ArticleInternational journal of integrated care2019
Integrated Care for Frail Elderly: A Qualitative Study of a Promising Approach in The Netherlands.
Article in International journal of integrated care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- How can interprofessional collaboration be fostered and sustained in team-based care integration for older people in community settings? A realist evidence synthesis.Systematic reviews · 2025Pooled it
- The renewed Development Model for Integrated Care: a systematic review and model update.BMC health services research · 2025Pooled it
- Integrated care in practice: lessons from three tiers of healthcare provider and commissioner staff in two London Integrated Care Systems.BJPsych open · 2025Article
- A Call to Action: Arming Nurses With Political Knowledge to Advocate for Older People.International journal of older people nursing · 2025Article
- Addressing Mental Health Needs After a Public Health Crisis in Southern Switzerland: Stakeholders' Perspectives.International journal of public health · 2025Article
- Primary mental health care for adults with mild intellectual disabilities: a focus group study of care professionals' perspectives.BJGP open · 2024Article
- Article
- Evolutionary game model of health care and social care collaborative services for the elderly population in China.BMC geriatrics · 2022Article
- Assessing the experience of person-centred coordinated care of people with chronic conditions in the Netherlands: Validation of the Dutch P3CEQ.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Article
- Adults with intellectual disabilities and mental health disorders in primary care: a scoping review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022Article
- Article
- The Gold Coast Integrated Care Programme: The Perspectives of Patients, Carers, General Practitioners and Healthcare Staff.International journal of integrated care · 2021Article
- Community voice in cross-sector alignment: concepts and strategies from a scoping review of the health collaboration literature.BMC public health · 2021Article
- Psychometric Characteristics and Sociodemographic Adaptation of the Corrigan Agitated Behavior Scale in Patients With Severe Mental Disorders.Frontiers in psychology · 2021Article
- Integrated Care for Older Adults: A Struggle for Sustained Implementation in Northern Netherlands.International journal of integrated care · 2020Article
- Components and Outcomes in Under- and Postgraduate Medical Education to Prepare for the Delivery of Integrated Care for the Elderly: A Scoping Review.International journal of integrated careArticle
- Integrated Care for Older People with Different Frailty Levels: A Qualitative Study of Local Implementation of a National Policy in Luton, England.International journal of integrated careArticle
- Community Specialist Teams for Older People Consensus Development: A Real-Time Delphi Approach.International journal of integrated careArticle
- The Impact of Payment Reforms on the Quality and Utilisation of Healthcare for Patients With Multimorbidity: A Systematic Review.International journal of integrated careArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionIncreasingly, frail elderly need to live at home for longer, relying on support from informal caregivers and community-based health- and social care professionals. To align care and avoid fragmentation, integrated care programmes are arising. A promising example of such a programme is the Care Chain Frail Elderly (CCFE) in the Netherlands, which supports elderly with case and care complexity living at home with the best possible health and quality of life. The goal of the current study was to gain a deeper understanding of this programme and how it was successfully put into practice in order to contribute to the evidence-base surrounding complex integrated care programmes for persons with multi-morbidity.
methodsDocument analyses and semi-structured interviews with stakeholders were used to create a 'thick description' that provides insights into the programme.
resultsThrough case finding, the CCFE-programme targets the frailest primary care population. The person-centred care approach is reflected by the presence of frail elderly at multidisciplinary team meetings. The innovative way of financing by bundling payments of multiple providers is one of the main facilitators for the success of this programme. Other critical success factors are the holistic assessment of unmet health and social care needs, strong leadership by the care groups, close collaboration with the healthcare insurer, a shared ICT-system and continuous improvements.
conclusionThe CCFE is an exemplary initiative to integrate care for the frailest elderly living at home. Its innovative components and critical success factors are likely to be transferable to other settings when providers can take on similar roles and work closely with payers who provide integrated funding.
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