Ketenzorg: weet wat u meet

Broekhuizen, Lidewij

doi:10.1007/s12445-012-0099-2

Cited by 1 publication

(1 citation statement)

References 7 publications

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“…One Dutch article that was on the international list was removed there and added to the Dutch list. 34 Finally, 16 Dutch studies were included, 20,21,[34][35][36][37][38][39][40][41][42][43][44][45][46][47] leading to a total number of 32 included studies. The flowchart is shown in online Appendix A, and the articles included are listed in online Appendix B.…”

Section: Included Studiesmentioning

confidence: 99%

How do integrated care programmes work for patients with cardiovascular disease, chronic obstructive pulmonary disease, depression, diabetes and multi-morbidity? A rapid realist review

Mewes¹,

Ahmed²,

Vrijhoef

2018

International Journal of Care Coordination

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Background: In previous years, many multi-faceted initiatives have been set up to improve outcomes for people with chronic diseases. Evaluation studies about the (cost-)effectiveness of these integrated care programs showed heterogeneity in outcomes. Hence, it has been suggested to use realist evaluation for the evaluation of integrated care programmes. Thus, our aim was to gain insight into whether and how existing integrated care programmes work for people with cardiovascular disease, chronic obstructive pulmonary disease, depression, diabetes and multi-morbidity, and under what conditions within the Dutch healthcare setting. Methods: A rapid realist review was conducted to identify the context and mechanisms that are associated with the outcomes of integrated care programmes. From a selection of systematic reviews and meta-analyses and Dutch literature, data on the context, mechanisms and outcomes of integrated care programmes were extracted. The data were analysed by placing the extracted variables in context-mechanism-outcome configurations which showed their interrelatedness. A panel of executives from Dutch care groups assessed the face validity of the context-mechanism-outcome configurations. Results: Based on the existing literature, context-mechanism-outcome configurations were compiled for all five diseases. Some configurations could be filled with more detail than others, with the configuration of integrated care for people with diabetes being the most complete. Context-mechanism-outcome configurations were completed and confirmed by executives from Dutch care groups. Conclusion: The configurations together with the identified factors in them reveal the underlying preliminary program theories of integrated care programmes. These theories need to be tested in further research.

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