Care Integration in Primary Dementia Care Networks: A Longitudinal Mixed-Methods Study.

Autor:	Oostra DL; Radboud university medical center, Radboud Institute for Health Sciences, Department of Geriatric Medicine, Nijmegen, NL.; Radboudumc Alzheimer Center, Radboud university medical center, Nijmegen, NL., Harmsen A; Radboud university medical center, Radboud Institute for Health Sciences, Department of Geriatric Medicine, Nijmegen, NL., Nieuwboer MS; Radboudumc Alzheimer Center, Radboud university medical center, Nijmegen, NL.; HAN University of Applied Sciences, Academy of Health and Vitality, Nijmegen, NL., Rikkert MGMO; Radboudumc Alzheimer Center, Radboud university medical center, Nijmegen, NL.; Radboud university medical center, Donders Institute for Brain Cognition and Behaviour, Department of Geriatric Medicine, Nijmegen, NL., Perry M; Radboudumc Alzheimer Center, Radboud university medical center, Nijmegen, NL.; Radboud university medical center, Donders Institute for Brain Cognition and Behaviour, Department of Geriatric Medicine, Nijmegen, NL.; Radboud university medical center, Donders Institute for Brain Cognition and Behaviour, Department of Primary and Community Care, Nijmegen, NL.
Jazyk:	angličtina
Zdroj:	International journal of integrated care [Int J Integr Care] 2021 Dec 08; Vol. 21 (4), pp. 29. Date of Electronic Publication: 2021 Dec 08 (Print Publication: 2021).
DOI:	10.5334/ijic.5675
Abstrakt:	Introduction: Currently, care integration for community-dwelling persons with dementia is poor and knowledge on how to effectively facilitate development of integrated dementia care is lacking. The DementiaNet program aims to overcome this with a focus on interprofessional collaboration. The objective of this study is to investigate how care integration in interprofessional primary dementia care networks matures and to identify factors associated with (un)successfully maturation. Theory and Methods: A longitudinal mixed-methods study, including 17 primary care networks participating in the DementiaNet study, was performed. Semi-structured interviews based on the Rainbow Model of Integrated Care were conducted at start, at 12- and 24 months. Network maturity scores (range 1-4) were derived from the interviews and qualitative data was used to explain the observed patterns. Results: Networks consisted on average of 9 professionals (range 4-22) covering medical, care and social disciplines. Network maturity yearly increased with 0.29 (95%-CI: 0.20-0.38). Important factors for improvement included getting to know each other's expertise, having a capable network leader(s), stable network composition and participation of a general practitioner. Conclusions: The DementiaNet approach enables a transition towards more mature networks. Identified success factors provide better understanding of how network maturity can be achieved and gives guidance to future care integration strategies. Competing Interests: The authors has no competing interests to declare. (Copyright: © 2021 The Author(s).)
Databáze:	MEDLINE
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