From shared care to disease management: key-influencing factors
<b>Background:</b> In order to improve the quality of care of chronically ill patients the traditional boundaries between primary and secondary care are questioned. To demolish these boundaries so-called ‘shared care’ projects have been initiated in which different ways of substitution o...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Ubiquity Press
2001-03-01
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| Series: | International Journal of Integrated Care |
| Subjects: | |
| Online Access: | http://www.ijic.org/index.php/ijic/article/view/22 |
| _version_ | 1818528073896689664 |
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| author | Irmgard M.J.G. Eijkelberg Cor Spreeuwenberg Ingrid M. Mur-Veeman Bruce H.R. Wolffenbuttel |
| author_facet | Irmgard M.J.G. Eijkelberg Cor Spreeuwenberg Ingrid M. Mur-Veeman Bruce H.R. Wolffenbuttel |
| author_sort | Irmgard M.J.G. Eijkelberg |
| collection | DOAJ |
| description | <b>Background:</b> In order to improve the quality of care of chronically ill patients the traditional boundaries between primary and secondary care are questioned. To demolish these boundaries so-called ‘shared care’ projects have been initiated in which different ways of substitution of care are applied. When these projects end, disease management may offer a solution to expand the achieved co-operation between primary and secondary care.<br><br> <b>Objective:</b> Answering the question: What key factors influence the development and implementation of shared care projects from a management perspective and how are they linked?<br><br> <b>Theory:</b> The theoretical framework is based on the concept of the learning organisation.<br><br> <b>Design:</b> Reference point is a multiple case study that finally becomes a single case study. Data are collected by means of triangulation. The studied cases concern two interrelated Dutch shared care projects for type 2 diabetic patients, that in the end proceed as one disease management project.<br><br> <b>Results:</b> In these cases the predominant key-influencing factors appear to be the project management, commitment and local context, respectively. The factor project management directly links the latter two, albeit managing both appear prerequisites to its success. In practice this implies managing the factors' interdependency by the application of change strategies and tactics in a committed and skilful way.<br><br> <b>Conclusion:</b> Project management, as the most important and active key factor, is advised to cope with the interrelationships of the influencing factors in a gradually more fundamental way by using strategies and tactics that enable learning processes. Then small-scale shared care projects may change into a disease management network at a large scale, which may yield the future blueprint to proceed. |
| first_indexed | 2024-12-11T06:44:53Z |
| format | Article |
| id | doaj.art-fcb717168d174379acbd9cedc1c7950c |
| institution | Directory Open Access Journal |
| issn | 1568-4156 |
| language | English |
| last_indexed | 2024-12-11T06:44:53Z |
| publishDate | 2001-03-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj.art-fcb717168d174379acbd9cedc1c7950c2022-12-22T01:17:07ZengUbiquity PressInternational Journal of Integrated Care1568-41562001-03-011122From shared care to disease management: key-influencing factorsIrmgard M.J.G. EijkelbergCor SpreeuwenbergIngrid M. Mur-VeemanBruce H.R. Wolffenbuttel<b>Background:</b> In order to improve the quality of care of chronically ill patients the traditional boundaries between primary and secondary care are questioned. To demolish these boundaries so-called ‘shared care’ projects have been initiated in which different ways of substitution of care are applied. When these projects end, disease management may offer a solution to expand the achieved co-operation between primary and secondary care.<br><br> <b>Objective:</b> Answering the question: What key factors influence the development and implementation of shared care projects from a management perspective and how are they linked?<br><br> <b>Theory:</b> The theoretical framework is based on the concept of the learning organisation.<br><br> <b>Design:</b> Reference point is a multiple case study that finally becomes a single case study. Data are collected by means of triangulation. The studied cases concern two interrelated Dutch shared care projects for type 2 diabetic patients, that in the end proceed as one disease management project.<br><br> <b>Results:</b> In these cases the predominant key-influencing factors appear to be the project management, commitment and local context, respectively. The factor project management directly links the latter two, albeit managing both appear prerequisites to its success. In practice this implies managing the factors' interdependency by the application of change strategies and tactics in a committed and skilful way.<br><br> <b>Conclusion:</b> Project management, as the most important and active key factor, is advised to cope with the interrelationships of the influencing factors in a gradually more fundamental way by using strategies and tactics that enable learning processes. Then small-scale shared care projects may change into a disease management network at a large scale, which may yield the future blueprint to proceed.http://www.ijic.org/index.php/ijic/article/view/22shared caredisease managementdiabetes carechange managementproject managementlearning organisation |
| spellingShingle | Irmgard M.J.G. Eijkelberg Cor Spreeuwenberg Ingrid M. Mur-Veeman Bruce H.R. Wolffenbuttel From shared care to disease management: key-influencing factors International Journal of Integrated Care shared care disease management diabetes care change management project management learning organisation |
| title | From shared care to disease management: key-influencing factors |
| title_full | From shared care to disease management: key-influencing factors |
| title_fullStr | From shared care to disease management: key-influencing factors |
| title_full_unstemmed | From shared care to disease management: key-influencing factors |
| title_short | From shared care to disease management: key-influencing factors |
| title_sort | from shared care to disease management key influencing factors |
| topic | shared care disease management diabetes care change management project management learning organisation |
| url | http://www.ijic.org/index.php/ijic/article/view/22 |
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