ArticleInternational journal of integrated care2006
Proposal of a service delivery integration index of home care for older persons: application in several European cities.
Article in International journal of integrated care, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- The prevalence of non-pharmacological interventions in older homecare recipients: an overview from six European countries.European geriatric medicine · 2024Article
- Benchmarking European Home Care Models for Older Persons on Societal Costs: The IBenC Study.Health services insights · 2021Article
- Development of a novel benchmark method to identify and characterize best practices in home care across six European countries: design, baseline, and rationale of the IBenC project.BMC health services research · 2019Article
- Predictors of Societal Costs of Older Care-Dependent Adults Living in the Community in 11 European Countries.Health services insights · 2019Article
- Implementation of a Standardized Comprehensive Assessment Tool in France: A Case Using the InterRAI Instruments.International journal of integrated care · 2018Article
- Quality of Care and Job Satisfaction in the European Home Care Setting: Research Protocol.International journal of integrated care · 2016Article
- Instruments to assess integrated care: a systematic review.International journal of integrated care · 2014Article
- Home care patients in four Nordic capitals - predictors of nursing home admission during one-year followup.Journal of multidisciplinary healthcare · 2010Article
- Integrated care in the daily work: coordination beyond organisational boundaries.International journal of integrated care · 2009Article
- Relationship between interRAI HC and the ICF: opportunity for operationalizing the ICF.BMC health services research · 2009Article
- Conceptualization and measurement of integrated human service networks for evaluation.International journal of integrated care · 2007Article
Corrections and comments
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo propose an integration index of home care delivery to older persons, to study its validity and to apply it to home care services of European cities. THEORY: Home care delivery integration was based on two dimensions referring to process-centred integration and organisational structure approach.
methodItems considered as part of both dimensions according to an expert consensus (face validity) were extracted from a standardised questionnaire used in "Aged in Home care" (AdHoc) study to capture basic characteristics of home care services. Their summation leads to a services' delivery integration index. This index was applied to AdHoc services. A factor analysis was computed in order to empirically test the validity of the theoretical constructs. The plot of the settings was performed.
resultsApplication of the index ranks home care services in four groups according to their score. Factor analysis identifies a first factor which opposes working arrangement within service to organisational structure bringing together provisions for social care. A second factor corresponds to basic nursing care and therapies. Internal consistency for those three domains ranges from 0.78 to 0.93. When plotting the different settings different models of service delivery appear.
conclusionThe proposed index shows that behind a total score several models of care delivery are hidden. Comparison of service delivery integration should take into account this heterogeneity.
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Registered trials
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