Publication

Integrated Care for Older Adults: A Struggle for Sustained Implementation in Northern Netherlands

Holterman, S., Lahr, M., Wynia, K., Hettinga, M. & Buskens, E., 13-Jul-2020, In : International Journal of Integrated Care. 20, 3, p. 1-10 10 p., 1.

Research output: Contribution to journalArticleAcademicpeer-review

APA

Holterman, S., Lahr, M., Wynia, K., Hettinga, M., & Buskens, E. (2020). Integrated Care for Older Adults: A Struggle for Sustained Implementation in Northern Netherlands. International Journal of Integrated Care, 20(3), 1-10. [1]. https://doi.org/10.5334/ijic.5434

Author

Holterman, Sander ; Lahr, Maarten ; Wynia, Klaske ; Hettinga, Marike ; Buskens, Erik. / Integrated Care for Older Adults : A Struggle for Sustained Implementation in Northern Netherlands. In: International Journal of Integrated Care. 2020 ; Vol. 20, No. 3. pp. 1-10.

Harvard

Holterman, S, Lahr, M, Wynia, K, Hettinga, M & Buskens, E 2020, 'Integrated Care for Older Adults: A Struggle for Sustained Implementation in Northern Netherlands', International Journal of Integrated Care, vol. 20, no. 3, 1, pp. 1-10. https://doi.org/10.5334/ijic.5434

Standard

Integrated Care for Older Adults : A Struggle for Sustained Implementation in Northern Netherlands. / Holterman, Sander; Lahr, Maarten; Wynia, Klaske; Hettinga, Marike; Buskens, Erik.

In: International Journal of Integrated Care, Vol. 20, No. 3, 1, 13.07.2020, p. 1-10.

Research output: Contribution to journalArticleAcademicpeer-review

Vancouver

Holterman S, Lahr M, Wynia K, Hettinga M, Buskens E. Integrated Care for Older Adults: A Struggle for Sustained Implementation in Northern Netherlands. International Journal of Integrated Care. 2020 Jul 13;20(3):1-10. 1. https://doi.org/10.5334/ijic.5434


BibTeX

@article{13acbe4ea3a04bfbb424706a49bed90f,
title = "Integrated Care for Older Adults: A Struggle for Sustained Implementation in Northern Netherlands",
abstract = "Introduction: Integrated 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.",
keywords = "Implementation, Integrated care, Payment models, Sustainability, Transformation",
author = "Sander Holterman and Maarten Lahr and Klaske Wynia and Marike Hettinga and Erik Buskens",
year = "2020",
month = jul,
day = "13",
doi = "10.5334/ijic.5434",
language = "English",
volume = "20",
pages = "1--10",
journal = "International Journal of Integrated Care",
issn = "1568-4156",
publisher = "UBIQUITY PRESS LTD",
number = "3",

}

RIS

TY - JOUR

T1 - Integrated Care for Older Adults

T2 - A Struggle for Sustained Implementation in Northern Netherlands

AU - Holterman, Sander

AU - Lahr, Maarten

AU - Wynia, Klaske

AU - Hettinga, Marike

AU - Buskens, Erik

PY - 2020/7/13

Y1 - 2020/7/13

N2 - Introduction: Integrated 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.

AB - Introduction: Integrated 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.

KW - Implementation

KW - Integrated care

KW - Payment models

KW - Sustainability

KW - Transformation

U2 - 10.5334/ijic.5434

DO - 10.5334/ijic.5434

M3 - Article

AN - SCOPUS:85088046086

VL - 20

SP - 1

EP - 10

JO - International Journal of Integrated Care

JF - International Journal of Integrated Care

SN - 1568-4156

IS - 3

M1 - 1

ER -

ID: 131168791