Improving Person-Centredness in Integrated Care for Older People: Experiences from Thirteen Integrated Care Sites in Europe
Introduction: Although person-centredness is a key principle of integrated care, successfully embedding and improving person-centred care for older people remains a challenge. In the context of a cross-European project on integrated care for older people living at home, the objective of this paper i...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Ubiquity Press
2020-06-01
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| Series: | International Journal of Integrated Care |
| Subjects: | |
| Online Access: | https://www.ijic.org/articles/5427 |
| _version_ | 1818113915159052288 |
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| author | Annerieke Stoop Manon Lette Eliva A. Ambugo Erica Wirrmann Gadsby Nick Goodwin Julie MacInnes Mirella Minkman Gerald Wistow Nick Zonneveld Giel Nijpels Caroline A. Baan Simone R. de Bruin on behalf of the SUSTAIN consortium |
| author_facet | Annerieke Stoop Manon Lette Eliva A. Ambugo Erica Wirrmann Gadsby Nick Goodwin Julie MacInnes Mirella Minkman Gerald Wistow Nick Zonneveld Giel Nijpels Caroline A. Baan Simone R. de Bruin on behalf of the SUSTAIN consortium |
| author_sort | Annerieke Stoop |
| collection | DOAJ |
| description | Introduction: Although person-centredness is a key principle of integrated care, successfully embedding and improving person-centred care for older people remains a challenge. In the context of a cross-European project on integrated care for older people living at home, the objective of this paper is to provide insight at an overarching level, into activities aimed at improving person-centredness within the participating integrated care sites. The paper describes experiences with these activities from the service providers’ and service users’ perspectives. Methods: A multiple embedded case study design was conducted that included thirteen integrated care sites for older people living at home. Results: Service providers were positive about the activities that aimed to promote person-centred care and thought that most activities (e.g. comprehensive needs assessment) positively influenced person-centredness. Experiences of service users were mixed. For some activities (e.g. enablement services), discrepancies were identified between the views of service providers and those of service users. Discussion and conclusion: Evaluating activities aimed at promoting person-centredness from both the service providers’ and service users’ perspectives showed that not all efforts were successful or had the intended consequences for older people. Involvement of older people in designing improvement activities could ensure that care and support reflect their needs and preferences, and build positive experiences of care and support. |
| first_indexed | 2024-12-11T03:42:25Z |
| format | Article |
| id | doaj.art-0e5a79d6211e4edbb3b1fefe67454d47 |
| institution | Directory Open Access Journal |
| issn | 1568-4156 |
| language | English |
| last_indexed | 2024-12-11T03:42:25Z |
| publishDate | 2020-06-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj.art-0e5a79d6211e4edbb3b1fefe67454d472022-12-22T01:22:06ZengUbiquity PressInternational Journal of Integrated Care1568-41562020-06-0120210.5334/ijic.54274833Improving Person-Centredness in Integrated Care for Older People: Experiences from Thirteen Integrated Care Sites in EuropeAnnerieke Stoop0Manon Lette1Eliva A. Ambugo2Erica Wirrmann Gadsby3Nick Goodwin4Julie MacInnes5Mirella Minkman6Gerald Wistow7Nick Zonneveld8Giel Nijpels9Caroline A. Baan10Simone R. de Bruin11on behalf of the SUSTAIN consortium12National Institute for Public Health and the Environment, Bilthoven; Amsterdam Public Health research institute, Amsterdam UMC – VU University Amsterdam, Amsterdam; Scientific Centre for Transformation in Care and Welfare (Tranzo), Tilburg University, TilburgNational Institute for Public Health and the Environment, Bilthoven; Amsterdam Public Health research institute, Amsterdam UMC – VU University Amsterdam, AmsterdamDepartment of Health Management and Health Economics, Institute of Health and Society, University of Oslo, OsloCentre for Health Services Studies, University of Kent, CanterburyCentral Coast Research Institute for Integrated Care and Population Health, University of NewcastleCentre for Health Services Studies, University of Kent, CanterburyVilans, National Centre of Expertise in Long Term Care, Utrecht; TIAS School for Business and Society, Tilburg University, TilburgCare Policy and Evaluation Centre, London School of Economics and Political ScienceVilans, National Centre of Expertise in Long Term Care, Utrecht; TIAS School for Business and Society, Tilburg University, TilburgAmsterdam Public Health research institute, Amsterdam UMC – VU University Amsterdam, AmsterdamNational Institute for Public Health and the Environment, Bilthoven; Scientific Centre for Transformation in Care and Welfare (Tranzo), Tilburg University, TilburgNational Institute for Public Health and the Environment, Bilthoven Introduction: Although person-centredness is a key principle of integrated care, successfully embedding and improving person-centred care for older people remains a challenge. In the context of a cross-European project on integrated care for older people living at home, the objective of this paper is to provide insight at an overarching level, into activities aimed at improving person-centredness within the participating integrated care sites. The paper describes experiences with these activities from the service providers’ and service users’ perspectives. Methods: A multiple embedded case study design was conducted that included thirteen integrated care sites for older people living at home. Results: Service providers were positive about the activities that aimed to promote person-centred care and thought that most activities (e.g. comprehensive needs assessment) positively influenced person-centredness. Experiences of service users were mixed. For some activities (e.g. enablement services), discrepancies were identified between the views of service providers and those of service users. Discussion and conclusion: Evaluating activities aimed at promoting person-centredness from both the service providers’ and service users’ perspectives showed that not all efforts were successful or had the intended consequences for older people. Involvement of older people in designing improvement activities could ensure that care and support reflect their needs and preferences, and build positive experiences of care and support.https://www.ijic.org/articles/5427older peopleintegrated careperson-centrednessmixed methodsimplementation scienceeuropean research |
| spellingShingle | Annerieke Stoop Manon Lette Eliva A. Ambugo Erica Wirrmann Gadsby Nick Goodwin Julie MacInnes Mirella Minkman Gerald Wistow Nick Zonneveld Giel Nijpels Caroline A. Baan Simone R. de Bruin on behalf of the SUSTAIN consortium Improving Person-Centredness in Integrated Care for Older People: Experiences from Thirteen Integrated Care Sites in Europe International Journal of Integrated Care older people integrated care person-centredness mixed methods implementation science european research |
| title | Improving Person-Centredness in Integrated Care for Older People: Experiences from Thirteen Integrated Care Sites in Europe |
| title_full | Improving Person-Centredness in Integrated Care for Older People: Experiences from Thirteen Integrated Care Sites in Europe |
| title_fullStr | Improving Person-Centredness in Integrated Care for Older People: Experiences from Thirteen Integrated Care Sites in Europe |
| title_full_unstemmed | Improving Person-Centredness in Integrated Care for Older People: Experiences from Thirteen Integrated Care Sites in Europe |
| title_short | Improving Person-Centredness in Integrated Care for Older People: Experiences from Thirteen Integrated Care Sites in Europe |
| title_sort | improving person centredness in integrated care for older people experiences from thirteen integrated care sites in europe |
| topic | older people integrated care person-centredness mixed methods implementation science european research |
| url | https://www.ijic.org/articles/5427 |
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