Effects and side-effects of integrating care: the case of mental health care in the Netherlands.

Abstract:

PURPOSE:Description and analysis of the effects and side-effects of integrated mental health care in the Netherlands. CONTEXT OF CASE:Due to a number of large-scale mergers, Dutch mental health care has become an illustration of integration and coherence of care services. This process of integration, however, has not only brought a better organisation of care but apparently has also resulted in a number of serious side-effects. This has raised the question whether integration is still the best way of reorganising mental health care. DATA SOURCES:Literature, data books, patients and professionals, the advice of the Dutch Commission for Mental Health Care, and policy papers. CASE DESCRIPTION:Despite its organisational and patient-centred integration, the problems in the Dutch mental health care system have not diminished: long waiting lists, insufficient fine tuning of care, public order problems with chronic psychiatric patients, etc. These problems are related to a sharp rise in the number of mental health care registrations in contrast with a decrease of registered patients in first-level services. This indicates that care for people with mental health problems has become solely a task for the mental health care services (monopolisation). At the same time, integrated institutions have developed in the direction of specialised medical care (homogenisation). Monopolisation and homogenisation together have put the integrated institutions into an impossible divided position. CONCLUSIONS AND DISCUSSION:Integration of care within the institutions in the Netherlands has resulted in withdrawal of other care providers. These side-effects lead to a new discussion on the real nature and benefits of an integrated mental health care system. Integration requires also a broadly shared vision on good care for the various target groups. This would require a radicalisation of the distinction between care providers as well as a recognition of the different goals of mental health care.

journal_name

Int J Integr Care

authors

Hutschemaekers GJ,Tiemens BG,de Winter M

doi

10.5334/ijic.198

subject

Has Abstract

pub_date

2007-08-27 00:00:00

pages

e31

issn

1568-4156

journal_volume

7

pub_type

杂志文章
  • Organizational approaches to collaboration in vocational rehabilitation-an international literature review.

    abstract:INTRODUCTION:Collaboration between welfare organizations is an important strategy for integrating different health and welfare services. This article reports a review of the international literature on vocational rehabilitation, focusing on different organizational models of collaboration as well as different barriers ...

    journal_title:International journal of integrated care

    pub_type: 杂志文章

    doi:10.5334/ijic.670

    authors: Andersson J,Ahgren B,Axelsson SB,Eriksson A,Axelsson R

    更新日期:2011-10-01 00:00:00

  • Building a People-Centred Integrated Care Model in Urban China: A Qualitative Study of the Health Reform in Luohu.

    abstract:Introduction:China has adopted a people-centred integrated care model to reform its severely hospital-centric and fragmented delivery system. As a template of this model in urban China, the Luohu Hospital Group has generated considerable public and academic interest to scale it up. Methods:Guided by a policy triangle ...

    journal_title:International journal of integrated care

    pub_type: 杂志文章

    doi:10.5334/ijic.4673

    authors: Liang D,Mei L,Chen Y,Zhou P,Yang X,Huang J

    更新日期:2020-03-16 00:00:00

  • Leading multi-professional teams in the children's workforce: an action research project.

    abstract:INTRODUCTION:The 2004 Children Act in the UK saw the introduction of integrated working in children's services. A raft of change followed with processes designed to make joint working easier, and models and theories to support the development of integrated work. This paper explores the links between key concepts and pr...

    journal_title:International journal of integrated care

    pub_type: 杂志文章

    doi:10.5334/ijic.750

    authors: Stuart K

    更新日期:2012-01-01 00:00:00

  • Professional Care Networks of Frail Older People: An Explorative Survey Study from the Patient Perspective.

    abstract:Background:Frail older people living in the community require multidisciplinary care. Despite the fact that patient participation is high on the public agenda, studies into multidisciplinary care mainly focus on the viewpoints of professionals. Little is known about frail older patients' experiences with care delivered...

    journal_title:International journal of integrated care

    pub_type: 杂志文章

    doi:10.5334/ijic.4721

    authors: Grol SM,Molleman GRM,Wensing M,Kuijpers A,Scholte JK,van den Muijsenbergh MTC,Scherpbier ND,Schers HJ

