Publication

Experiences of Community-Living Older Adults Receiving Integrated Care Based on the Chronic Care Model: A Qualitative Study

Spoorenberg, S. L. W., Wynia, K., Fokkens, A. S., Slotman, K., Kremer, H. P. H. & Reijneveld, S. A., 21-Oct-2015, In : PLoS ONE. 10, 10, 21 p., 0137803.

Research output: Contribution to journalArticleAcademicpeer-review

APA

Spoorenberg, S. L. W., Wynia, K., Fokkens, A. S., Slotman, K., Kremer, H. P. H., & Reijneveld, S. A. (2015). Experiences of Community-Living Older Adults Receiving Integrated Care Based on the Chronic Care Model: A Qualitative Study. PLoS ONE, 10(10), [0137803]. https://doi.org/10.1371/journal.pone.0137803

Author

Spoorenberg, Sophie L. W. ; Wynia, Klaske ; Fokkens, Andrea S. ; Slotman, Karin ; Kremer, Hubertus P. H. ; Reijneveld, Sijmen A. / Experiences of Community-Living Older Adults Receiving Integrated Care Based on the Chronic Care Model : A Qualitative Study. In: PLoS ONE. 2015 ; Vol. 10, No. 10.

Harvard

Spoorenberg, SLW, Wynia, K, Fokkens, AS, Slotman, K, Kremer, HPH & Reijneveld, SA 2015, 'Experiences of Community-Living Older Adults Receiving Integrated Care Based on the Chronic Care Model: A Qualitative Study', PLoS ONE, vol. 10, no. 10, 0137803. https://doi.org/10.1371/journal.pone.0137803

Standard

Experiences of Community-Living Older Adults Receiving Integrated Care Based on the Chronic Care Model : A Qualitative Study. / Spoorenberg, Sophie L. W.; Wynia, Klaske; Fokkens, Andrea S.; Slotman, Karin; Kremer, Hubertus P. H.; Reijneveld, Sijmen A.

In: PLoS ONE, Vol. 10, No. 10, 0137803, 21.10.2015.

Research output: Contribution to journalArticleAcademicpeer-review

Vancouver

Spoorenberg SLW, Wynia K, Fokkens AS, Slotman K, Kremer HPH, Reijneveld SA. Experiences of Community-Living Older Adults Receiving Integrated Care Based on the Chronic Care Model: A Qualitative Study. PLoS ONE. 2015 Oct 21;10(10). 0137803. https://doi.org/10.1371/journal.pone.0137803


BibTeX

@article{7260b27af33d4d1fa001ac9921d0fb35,
title = "Experiences of Community-Living Older Adults Receiving Integrated Care Based on the Chronic Care Model: A Qualitative Study",
abstract = "BackgroundIntegrated care models aim to solve the problem of fragmented and poorly coordinated care in current healthcare systems. These models aim to be patient-centered by providing continuous and coordinated care and by considering the needs and preferences of patients. The objective of this study was to evaluate the opinions and experiences of community-living older adults with regard to integrated care and support, along with the extent to which it meets their health and social needs.MethodsSemi-structured interviews were conducted with 23 older adults receiving integrated care and support through {"}Embrace,{"} an integrated care model for community-living older adults that is based on the Chronic Care Model and a population health management model. Embrace is currently fully operational in the northern region of the Netherlands. Data analysis was based on the grounded theory approach.ResultsResponses of participants concerned two focus areas: 1) Experiences with aging, with the themes {"}Struggling with health,{"} {"}Increasing dependency,{"} {"}Decreasing social interaction,{"} {"}Loss of control,{"} and {"}Fears;{"} and 2) Experiences with Embrace, with the themes {"}Relationship with the case manager,{"} {"}Interactions,{"} and {"}Feeling in control, safe, and secure{"}. The prospect of becoming dependent and losing control was a key concept in the lives of the older adults interviewed. Embrace reinforced the participants' ability to stay in control, even if they were dependent on others. Furthermore, participants felt safe and secure, in contrast to the fears of increasing dependency within the standard care system.ConclusionThe results indicate that integrated care and support provided through Embrace met the health and social needs of older adults, who were coping with the consequences of aging.",
keywords = "CHRONIC ILLNESS CARE, RANDOMIZED CONTROLLED-TRIALS, MULTIPLE CHRONIC CONDITIONS, HEALTH-CARE, PATIENT-CENTEREDNESS, PERCEIVED CONTROL, DWELLING ADULTS, MANAGEMENT, PEOPLE, INDEPENDENCE",
author = "Spoorenberg, {Sophie L. W.} and Klaske Wynia and Fokkens, {Andrea S.} and Karin Slotman and Kremer, {Hubertus P. H.} and Reijneveld, {Sijmen A.}",
year = "2015",
month = "10",
day = "21",
doi = "10.1371/journal.pone.0137803",
language = "English",
volume = "10",
journal = "PLOS-One",
issn = "1932-6203",
publisher = "PUBLIC LIBRARY SCIENCE",
number = "10",

