ArticleInternational journal of integrated care2020
Integrated Care for Older Adults: A Struggle for Sustained Implementation in Northern Netherlands.
Article in International journal of integrated care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
9 citing papers in PubMed, 21 citations in OpenAlex.
- A new way of thinking? Exploring professionals' perspectives on the sustainability of interprofessional team meetings: A focus group study.The European journal of general practice · 2026Article
- Long-term care insurance and health outcomes among older adults with disabilities: evidence from a support system reconfiguration perspective.Archives of public health = Archives belges de sante publique · 2026Article
- Development and usability testing of an integrated geriatric care model (SMART system) to promote integrated home-based geriatric care.BMC geriatrics · 2025Article
- Evolutionary game model of health care and social care collaborative services for the elderly population in China.BMC geriatrics · 2022Article
- 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
- Implementation Barriers and Facilitators of an Integrated Care Initiative Targeting Socioeconomically Vulnerable Groups.International journal of integrated careArticle
- Provider, Caregiver, and Patient Experiences of an Integrated Care Program for Older Adults Designated as Alternate Level of Care: A Qualitative Case Study.International journal of integrated careArticle
- Regional Integrated Cardiovascular Risk Management Care Pathway in the Netherlands: Benefits and Working Mechanisms.International journal of integrated careArticle
- Integrating Health and Care for Older People in China: What Has Been Accomplished? What is Next?International journal of integrated careArticle
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionIntegrated care has been suggested as a promising solution to the disparities in access and sustained high quality long-term care emerging in Europe's ageing population. We aim to gain a better understanding of context-specific barriers to and facilitators of implementation of integrated care by doing a retrospective assessment of seven years of Embrace. This Dutch integrated person-centred health service for older adults was based on two evidence-based models (the Chronic Care Model and the Kaiser Permanente Triangle). Despite successful deployment the programme ended in 2018. In this case study we assess the impact of the programme based on past evaluations, reflect on why it ended, lessons learned and ideas to take forward. DISCUSSION: The majority of health outcomes were positive and the perceived quality of care improved, albeit no clear-cut savings were observed, and the costs were not balanced across stakeholders. The Embrace payment model did not support the integration of health services, despite reforms in long-term care in 2015. KEY LESSONS: Enabling policy and funding are crucial to the sustained implementation of integrated person-centred health services. The payment model should incentivize the integration of care before the necessary changes can be made at organizational and clinical levels towards providing proactive and preventive health services.
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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.