Abstract
Effective leadership plays an important role in safe patient care. The aim of this paper was to understand and improve the implementation outcomes identified by empirical studies based on Proctors et al.’s key concepts, acceptability appropriateness, feasibility and fidelity, and to propose recommendations for further research. Methods: An interdisciplinary approach using mixed methods. Results: A total of twenty papers based on data from this interdisciplinary study have been published. Overall, our published empirical studies revealed that the CCM intervention had positive results due to staff members’ engagement to improve care, their awareness of the need for collaboration and willingness to assume responsibility for patient care. From the perspective of the depressed elderly persons the results of the research project indicated their need for support to increase self-management. In conclusion, an improved understanding of the implementation outcomes will have an impact on best practice for depressed elderly persons and dissemination purposes. Quality management and highly action-oriented involvement are necessary in implementation research. These will also affect the professional development of interdisciplinary teams as well as constitute a basis for further research on understanding and improving the care of depressed elderly individuals.
Highlights
One of the greatest challenges faced by healthcare systems is the increasing burden of chronic diseases [1]
This paper describes the outcomes of the integrated research process pertaining to three specific objectives: to identify depressed elderly persons’ subjective experiences of the healthcare system; to implement the Chronic Care Model (CCM) model in interdisciplinary teams in the healthcare system; to evaluate the quality of care provided in relation to the determinants inherent in the CCM
From the perspective of the depressed elderly persons the results of the research project indicated their need for support to increase self-management
Summary
One of the greatest challenges faced by healthcare systems is the increasing burden of chronic diseases [1]. Mental health promotion includes research on the burden of depression and other mental health problems. The WHO [2]-[5] guidelines for research on depression, a leading chronic illness worldwide and the third most common reason for primary care consultations were adopted. We investigated patients who utilized the healthcare services. A further criterion is to strengthen cooperation between different healthcare services and outline which is necessary to ensure the delivery of comprehensive and high-quality care. The long-term benefit of interdisciplinary research is a better understanding of the importance of daily activities and user participation for health and well-being [9]
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