ArticleInternational journal of integrated care2007
IT-supported skill-mix change and standardisation in integrated eyecare: lessons from two screening projects in The Netherlands.
Article in International journal of integrated care, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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The trial behind it
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Who cites it
7 citing papers in PubMed.
- Barriers and facilitators to the implementation of prehabilitation for elderly frail patients prior to elective surgery: a qualitative study with healthcare professionals.BMC health services research · 2024Article
- Macular Hole Detection Using a New Hybrid Method: Using Multilevel Thresholding and Derivation on Optical Coherence Tomographic Images.Computational intelligence and neuroscience · 2021Article
- Barriers and Facilitators to Workforce Changes in Integrated Care.International journal of integrated care · 2018Article
- Exploration of workforce changes in integrated chronic care: Findings from an interactive and emergent research design.PloS one · 2017Review
- Telemedicine in interdisciplinary work practices: on an IT system that met the criteria for success set out by its sponsors, yet failed to become part of every-day clinical routines.BMC medical informatics and decision making · 2008Article
- Telehomecare technology across sectors: claims of jurisdiction and emerging controversies.International journal of integrated care · 2007Article
- Bridging knowledge to develop an action plan for integrated care for chronic diseases in Greece.International journal of integrated careArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionInformation Technology (IT) has the potential to significantly support skill-mix change and, thereby, to improve the efficiency and effectiveness of integrated care. THEORY AND
methodsIT and skill-mix change share an important precondition: the standardisation of work processes. Standardisation plays a crucial role in IT-supported skill-mix change. It is not a matter of more or less standardisation than in the 'old' situation, but about creating an optimal fit. We used qualitative data from our evaluation of two integrated-care projects in Dutch eyecare to identify domains where this fit is important.
resultsWhile standardisation was needed to delegate screening tasks from physicians to non-physicians, and to assure the quality of the integrated-care process as a whole, tensions arose in three domains: the performance of clinical tasks, the documentation, and the communication between professionals. Unfunctional standardisation led to dissatisfaction and distrust between the professionals involved in screening. DISCUSSION AND
conclusionAlthough the integration seems promising, much work is needed to ensure a synergistic relationship between skill-mix change and IT. Developing IT-supported skill-mix change by means of standardisation is a matter of tailoring standardisation to fit the situation at hand, while dealing with the local constraints of available technology and organisational context.
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.