    更新日期:2020-04-01 00:00:00

  • A Realist Evaluation of Local Networks Designed to Achieve More Integrated Care.

    abstract:Introduction:Not surprisingly given their multi-component nature, initiatives to improve integrated care often evolve to find the best way to bring about change. This paper provides an example of how an evaluation evolved alongside such an initiative designed to better integrate care across primary, community and hospi...

    journal_title:International journal of integrated care

    pub_type: 杂志文章

    doi:10.5334/ijic.4183

    authors: Middleton L,Rea H,Pledger M,Cumming J

    更新日期:2019-04-05 00:00:00

  • Refining Program Theory for a Place-Based Integrated Care Initiative in Sydney, Australia.

    abstract:Introduction:The Healthy Homes and Neighbourhoods (HHAN) Integrated Care Program seeks to enhance vulnerable family engagement with health and social services through a care coordination model. Besides servicing families in Sydney, HHAN has also established place-based initiatives (PBIs) in areas of disadvantage such a...

    journal_title:International journal of integrated care

    pub_type: 杂志文章

    doi:10.5334/ijic.5422

    authors: Eastwood J,Barmaky S,Hansen S,Millere E,Ratcliff S,Fotheringham P,Coupland H,De Souza D

    更新日期:2020-09-28 00:00:00

  • Bridging knowledge: reflections on crossing the boundaries between long-term care and support.

    abstract::In March 2009 members of the research, policy and practice communities in the fields of ageing and disability came together in Barcelona for the first international conference on bridging knowledge in long-term care and support. This paper presents a brief snapshot of some of the key themes and ideas that emerged duri...

    journal_title:International journal of integrated care

    pub_type: 杂志文章

    doi:10.5334/ijic.387

    authors: McDaid D,Cieza A,Gomez AR

    更新日期:2009-06-22 00:00:00

  • Communication, Collaboration and Care Coordination: The Three-Point Guide to Cancer Care Provision for Aboriginal and Torres Strait Islander Australians.

    abstract:Aim:To explore health professionals' perspectives on communication, continuity and between-service coordination for improving cancer care for Indigenous people in Queensland. Methods:Semi-structured interviews were conducted in a purposive sample of primary health care (PHC) services in Queensland with Indigenous and ...

    journal_title:International journal of integrated care

    pub_type: 杂志文章

    doi:10.5334/ijic.5456

    authors: de Witt A,Matthews V,Bailie R,Garvey G,Valery PC,Adams J,Martin JH,Cunningham FC

    更新日期:2020-06-08 00:00:00

  • A system of networks and continuing education for physical therapists in rheumatology: a feasibility study.

    abstract:PURPOSE:To evaluate the feasibility of regional physical therapy networks including continuing education in rheumatology. The aim of these networks was to improve care provided by primary care physical therapists by improving specific knowledge, technical and communicative skills and the collaboration with rheumatologi...

    journal_title:International journal of integrated care

    pub_type: 杂志文章

    doi:10.5334/ijic.108

    authors: Verhoef J,Oosterveld FG,Hoekman R,Munneke M,Boonman DC,Bakker M,Otten W,Rasker JJ,de Vries-Vander Zwan HM,Vliet Vlieland TP

    更新日期:2004-01-01 00:00:00

  • Distributive Leadership Within an Emerging Network of Integrated Youth Health Centres: A Case Study of Foundry.

    abstract:Background:Distributive leadership has been proposed as an effective means towards achieving integrated health services. This study draws from the case of Foundry, a network of integrated youth health centres in British Columbia, Canada, and explores the function and impact of distributive leadership in the context of ...

    journal_title:International journal of integrated care

    pub_type:

    doi:10.5334/ijic.4709

    authors: Salmon A,Fernando S,Berger M,Tee K,Gerty K,Helfrich W,Liversidge P

    更新日期:2020-12-01 00:00:00

  • An evaluation of a chronic disease prevention program in the Republika Srpska (RS) of Bosnia and Herzegovina.

