Towards a taxonomy for integrated care: a mixed-methods study
<strong>Introduction: </strong>Building integrated services in a primary care setting is considered an essential important strategy for establishing a high-quality and affordable health care system. The theoretical foundations of such integrated service models are described by the Rainbo...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Ubiquity Press
2015-03-01
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| Series: | International Journal of Integrated Care |
| Subjects: | |
| Online Access: | http://www.ijic.org/articles/1513 |
| _version_ | 1811200346135986176 |
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| author | Pim Peter Valentijn Inge C. Boesveld Denise M. van der Klauw Dirk Ruwaard Jeroen N. Struijs Johanna J.W. Molema Marc A. Bruijnzeels Hubertus JM. Vrijhoef |
| author_facet | Pim Peter Valentijn Inge C. Boesveld Denise M. van der Klauw Dirk Ruwaard Jeroen N. Struijs Johanna J.W. Molema Marc A. Bruijnzeels Hubertus JM. Vrijhoef |
| author_sort | Pim Peter Valentijn |
| collection | DOAJ |
| description | <strong>Introduction: </strong>Building integrated services in a primary care setting is considered an essential important strategy for establishing a high-quality and affordable health care system. The theoretical foundations of such integrated service models are described by the Rainbow Model of Integrated Care, which distinguishes six integration dimensions (clinical, professional, organisational, system, functional and normative integration). The aim of the present study is to refine the Rainbow Model of Integrated Care by developing a taxonomy that specifies the underlying key features of the six dimensions. <strong>Methods: </strong>First, a literature review was conducted to identify features for achieving integrated service delivery. Second, a thematic analysis method was used to develop a taxonomy of key features organised into the dimensions of the Rainbow Model of Integrated Care. Finally, the appropriateness of the key features was tested in a Delphi study among Dutch experts. <strong>Results: </strong>The taxonomy consists of 59 key features distributed across the six integration dimensions of the Rainbow Model of Integrated Care. Key features associated with the clinical, professional, organisational and normative dimensions were considered appropriate by the experts. Key features linked to the functional and system dimensions were considered less appropriate. <strong>Discussion: </strong>This study contributes to the ongoing debate of defining the concept and typology of integrated care. This taxonomy provides a development agenda for establishing an accepted scientific framework of integrated care from an end-user, professional, managerial and policy perspective. |
| first_indexed | 2024-04-12T02:03:21Z |
| format | Article |
| id | doaj.art-421b2acfa1ad4dc1aa202c24c29f20a1 |
| institution | Directory Open Access Journal |
| issn | 1568-4156 |
| language | English |
| last_indexed | 2024-04-12T02:03:21Z |
| publishDate | 2015-03-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj.art-421b2acfa1ad4dc1aa202c24c29f20a12022-12-22T03:52:36ZengUbiquity PressInternational Journal of Integrated Care1568-41562015-03-0115110.5334/ijic.15131728Towards a taxonomy for integrated care: a mixed-methods studyPim Peter Valentijn0Inge C. Boesveld1Denise M. van der Klauw2Dirk Ruwaard3Jeroen N. Struijs4Johanna J.W. Molema5Marc A. Bruijnzeels6Hubertus JM. Vrijhoef7Scientific Centre for Care and Welfare (Tranzo), Tilburg University, The Netherlands; and Jan van Es Institute, Netherlands Expert Centre Integrated Primary Care <strong>Introduction: </strong>Building integrated services in a primary care setting is considered an essential important strategy for establishing a high-quality and affordable health care system. The theoretical foundations of such integrated service models are described by the Rainbow Model of Integrated Care, which distinguishes six integration dimensions (clinical, professional, organisational, system, functional and normative integration). The aim of the present study is to refine the Rainbow Model of Integrated Care by developing a taxonomy that specifies the underlying key features of the six dimensions. <strong>Methods: </strong>First, a literature review was conducted to identify features for achieving integrated service delivery. Second, a thematic analysis method was used to develop a taxonomy of key features organised into the dimensions of the Rainbow Model of Integrated Care. Finally, the appropriateness of the key features was tested in a Delphi study among Dutch experts. <strong>Results: </strong>The taxonomy consists of 59 key features distributed across the six integration dimensions of the Rainbow Model of Integrated Care. Key features associated with the clinical, professional, organisational and normative dimensions were considered appropriate by the experts. Key features linked to the functional and system dimensions were considered less appropriate. <strong>Discussion: </strong>This study contributes to the ongoing debate of defining the concept and typology of integrated care. This taxonomy provides a development agenda for establishing an accepted scientific framework of integrated care from an end-user, professional, managerial and policy perspective.http://www.ijic.org/articles/1513integrated careprimary careDelphi studyclassificationliterature reviewtaxonomycoordinated care |
| spellingShingle | Pim Peter Valentijn Inge C. Boesveld Denise M. van der Klauw Dirk Ruwaard Jeroen N. Struijs Johanna J.W. Molema Marc A. Bruijnzeels Hubertus JM. Vrijhoef Towards a taxonomy for integrated care: a mixed-methods study International Journal of Integrated Care integrated care primary care Delphi study classification literature review taxonomy coordinated care |
| title | Towards a taxonomy for integrated care: a mixed-methods study |
| title_full | Towards a taxonomy for integrated care: a mixed-methods study |
| title_fullStr | Towards a taxonomy for integrated care: a mixed-methods study |
| title_full_unstemmed | Towards a taxonomy for integrated care: a mixed-methods study |
| title_short | Towards a taxonomy for integrated care: a mixed-methods study |
| title_sort | towards a taxonomy for integrated care a mixed methods study |
| topic | integrated care primary care Delphi study classification literature review taxonomy coordinated care |
| url | http://www.ijic.org/articles/1513 |
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