期刊
INTERNATIONAL JOURNAL OF INTEGRATED CARE
卷 21, 期 2, 页码 -出版社
UBIQUITY PRESS LTD
DOI: 10.5334/ijic.5607
关键词
Integrated care; Implementation science; Frail elderly; Logic model; Program development; Program theory
资金
- Swisslos Fond Baselland
- Velux Stiftung/Velux Foundation
- Swiss National Science Foundation [NRP74]
- Amt fur Gesundheit Kanton Basel-Landschaft/Health Department Canton Basel-Landschaft
- European Union's Horizon 2020 research and innovation programme under the Marie Sklodowska-Curie grant (SSPH+ Global PhD Fellowship Programme in Public Health Sciences [GlobalP3HS] of the Swiss School of Public Health) [801076]
- European Union's Horizon 2020 research and innovation programme under the Marie Sklodowska-Curie grant [812656]
This study aimed to analyze the contextual factors, develop a logic model, and select preliminary implementation strategies for an integrated care model in information and advice centers for older adults in Canton Basel-Landschaft, Switzerland. The results identified contextual factors, core components of the care model, and proposed implementation strategies to facilitate model adoption. Ultimately, contextual understanding and a clear logic model should enhance the potential for successful implementation of the integrated care model.
Introduction: Implementation science methods and a theory-driven approach can enhance the understanding of whether, how, and why integrated care for frail older adults is successful in practice. In this study, we aimed to perform a contextual analysis, develop a logic model, and select preliminary implementation strategies for an integrated care model in newly created information and advice centers for older adults in Canton Basel-Landschaft, Switzerland. Methods: We conducted a contextual analysis to determine factors which may influence the integrated care model and implementation strategies needed. A logic model depicting the overall program theory, including inputs, core components, outputs and outcomes, was designed using a deductive approach, and included stakeholders' feedback and preliminary implementation strategies. Results: Contextual factors were identified (e.g., lack of integrated care regulations, existing community services, and a care pathway needed). Core components of the care model include screening, referral, assessment, care plan creation and coordination, and follow-up. Outcomes included person-centred coordinated care experiences, hospitalization rate and symptom burden, among others. Implementation strategies (e.g., nurse training and co-developing educational materials) were proposed to facilitate care model adoption. Conclusion: Contextual understanding and a clear logic model should enhance the potential for successful implementation of the integrated care model.
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