Goed Bezig: Resultaten van de Sociale Activering Strategie in de Regio Noord-Veluwe

Vlaming, R. Honigh de; Haveman‐Nies, Annemien; Pieterse, C.M.J.; Ploeg, B. van der; Renes, Reint Jan

doi:10.1007/s12508-014-0118-8

Cited by 1 publication

(1 citation statement)

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“…Transformation: The transition of youth care to municipalities was accompanied by a challenge to reduce fragmentation of care within a lower budget. In the North-Veluwe region, six municipalities and three regional organizations for Preventive Child Healthcare and for Youth Care formulated a shared vision on transformation of care for youth, stating that integration of preventive services and youth care was needed, combined with a more client-centred attitude, to limit costs for care for youth (Figure 1) [17].…”

Section: Contextmentioning

confidence: 99%

Implementation of EPR-Youth, a Client-Accessible and Multidisciplinary Health Record; A Mixed-Methods Process Evaluation

Benjamins,

Duinkerken,

Den Hamer-Jordaan

et al. 2023

Int J Integr Care

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Introduction: Client-accessible interdisciplinary health records potentially contribute to integrated care by facilitating collaboration and enhancing clients’ involvement in care. To achieve this, three Dutch organizations providing ‘care for youth’ developed a fully client-accessible electronic patient record (EPR-Youth). Objective: To evaluate the implementation of EPR-Youth and to determine barriers and facilitators. Methods: A mixed methods design combined system data, process observations, questionnaires and focus group interviews. Target groups were parents, adolescents, professionals using EPR-Youth, and implementation stakeholders. Findings: Client-portal acceptability was high among all clients. Client-portal adoption rate was high and differed between age groups and educational levels. Professionals’ doubts about acceptability, appropriateness and fidelity were partly due to lack of system knowledge. Implementation barriers were the complexity of co-creation, lack of clear leadership, and concerns about legal issues. Facilitators were clarifying vision and legal context, setting deadlines, and a pioneering spirit. Conclusion: The early implementation of EPR-Youth, the first Dutch client-accessible interdisciplinary electronic health record in ‘care for youth’ was successful. To enhance adoption among clients, group-specific barriers for portal-use should be determined. Professionals need additional training. Further research is needed to gain insight into client-portal access barriers. To benefit more from co-creation, an organizational change towards situational leadership is necessary.

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Section: Contextmentioning

confidence: 99%