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http://hdl.handle.net/1942/35931
Title: | A Contextual Analysis and Logic Model for Integrated Care for Frail Older Adults Living at Home: The INSPIRE Project | Authors: | Yip, O Huber, E Stenz, S Zullig, LL Zeller, A De Geest, SM DESCHODT, Mieke |
Issue Date: | 2021 | Publisher: | UBIQUITY PRESS LTD | Source: | International journal of integrated care, 21 (2) (Art N° 9) | Abstract: | Introduction: Implementation science methods and a theory-driven approach can enhance the understanding of whether, how, and why integrated care for frail older adults is successful in practice. In this study, we aimed to perform a contextual analysis, develop a logic model, and select preliminary implementation strategies for an integrated care model in newly created information and advice centers for older adults in Canton Basel-Landschaft, Switzerland.Methods: We conducted a contextual analysis to determine factors which may influence the integrated care model and implementation strategies needed. A logic model depicting the overall program theory, including inputs, core components, outputs and outcomes, was designed using a deductive approach, and included stakeholders' feedback and preliminary implementation strategies.Results: Contextual factors were identified (e.g., lack of integrated care regulations, existing community services, and a care pathway needed). Core components of the care model include screening, referral, assessment, care plan creation and coordination, and follow-up. Outcomes included person-centred coordinated care experiences, hospitalization rate and symptom burden, among others. Implementation strategies (e.g., nurse training and co-developing educational materials) were proposed to facilitate care model adoption.Conclusion: Contextual understanding and a clear logic model should enhance the potential for successful implementation of the integrated care model. | Keywords: | Integrated care;Implementation science;Frail elderly;Logic model;Program development;Program theory | Document URI: | http://hdl.handle.net/1942/35931 | ISSN: | 1568-4156 | e-ISSN: | 1568-4156 | DOI: | 10.5334/ijic.5607 | ISI #: | 000643129100008 | Rights: | 2021 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/. International Journal of Integrated Care is a peer-reviewed open access journal pub | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2022 |
Appears in Collections: | Research publications |
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5607-22193-1-PB.pdf | Published version | 2.48 MB | Adobe PDF | View/Open |
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