    abstract:INTRODUCTION:In 2002 the Republika Srpska of Bosnia and Herzegovina adopted goals for reducing the burden of chronic disease through a new screening program in its publicly funded health centers ("Dom Zdravljas"). This study evaluated the first year of program implementation. METHODS:The evaluation used in-depth inter...

    journal_title:International journal of integrated care

    pub_type: 杂志文章

    doi:10.5334/ijic.227

    authors: Rodic R,Krajnovic V,Howell EM,Vukovic V,Bomestar N

    更新日期:2008-02-11 00:00:00

  • Service Integration Across Sectors in Europe: Literature and Practice.

    abstract:Introduction:To meet the needs of vulnerable people, the integration of services across different sectors is important. This paper presents a preliminary review of service integration across sectors in Europe. Examples of service integration between social services, health, employment and/or education were studied. A f...

    journal_title:International journal of integrated care

    pub_type: 杂志文章

    doi:10.5334/ijic.3107

    authors: van Duijn S,Zonneveld N,Lara Montero A,Minkman M,Nies H

    更新日期:2018-04-19 00:00:00

  • Complex Care Needs in Multiple Chronic Conditions: Population Prevalence and Characterization in Primary Care. A Study Protocol.

    abstract:Background:Chronicity, and particularly complex care needs for people with chronic diseases is one of the main challenges of health systems. Objective:To determine the population prevalence of people with chronic diseases and complex care needs and to characterize these needs considering features of health and social ...

    journal_title:International journal of integrated care

    pub_type: 杂志文章

    doi:10.5334/ijic.3292

    authors: Iglesias FH,Celada CA,Navarro CB,Morales LP,Visus NA,Valverde CC,Dorado VM,Martínez Muñoz ML,Pueyo CB,Ramírez EL,Villaroel RM,Jordana NM,Bonet Simó JM,SABCOMP group.

    更新日期:2018-05-25 00:00:00

  • The organisation of interagency training to safeguard children in England: a case study using realistic evaluation.

    abstract:BACKGROUND:Joint training for interagency working is carried out by Local Safeguarding Children Boards in England to promote effective local working to safeguard and promote the welfare of children. PURPOSE:This paper reports on the findings of the outputs and outcomes of interagency training to safeguard children in ...

    journal_title:International journal of integrated care

    pub_type: 杂志文章

    doi:10.5334/ijic.548

    authors: Patsios D,Carpenter J

    更新日期:2010-11-16 00:00:00

  • Challenges for IT-supported shared care: a qualitative analyses of two shared care initiatives for diabetes treatment in Denmark "I'll never use it" (GP5).

    abstract:PURPOSE:To investigate the circumstances as to why it is so difficult in the primary care sector to implement IT based infrastructures supporting shared care. CASE STUDY:The qualitative analysis includes two separate case studies of IT-supported shared care implemented in two different regions of Denmark throughout 20...

    journal_title:International journal of integrated care

    pub_type: 杂志文章

    doi:10.5334/ijic.187

    authors: Granlien MF,Simonsen J

    更新日期:2007-05-30 00:00:00

  • Effect of Named, Accountable GPs on Continuity of Care: Protocol for a Regression Discontinuity Study of a National Policy Change.

    abstract:INTRODUCTION:Increasing continuity of care has been identified as a strategy to improve patient outcomes, but previous studies of integrated care have tended to focus on pilot areas, which limit their generalisability and the ability to determine in which contexts integrated care was most successful. OBJECTIVE:This st...

    journal_title:International journal of integrated care

    pub_type: 杂志文章

    doi:10.5334/ijic.2450

    authors: Lloyd T,Steventon A

    更新日期:2016-03-31 00:00:00

  • Implementation, Mechanisms of Effect and Context of an Integrated Care Intervention for Vulnerable Families in Central Sydney Australia: A Research and Evaluation Protocol.

    abstract:Introduction:In March 2014, the New South Wales (NSW) Government (Australia) announced the NSW Integrated Care Strategy. In response, a family-centred, population-based, integrated care initiative for vulnerable families and their children in Sydney, Australia was developed. The initiative was called Healthy Homes and ...

