Evidence map›Paper›PMID 34824564›Full record

ArticleInternational journal of integrated care

A Decade of Lessons Learned from Integration Strategies in the Netherlands.

Henk Nies, Diny Stekelenburg, Mirella Minkman, Robbert Huijsman

Abstract read
In one paragraph

Article in International journal of integrated care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. From Integrated Care to Learning Systems.Healthcare (Basel, Switzerland) · 2026
    Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Henk NiesDirector of Strategy & Development, Vilans, Centre of Expertise for Long-term Care, Utrecht, The Netherlands.ORCID https://orcid.org/0000-0003-3897-206X
Diny StekelenburgResearcher, Vilans, Centre of Expertise for Long-term Care, Utrecht, The Netherlands.
Mirella MinkmanCEO, Vilans, Centre for Expertise for Long-term Care, Utrecht, The Netherlands.ORCID https://orcid.org/0000-0003-4922-5983
Robbert HuijsmanProfessor of Management and Organization of Care for Older People, Erasmus University, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0002-9776-129X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn the Netherlands multiple single, cross sector and cross governance level policy reforms were introduced to improve health and social care and decrease fragmentation. In addition to legislative and funding measures, the governmental strategy was to set up long-lasting improvement programs and supported by applied research. DESCRIPTION: Five national improvement programs on chronic disease management, maternity care, youth care, care for older people and dementia care were analysed. The Laws of integration of Leutz were used as an analytical framework. The programs demonstrated a mixture of employing policy, quality and financial measures to stimulate coherence and integration. DISCUSSION: The Laws that Leutz formulated are to a large extent applicable in the Dutch context. However, the characteristics of the system of governance being corporatist in its structure and its culture imply that it is hard to distinguish single actors being in the lead. Integration is a more complex process and requires more dynamics, than the law 'keep it simple, stupid' suggests.

conclusionsIn the Dutch context integration implies a permanent pursuit of aligning mechanisms for integration. Sustainable integration requires long-standing efforts of all relevant stakeholders and cannot be achieved quickly. It may take a decade of consistently applying a mix of policy instruments.

Indexed as

governanceintegration strategiesNetherlandspolicy measuressystem integration

Identifiers

PMID34824564
PMCPMC8588908

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.