文章基本信息

标题：A framework for understanding outcomes of integrated care programs for the hospitalized elderly
本地全文：下载
作者：Jacqueline Hartgerink ; Jane Cramm ; Jeroen van Wijngaarden 等
期刊名称：International Journal of Integrated Care
电子版ISSN：1568-4156
出版年度：2013
卷号：13
期号：4
DOI：10.5334/ijic.1063
语种：English
出版社：Utrecht University, Maastricht University, Groningen University
摘要：Introduction : Integrated care has emerged as a new strategy to enhance the quality of care for hospitalised elderly. Current models do not provide insight into the mechanisms underlying integrated care delivery. Therefore, we developed a framework to identify the underlying mechanisms of integrated care delivery. We should understand how they operate and interact, so that integrated care programmes can enhance the quality of care and eventually patient outcomes. Theory and methods: Interprofessional collaboration among professionals is considered to be critical in integrated care delivery due to many interdependent work requirements. A review of integrated care components brings to light a distinction between the cognitive and behavioural components of interprofessional collaboration. Results : Effective integrated care programmes combine the interacting components of care delivery. These components affect professionals’ cognitions and behaviour, which in turn affect quality of care. Insight is gained into how these components alter the way care is delivered through mechanisms such as combining individual knowledge and actively seeking new information. Conclusion : We expect that insight into the cognitive and behavioural mechanisms will contribute to the understanding of integrated care programmes. The framework can be used to identify the underlying mechanisms of integrated care responsible for producing favourable outcomes, allowing comparisons across programmes.