    journal_title:International journal of integrated care

    pub_type: 杂志文章

    doi:10.5334/ijic.4217

    authors: Eastwood JG,Woolfenden S,Miller E,Shaw M,Garg P,Liu H,De Souza DE,Ettema RGA

    更新日期:2019-07-25 00:00:00

  • Bridging the chronic care gap: HealthOne Mt Druitt, Australia.

    abstract::HealthOne was part of a state-wide initiative to invest in new community-based facilities for collocating services. The HealthOne Mount Druitt is a virtual hub and spoke organisation established in 2006 in a socially disadvantaged part of Western Sydney based out of a new community health hub. The model is based on 'v...

    journal_title:International journal of integrated care

    pub_type: 杂志文章

    doi:10.5334/ijic.2243

    authors: McNab J,Gillespie JA

    更新日期:2015-09-23 00:00:00

  • Statistical significant change versus relevant or important change in (quasi) experimental design: some conceptual and methodological problems in estimating magnitude of intervention-related change in health services research.

    abstract::This paper aims to identify problems in estimating and the interpretation of the magnitude of intervention-related change over time or responsiveness assessed with health outcome measures. Responsiveness is a problematic construct and there is no consensus on how to quantify the appropriate index to estimate change ov...

    journal_title:International journal of integrated care

    pub_type: 杂志文章

    doi:10.5334/ijic.65

    authors: Middel B,van Sonderen E

    更新日期:2002-01-01 00:00:00

  • The Manage Care Model - Developing an Evidence-Based and Expert-Driven Chronic Care Management Model for Patients with Diabetes.

    abstract:Background:Most current care models are disease- or symptom-focused and mostly do not account for the individual needs of patients with chronic diseases. The aim of this study was to develop an innovative, evidence-based and expert-based practice model for the management of patients with type 2 diabetes mellitus. Meth...

    journal_title:International journal of integrated care

    pub_type: 杂志文章

    doi:10.5334/ijic.4646

    authors: Timpel P,Lang C,Wens J,Contel JC,Schwarz PEH,MANAGE CARE Study Group.

    更新日期:2020-04-22 00:00:00

  • "Just another fish in the pond": the transitional care experience of a hip fracture patient.

    abstract:INTRODUCTION:Miscommunication and lack of coordination can compromise care quality and patient safety during transitions in care, especially for medically complex older adults. Little research has been done to investigate care transitions from the perspective of those receiving and providing care. METHODS:This study e...

    journal_title:International journal of integrated care

    pub_type: 杂志文章

    doi:10.5334/ijic.1103

    authors: Toscan J,Manderson B,Santi SM,Stolee P

    更新日期:2013-06-26 00:00:00

  • Suitability of a Programme for Improving Interprofessional Primary Care Team Meetings.

    abstract:Introduction:Primary care is increasingly being confronted with complex health care demands stemming from both biomedical and psychosocial problems of people with chronic diseases. Interprofessional collaboration is needed to enhance person-centredness and coordinate care provision in an efficient manner, which should ...

    journal_title:International journal of integrated care

    pub_type: 杂志文章

    doi:10.5334/ijic.4179

    authors: van Dongen JJJ,van Bokhoven MA,Goossens WNM,Daniëls R,van der Weijden T,Beurskens A

    更新日期:2018-12-13 00:00:00

  • How To Build an Integrated Neighborhood Approach to Support Community-Dwelling Older People?

    abstract:BACKGROUND:Although the need for integrated neighborhood approaches (INAs) is widely recognized, we lack insight into strategies like INA. We describe diverse Dutch INA partners' experiences to provide integrated person- and population-centered support to community-dwelling older people using an adapted version of Vale...

    journal_title:International journal of integrated care

    pub_type: 杂志文章

    doi:10.5334/ijic.1596

    authors: van Dijk HM,Cramm JM,Nieboer AP

    更新日期:2016-05-12 00:00:00

  • "Partners rather than just providers…": A qualitative study on health care professionals' views on implementation of multidisciplinary group meetings in the North West London Integrated Care Pilot.

