Stakeholders’ experiences and perception on transitional care initiatives within an integrated care project in Belgium: a qualitative interview study
Abstract Background In 2015, a plan for integrated care was launched by the Belgium government that resulted in the implementation of 12 integrated care pilot project across Belgium. The pilot project Zorgzaam Leuven consists of a multidisciplinary local consortium aiming to bring lasting change tow...
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| Format: | Article |
| Language: | English |
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BMC
2023-01-01
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| Series: | BMC Geriatrics |
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| Online Access: | https://doi.org/10.1186/s12877-023-03746-z |
| _version_ | 1811175668207058944 |
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| author | Merel Leithaus Amal Fakha Johan Flamaing Hilde Verbeek Mieke Deschodt Gijs van Pottelbergh Geert Goderis |
| author_facet | Merel Leithaus Amal Fakha Johan Flamaing Hilde Verbeek Mieke Deschodt Gijs van Pottelbergh Geert Goderis |
| author_sort | Merel Leithaus |
| collection | DOAJ |
| description | Abstract Background In 2015, a plan for integrated care was launched by the Belgium government that resulted in the implementation of 12 integrated care pilot project across Belgium. The pilot project Zorgzaam Leuven consists of a multidisciplinary local consortium aiming to bring lasting change towards integrated care for the region of Leuven. This study aims to explore experiences and perceptions of stakeholders involved in four transitional care actions that are part of Zorgzaam Leuven. Methods This qualitative case study is part of the European TRANS-SENIOR project. Four actions with a focus on improving transitional care were selected and stakeholders involved in those actions were identified using the snow-ball method. Fourteen semi-structured interviews were conducted and inductive thematic analysis was performed. Results Professionals appreciated to be involved in the decision making early onwards either by proposing own initiatives or by providing their input in shaping actions. Improved team spirit and community feeling with other health care professionals (HCPs) was reported to reduce communication barriers and was perceived to benefit both patients and professionals. The actions provided supportive tools and various learning opportunities that participants acknowledged. Technical shortcomings (e.g. lack of integrated patient records) and financial and political support were identified as key challenges impeding the sustainable implementation of the transitional care actions. Conclusion The pilot project Zorgzaam Leuven created conditions that triggered work motivation for HCPs. It supported the development of multidisciplinary care partnerships at the local level that allowed early involvement and increased collaboration, which is crucial to successfully improve transitional care for vulnerable patients. |
| first_indexed | 2024-04-10T19:40:32Z |
| format | Article |
| id | doaj.art-117580419f4a4633951f2b254fb9dc75 |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-04-10T19:40:32Z |
| publishDate | 2023-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-117580419f4a4633951f2b254fb9dc752023-01-29T12:21:31ZengBMCBMC Geriatrics1471-23182023-01-0123111210.1186/s12877-023-03746-zStakeholders’ experiences and perception on transitional care initiatives within an integrated care project in Belgium: a qualitative interview studyMerel Leithaus0Amal Fakha1Johan Flamaing2Hilde Verbeek3Mieke Deschodt4Gijs van Pottelbergh5Geert Goderis6Academic Center for Nursing and Midwifery, Department of Public Health & Primary Care, KU LeuvenAcademic Center for Nursing and Midwifery, Department of Public Health & Primary Care, KU LeuvenDivision of Gerontology and Geriatrics, Department of Public Health & Primary Care, KU LeuvenDepartment of Health Services Research, CAPHRI Care and Public Health Research Institute, Maastricht UniversityDivision of Gerontology and Geriatrics, Department of Public Health & Primary Care, KU LeuvenAcademic Center for General Practice, Department of Public Health & Primary Care, KU LeuvenAcademic Center for General Practice, Department of Public Health & Primary Care, KU LeuvenAbstract Background In 2015, a plan for integrated care was launched by the Belgium government that resulted in the implementation of 12 integrated care pilot project across Belgium. The pilot project Zorgzaam Leuven consists of a multidisciplinary local consortium aiming to bring lasting change towards integrated care for the region of Leuven. This study aims to explore experiences and perceptions of stakeholders involved in four transitional care actions that are part of Zorgzaam Leuven. Methods This qualitative case study is part of the European TRANS-SENIOR project. Four actions with a focus on improving transitional care were selected and stakeholders involved in those actions were identified using the snow-ball method. Fourteen semi-structured interviews were conducted and inductive thematic analysis was performed. Results Professionals appreciated to be involved in the decision making early onwards either by proposing own initiatives or by providing their input in shaping actions. Improved team spirit and community feeling with other health care professionals (HCPs) was reported to reduce communication barriers and was perceived to benefit both patients and professionals. The actions provided supportive tools and various learning opportunities that participants acknowledged. Technical shortcomings (e.g. lack of integrated patient records) and financial and political support were identified as key challenges impeding the sustainable implementation of the transitional care actions. Conclusion The pilot project Zorgzaam Leuven created conditions that triggered work motivation for HCPs. It supported the development of multidisciplinary care partnerships at the local level that allowed early involvement and increased collaboration, which is crucial to successfully improve transitional care for vulnerable patients.https://doi.org/10.1186/s12877-023-03746-zIntegrated careInterdisciplinary communicationContinuity of patient careHealth care policyQualitative research |
| spellingShingle | Merel Leithaus Amal Fakha Johan Flamaing Hilde Verbeek Mieke Deschodt Gijs van Pottelbergh Geert Goderis Stakeholders’ experiences and perception on transitional care initiatives within an integrated care project in Belgium: a qualitative interview study BMC Geriatrics Integrated care Interdisciplinary communication Continuity of patient care Health care policy Qualitative research |
| title | Stakeholders’ experiences and perception on transitional care initiatives within an integrated care project in Belgium: a qualitative interview study |
| title_full | Stakeholders’ experiences and perception on transitional care initiatives within an integrated care project in Belgium: a qualitative interview study |
| title_fullStr | Stakeholders’ experiences and perception on transitional care initiatives within an integrated care project in Belgium: a qualitative interview study |
| title_full_unstemmed | Stakeholders’ experiences and perception on transitional care initiatives within an integrated care project in Belgium: a qualitative interview study |
| title_short | Stakeholders’ experiences and perception on transitional care initiatives within an integrated care project in Belgium: a qualitative interview study |
| title_sort | stakeholders experiences and perception on transitional care initiatives within an integrated care project in belgium a qualitative interview study |
| topic | Integrated care Interdisciplinary communication Continuity of patient care Health care policy Qualitative research |
| url | https://doi.org/10.1186/s12877-023-03746-z |
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