The SUSTAIN Project: A European Study on Improving Integrated Care for Older People Living at Home

Bruin, Simone de; Stoop, Annerieke; Billings, Jenny R.; Leichsenring, Kai; Ruppe, Georg; Tram, Nhu; Barbaglia, Gabriela; Ambugo, Eliva Atieno; Zonneveld, Nick; Paat-Ahi, Gerli; Hoffmann, Henrik; Khan, Usman; Stein, Viktoria; Wistow, Gerald; Lette, Manon; Jansen, A.P.D.; Nijpels, Giel; Baan, Caroline A.

doi:10.5334/ijic.3090

Cited by 55 publications

(62 citation statements)

References 32 publications

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“…While widely applied and under development in many countries, integrated health services delivery is often a complex and non-hierarchical undertaking with various implications [13][14][15][16]. In addition to the implementation of interventions, integration requires changes in healthcare workforce, behavior, organizational design, governance and funding on multiple organizational levels [17][18][19][20].…”

Section: Introductionmentioning

confidence: 99%

Towards a values framework for integrated health services: an international Delphi study

Zonneveld

Raab

Minkman

2020

BMC Health Serv Res

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Background: In order to organize person-centered health services for a growing number of people with multiple complex health and social care needs, a shift from fragmented to integrated health services delivery has to take place. For the organization of governance in integrated health services, it is important to better understand the underlying factors that drive collaboration, decision-making and behavior between individuals and organizations. Therefore, this article focuses on these underlying normative aspects of integrated health services. This study investigates the values that underpin integrated health services delivery as a concept, by examining the extent to which an initial literature based set of underlying values underpins integrated care and the relevance of these values on the different levels of integration. Methods: An international Delphi study with 33 experts from 13 different countries was carried out to examine the initial set of underlying values of integrated health services. In addition, the relevance of the values was assessed on the different levels of integration: personal level, professional level, management level and system level. Results: The study resulted in a refined set of 18 values of integrated health services developed in three Delphi study rounds. In addition, the results provided insight into the relevance of these values on the personal level (e.g. 'trustful'), professional level (e.g. 'collaborative'), management level (e.g. 'efficient') and system level (e.g. 'comprehensive') of integration. Some of the values score consistent across the different levels of integration while other values score inconsistent across these levels. Conclusions: The Delphi study resulted in an international normative basis for integrated health services delivery as a concept. The values can be used as ingredients for a values framework and provide a better understanding of the normative aspects of integrated health services delivery. Future research could focus on associated behaviors in practice, the relationship between normative integration and governance, and differences between the value priorities of stakeholder groups.

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Section: Introductionmentioning

confidence: 99%

Towards a values framework for integrated health services: an international Delphi study

Zonneveld

Raab

Minkman

2020

BMC Health Serv Res

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“…In order to address this and to improve quality of care and quality of lives, integrated care is often introduced as a leading paradigm. The World Health Organisation (WHO), for instance, acknowledges the importance of integrated care in its vision and global strategy for health services delivery [2], and there is a proliferation of integrated care initiatives in many different countries, settings and environments [345]. The WHO defines integrated care (or integrated health services delivery) as “an approach to strengthen people-centred health systems through the promotion of the comprehensive delivery of quality services across the life-course, designed according to the multidimensional needs of the population and the individual and delivered by a coordinated multidisciplinary team of providers working across settings and levels of care.…”

Section: Introductionmentioning

confidence: 99%

Values of Integrated Care: A Systematic Review

Driessen²,

et al. 2018

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Introduction:Although substantial generic knowledge about integrated care has been developed, better understanding of the factors that drive behaviour, decision-making, collaboration and governance processes in integrated care networks is needed to take integrated care forward. To gain more insight into these topics and to understand integrated care in more depth, a set of underlying values of integrated care has been developed and defined in this study.Theory and methods:A systematic literature review was conducted to identify the underlying values of integrated care. Values theory was used as a theoretical framework for the analysis.Results:This study identified 23 values in the current body of knowledge. The most frequently identified values are ‘collaborative’, ‘co-ordinated’, ‘transparent’, ‘empowering’, ‘comprehensive’, ‘co-produced’ and ‘shared responsibility and accountability’.Discussion and conclusion:The set of values is presented as a potential basis for a values-driven approach to integrated care. This approach enables better understanding of the behaviours and collaboration in integrated care and may also be used to develop guidance or governance in this area. The practical application of the values and their use at multiple levels is discussed. The consequences of different stakeholder perceptions on the values is explored and an agenda for future research is proposed.

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“…Most older people are healthy and like to live in their own homes, as they prefer to be in a familiar environment (de Bruin et al, ; Sherman, Forsberg, Karp, & Tornkvist, ). Smart home technology includes various communication and network devices that use monitors, sensors, applications and robotics (Cook, D. J.…”

Section: Introductionmentioning

confidence: 99%

“…Despite the fact that most older people want to live in their own homes for as long as possible (de Bruin et al, ; Turjamaa, Hartikainen, Kangasniemi, & Pietilä, ), some dislike it because they feel that their home is a lonely and unsafe environment. Therefore, it is essential to take into account older people's rights to make decisions about their own lives (Jacobs, ; Zhang et al, ).…”

Section: Introductionmentioning

confidence: 99%

How smart homes are used to support older people: An integrative review

Turjamaa

Pehkonen

Kangasniemi

2019

Int J Older People Nursing

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Background The number of healthy older people is increasing, and most of them want to live in their own homes for as long as possible. Smart home technology can support living at home, but synthetised knowledge of previous studies about their suitability for the everyday lives of older people is rare. Methods Data for this integrated review were obtained by searching the PubMed, CINAHL and Scopus databases from 2012 to 2019, based on inclusion and exclusion criteria, and then carrying out quality appraisals of the papers that were selected. Results We identified 944 papers, and 16 were included in the review. According to our analysis, smart home solutions for older people focused on devices for daily and healthy living and older people's safety. The smart home solutions they discussed were used to help older people carry out everyday activities and lead healthier and more fulfilled lives, by improving their physical safety and social communication. Older people reported that smart homes improved their sense of security, quality of daily life and activities and provided them with information about the care they could receive. However, research on older people playing an active role in developing smart home technology was lacking. Conclusion The existing literature focused on evaluating daily activities with routine measurements. There has been a lack of research that has focused on older people's experiences as the end users of this technology. However, the papers lacked data on how older people could maintain their social relationships and become more proactive in daily living. Implications for practice With further development, smart homes can be used to support older people to perform daily activities and help them maintain their social relationships. These steps will ensure that they can continue to live independently in their own homes for longer.

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The SUSTAIN Project: A European Study on Improving Integrated Care for Older People Living at Home

Cited by 55 publications

References 32 publications

Towards a values framework for integrated health services: an international Delphi study

Towards a values framework for integrated health services: an international Delphi study

Values of Integrated Care: A Systematic Review

How smart homes are used to support older people: An integrative review

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