Integration of healthcare rehabilitation in chronic conditions

Introduction: Quality of care provided to people with chronic conditions does not often fulfil standards of care in Denmark and in other countries. Inadequate organisation of healthcare systems has been identified as one of the most important causes for observed performance inadequacies, and providi...

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Main Authors: Anne Frølich, Dorte Høst, Helle Schnor, Annette Nørgaard, Cecilia Ravn-Jensen, Eva Borg, Carsten Hendriksen
Format: Article
Language:English
Published: Ubiquity Press 2010-02-01
Series:International Journal of Integrated Care
Subjects:
Online Access:http://www.ijic.org/articles/507
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author Anne Frølich
Dorte Høst
Helle Schnor
Annette Nørgaard
Cecilia Ravn-Jensen
Eva Borg
Carsten Hendriksen
author_facet Anne Frølich
Dorte Høst
Helle Schnor
Annette Nørgaard
Cecilia Ravn-Jensen
Eva Borg
Carsten Hendriksen
author_sort Anne Frølich
collection DOAJ
description Introduction: Quality of care provided to people with chronic conditions does not often fulfil standards of care in Denmark and in other countries. Inadequate organisation of healthcare systems has been identified as one of the most important causes for observed performance inadequacies, and providing integrated healthcare has been identified as an important organisational challenge for healthcare systems. Three entities—Bispebjerg University Hospital, the City of Copenhagen, and the GPs in Copenhagen—collaborated on a quality improvement project focusing on integration and implementation of rehabilitation programmes in four conditions. <br><br> Description of care practice: Four multidisciplinary rehabilitation intervention programmes, one for each chronic condition: chronic obstructive pulmonary disease, type 2 diabetes, chronic heart failure, and falls in elderly people were developed and implemented during the project period. The chronic care model was used as a framework for support of implementing and integration of the four rehabilitation programmes. <br><br> Conclusion and discussion: The chronic care model provided support for implementing rehabilitation programmes for four chronic conditions in Bispebjerg University Hospital, the City of Copenhagen, and GPs' offices. New management practices were developed, known practices were improved to support integration, and known practices were used for implementation purposes. Several barriers to integrated care were identified.
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spelling doaj.art-132331a54e234247842ab3e449091d662022-12-22T01:17:29ZengUbiquity PressInternational Journal of Integrated Care1568-41562010-02-0110110.5334/ijic.507507Integration of healthcare rehabilitation in chronic conditionsAnne FrølichDorte HøstHelle SchnorAnnette NørgaardCecilia Ravn-JensenEva BorgCarsten HendriksenIntroduction: Quality of care provided to people with chronic conditions does not often fulfil standards of care in Denmark and in other countries. Inadequate organisation of healthcare systems has been identified as one of the most important causes for observed performance inadequacies, and providing integrated healthcare has been identified as an important organisational challenge for healthcare systems. Three entities—Bispebjerg University Hospital, the City of Copenhagen, and the GPs in Copenhagen—collaborated on a quality improvement project focusing on integration and implementation of rehabilitation programmes in four conditions. <br><br> Description of care practice: Four multidisciplinary rehabilitation intervention programmes, one for each chronic condition: chronic obstructive pulmonary disease, type 2 diabetes, chronic heart failure, and falls in elderly people were developed and implemented during the project period. The chronic care model was used as a framework for support of implementing and integration of the four rehabilitation programmes. <br><br> Conclusion and discussion: The chronic care model provided support for implementing rehabilitation programmes for four chronic conditions in Bispebjerg University Hospital, the City of Copenhagen, and GPs' offices. New management practices were developed, known practices were improved to support integration, and known practices were used for implementation purposes. Several barriers to integrated care were identified.http://www.ijic.org/articles/507quality of careintegration of healthcarechronic conditionschronic care modelrehabilitationchronic obstructive pulmonary disease
spellingShingle Anne Frølich
Dorte Høst
Helle Schnor
Annette Nørgaard
Cecilia Ravn-Jensen
Eva Borg
Carsten Hendriksen
Integration of healthcare rehabilitation in chronic conditions
International Journal of Integrated Care
quality of care
integration of healthcare
chronic conditions
chronic care model
rehabilitation
chronic obstructive pulmonary disease
title Integration of healthcare rehabilitation in chronic conditions
title_full Integration of healthcare rehabilitation in chronic conditions
title_fullStr Integration of healthcare rehabilitation in chronic conditions
title_full_unstemmed Integration of healthcare rehabilitation in chronic conditions
title_short Integration of healthcare rehabilitation in chronic conditions
title_sort integration of healthcare rehabilitation in chronic conditions
topic quality of care
integration of healthcare
chronic conditions
chronic care model
rehabilitation
chronic obstructive pulmonary disease
url http://www.ijic.org/articles/507
work_keys_str_mv AT annefrølich integrationofhealthcarerehabilitationinchronicconditions
AT dortehøst integrationofhealthcarerehabilitationinchronicconditions
AT helleschnor integrationofhealthcarerehabilitationinchronicconditions
AT annettenørgaard integrationofhealthcarerehabilitationinchronicconditions
AT ceciliaravnjensen integrationofhealthcarerehabilitationinchronicconditions
AT evaborg integrationofhealthcarerehabilitationinchronicconditions
AT carstenhendriksen integrationofhealthcarerehabilitationinchronicconditions