Building integrated care systems: a case study of Bidasoa Integrated Health Organisation.
| Autor: | Polanco NT; O+Berri, Basque Institute for Healthcare Innovation, Basque Country, Spain., Zabalegui IB; Quality Assurance and Procurement, Ministry of Health, Basque Country, Spain., Irazusta IP; Bidasoa Integrated Health Organisation, Osakidetza, Basque Country, Spain., Solinís RN; Deusto Business School, University of Deusto, Basque Country, Spain., Del Río Cámara M; O+Berri, Basque Institute for Healthcare Innovation, Basque Country, Spain. |
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| Jazyk: | angličtina |
| Zdroj: | International journal of integrated care [Int J Integr Care] 2015 Jun 24; Vol. 15, pp. e026. Date of Electronic Publication: 2015 Jun 24 (Print Publication: 2015). |
| DOI: | 10.5334/ijic.1796 |
| Abstrakt: | Introduction: This paper analyses the implementation of integrated care policies in the Basque Country through the deployment of an Integrated Health Organisation in Bidasoa area during the period 2011-2014. Structural, functional and clinical integration policies have been employed with the aim to deliver integrated and person-centred care for patients, especially for those living with chronic conditions. Methods: This organisational case study used multiple data sources and methods in a pragmatic and reflexive manner to build a picture of the organisational development over a 4-year period. In order to measure the progress of integration three concepts have been measured: (i) readiness for chronicity measured with Assessment of Readiness for Chronicity in Healthcare Organisations tool; (ii) collaboration between clinicians from different care levels measured with the D'Amour Questionnaire, and (iii) overall impact of integration through several indicators based on the Triple Aim Framework. Results: The measurement of organisational readiness for chronicity showed improvements in five of the six areas under evaluation. Similarly the collaboration between professionals of different care levels showed a steady improvement in each of the 10 items. Furthermore, the Triple Aim-based indicators showed a better experience of care in terms of patients' perceptions of care coordination; a reduction in hospital utilisation, particularly for patients with complex chronic conditions; and cost-containment in terms of per capita expenditure. Conclusion: There is a significant amount of data that shows that Bidasoa Integrated Health Organisation has progressed in terms of delivering integrated care for chronic conditions with a positive impact on several Triple Aim outcomes. |
| Databáze: | MEDLINE |
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