    abstract:INTRODUCTION:Multidisciplinary group meetings are one of the key drivers of facilitating integrated care. Health care professionals attending such groups have a key role in the success of these discussions and hence, in the forming of multi-professional integrated care. The study aimed to explore the professionals' exp...

    journal_title:International journal of integrated care

    pub_type: 杂志文章

    doi:10.5334/ijic.2019

    authors: Kassianos AP,Ignatowicz A,Greenfield G,Majeed A,Car J,Pappas Y

    更新日期:2015-09-02 00:00:00

  • Motivation to take part in integrated care-an assessment of follow-up home visits to elderly persons.

    abstract:OBJECTIVES:The aim of follow-up visits by the general practitioner and district nurse (within a week after discharge from hospital) is to reduce hospital readmissions and improve the overall wellbeing of the patient. There is strong evidence that these programmes are effective, but are difficult to implement because of...

    journal_title:International journal of integrated care

    pub_type: 杂志文章

    doi:10.5334/ijic.649

    authors: Hjelmar U,Hendriksen C,Hansen K

    更新日期:2011-07-01 00:00:00

  • Advancing a Systemic Perspective on Multidisciplinary Teams: A Comparative Case Study of Work Organisation in Four Multiple Sclerosis Hospitals.

    abstract:Introduction:Many care organisations claim to employ multidisciplinary teams, but the term is used to describe quite different forms of collaboration. A systemic view of the work organisation of care delivery is presented and applied in this article that allows to identify and understand often overlooked yet important ...

    journal_title:International journal of integrated care

    pub_type: 杂志文章

    doi:10.5334/ijic.3745

    authors: Pless S,Van Hootegem G,Dessers E

    更新日期:2018-07-05 00:00:00

  • A literature review to explore integrated care for older people.

    abstract:PURPOSE:This paper reports on some of the findings of a literature review commissioned to explore integrated care for older people. METHODS:The process of revising included finding and selecting literature from multidisciplinary sources, and encompassed both published papers and 'grey' literature, i.e. material which ...

    journal_title:International journal of integrated care

    pub_type: 杂志文章

    doi:10.5334/ijic.119

    authors: Reed J,Cook G,Childs S,McCormack B

    更新日期:2005-01-01 00:00:00

  • Evidence of Inter-Professional and Multi-Professional Interventions for Geriatric Patients: A Systematic Review.

    abstract::The current demographic shift raises the demand for provision of health care tailored to the complex care needs for older adults. Given the growing number of national care plans and best practice models there is an urgent need to build evidence for inter- and multiprofessional care provision for older people when offe...

    journal_title:International journal of integrated care

    pub_type: 杂志文章

    doi:10.5334/ijic.4683

    authors: Platzer E,Singler K,Dovjak P,Wirnsberger G,Perl A,Lindner S,Liew A,Roller-Wirnsberger RE

    更新日期:2020-02-24 00:00:00

  • Research in Integrated Care: The Need for More Emergent, People-Centred Approaches.

    abstract::The International Foundation for Integrated Care (IFIC) recently celebrated its 20th International Conference (ICIC20) through a virtual event that brought together patients and carers, academics, care professionals, NGOs, policy-makers and industry partners from across the global integrated care community [1]. The In...

    journal_title:International journal of integrated care

    pub_type: 社论

    doi:10.5334/ijic.5627

    authors: van der Vlegel-Brouwer W,van Kemenade E,Stein KV,Goodwin N,Miller R

    更新日期:2020-10-21 00:00:00

  • The Integrated Dyspnea Clinic: An Evaluation of Efficiency.

    abstract:Introduction:Dyspnea is a common complaint and in 70 to 90% the origin is pulmonary or cardiovascular. However, referral to the "wrong" specialism could result in diagnostic- and treatment delay. Integrated care by a cardiologist and a pulmonologist could improve this. The aim of the present study was to evaluate wheth...

    journal_title:International journal of integrated care

    pub_type: 杂志文章

    doi:10.5334/ijic.3983

    authors: Rietbroek MV,Slats AM,Kiès P,de Grooth GJ,Chavannes NH,Taube C,Bonten TN

    更新日期:2018-12-31 00:00:00