}

RIS

TY - JOUR

T1 - Experiences of Community-Living Older Adults Receiving Integrated Care Based on the Chronic Care Model

T2 - A Qualitative Study

AU - Spoorenberg, Sophie L. W.

AU - Wynia, Klaske

AU - Fokkens, Andrea S.

AU - Slotman, Karin

AU - Kremer, Hubertus P. H.

AU - Reijneveld, Sijmen A.

PY - 2015/10/21

Y1 - 2015/10/21

N2 - BackgroundIntegrated care models aim to solve the problem of fragmented and poorly coordinated care in current healthcare systems. These models aim to be patient-centered by providing continuous and coordinated care and by considering the needs and preferences of patients. The objective of this study was to evaluate the opinions and experiences of community-living older adults with regard to integrated care and support, along with the extent to which it meets their health and social needs.MethodsSemi-structured interviews were conducted with 23 older adults receiving integrated care and support through "Embrace," an integrated care model for community-living older adults that is based on the Chronic Care Model and a population health management model. Embrace is currently fully operational in the northern region of the Netherlands. Data analysis was based on the grounded theory approach.ResultsResponses of participants concerned two focus areas: 1) Experiences with aging, with the themes "Struggling with health," "Increasing dependency," "Decreasing social interaction," "Loss of control," and "Fears;" and 2) Experiences with Embrace, with the themes "Relationship with the case manager," "Interactions," and "Feeling in control, safe, and secure". The prospect of becoming dependent and losing control was a key concept in the lives of the older adults interviewed. Embrace reinforced the participants' ability to stay in control, even if they were dependent on others. Furthermore, participants felt safe and secure, in contrast to the fears of increasing dependency within the standard care system.ConclusionThe results indicate that integrated care and support provided through Embrace met the health and social needs of older adults, who were coping with the consequences of aging.

AB - BackgroundIntegrated care models aim to solve the problem of fragmented and poorly coordinated care in current healthcare systems. These models aim to be patient-centered by providing continuous and coordinated care and by considering the needs and preferences of patients. The objective of this study was to evaluate the opinions and experiences of community-living older adults with regard to integrated care and support, along with the extent to which it meets their health and social needs.MethodsSemi-structured interviews were conducted with 23 older adults receiving integrated care and support through "Embrace," an integrated care model for community-living older adults that is based on the Chronic Care Model and a population health management model. Embrace is currently fully operational in the northern region of the Netherlands. Data analysis was based on the grounded theory approach.ResultsResponses of participants concerned two focus areas: 1) Experiences with aging, with the themes "Struggling with health," "Increasing dependency," "Decreasing social interaction," "Loss of control," and "Fears;" and 2) Experiences with Embrace, with the themes "Relationship with the case manager," "Interactions," and "Feeling in control, safe, and secure". The prospect of becoming dependent and losing control was a key concept in the lives of the older adults interviewed. Embrace reinforced the participants' ability to stay in control, even if they were dependent on others. Furthermore, participants felt safe and secure, in contrast to the fears of increasing dependency within the standard care system.ConclusionThe results indicate that integrated care and support provided through Embrace met the health and social needs of older adults, who were coping with the consequences of aging.

KW - CHRONIC ILLNESS CARE

KW - RANDOMIZED CONTROLLED-TRIALS

KW - MULTIPLE CHRONIC CONDITIONS

KW - HEALTH-CARE

KW - PATIENT-CENTEREDNESS

KW - PERCEIVED CONTROL

KW - DWELLING ADULTS

KW - MANAGEMENT

KW - PEOPLE

KW - INDEPENDENCE

U2 - 10.1371/journal.pone.0137803

DO - 10.1371/journal.pone.0137803

M3 - Article

C2 - 26489096

VL - 10

JO - PLOS-One

JF - PLOS-One

SN - 1932-6203

IS - 10

M1 - 0137803

ER -

ID: 25109917