Abstract
textabstractThe thesis adresses the phenomenon of integrated care. The implementation of integrated care for patients with a stroke or dementia is studied. Because a generic quality management model for integrated care is lacking, the study works towards building a development model for integrated care. Based on a systematic approach in which a literature study, a delphi study, a concept mapping study and questionnaire research are combined, a development model for integrated care is created. The model exists of 89 elements of integrated care, which are clustered in nine themes. Also the model describes four phases of development which integrated care services can experience. The model is succesfully empirically validated in 84 integrated care services for stroke, acute myocardial infarct or dementia patients. The model has the potential to serve as a generic quality management model for integrated care services and can be used for monitoring, self evaluation or benchmarking of integrated care services. Also insurers or policy makers could use the model to stimulate integrated care services to further improve and develop their integrated care.
Highlights
The thesis explores the essential elements, implementation and developmental process of integrated care with a view to providing a quality management model for integrated care
The thesis shows that the improvement and development process of integrated care is a long-term, multicomponent process in which integrated care services cover a large range of activities
Multiple aspects influence the dynamics and developmental process of integrated care services over time, but overall these processes can be conceptualised as phase-wise growth
Summary
The thesis explores the essential elements, implementation and developmental process of integrated care with a view to providing a quality management model for integrated care. Integrated care is required when a coordinated set of services is needed to cover the full range of client demands. The outcomes of this study add relevant information to our knowledge about integrated care and come together in the Development Model for Integrated Care (DMIC; in Dutch OMK: Ontwikkelingsmodel voor Ketenzorg). In addition the DMIC was empirically validated in practice
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