between March and September 2016. Meta-analysis of the individual thick description reports was performed with a focus on the process of care delivery. Results Four categories that emerged from the overarching analysis are discussed in the article: (1) a holistic view of the patient, considering both mental health and the social situation in addition to physical health, (2) continuity of care in the form of single contact points, alignment of services and good relationships between patients and professionals, (3) relationships between professionals built on trust and facilitated by continuous communication, and (4) patient involvement in goal-setting and decision-making, allowing patients to adapt to reorganised service delivery. Conclusions We were able to identify several key aspects for a well-functioning integrated care process for complex patients and how these are put into actual practice. The article sets itself apart from the existing literature by specifically focussing on the growing share of the population with complex care needs and by providing an analysis of actual processes and interpersonal relationships that shape integrated care in practice, incorporating evidence from a variety of programmes in several countries.

Bidragsytere

Thomas Czypionka

  • Tilknyttet:
    Forfatter
    ved Østerrike
  • Tilknyttet:
    Forfatter
    ved London School of Economics and Political Science

Markus Kraus

  • Tilknyttet:
    Forfatter
    ved Østerrike

Miriam Reiss

  • Tilknyttet:
    Forfatter
    ved Østerrike

Josep Roca

  • Tilknyttet:
    Forfatter
    ved Universitat de Barcelona
Aktiv cristin-person

Sabine Ruths

  • Tilknyttet:
    Forfatter
    ved Institutt for global helse og samfunnsmedisin ved Universitetet i Bergen
  • Tilknyttet:
    Forfatter
    ved NORCE Helse - Allmennmedisin ved NORCE Norwegian Research Centre AS
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