Towards a taxonomy for integrated care: A mixed-methods study

P.P. Valentijn, I.C. Boesveld, D.M. van der Klauw, D. Ruwaard, J.N. Struijs, J.J.W. Molema, M.A. Bruijnzeels, H.J.M. Vrijhoef

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Abstract

Introduction:
Building integrated services in a primary care setting is considered an essential important strategy for establishing a highquality 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.
Methods:
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.
Results:
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.
Discussion:
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.
Keywords: integrated care, primary care, Delphi study, classification, literature review, taxonomy, coordinated care
Original languageEnglish
Article numbere003
JournalInternational Journal of Integrated Care
Volume15
Publication statusPublished - 2015

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Valentijn, P. P., Boesveld, I. C., van der Klauw, D. M., Ruwaard, D., Struijs, J. N., Molema, J. J. W., ... Vrijhoef, H. J. M. (2015). Towards a taxonomy for integrated care: A mixed-methods study. International Journal of Integrated Care, 15, [e003].
Valentijn, P.P. ; Boesveld, I.C. ; van der Klauw, D.M. ; Ruwaard, D. ; Struijs, J.N. ; Molema, J.J.W. ; Bruijnzeels, M.A. ; Vrijhoef, H.J.M. / Towards a taxonomy for integrated care : A mixed-methods study. In: International Journal of Integrated Care. 2015 ; Vol. 15.
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abstract = "Introduction:Building integrated services in a primary care setting is considered an essential important strategy for establishing a highquality 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.Methods: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.Results:The taxonomy consists of 59 key features distributed across the six integration dimensions of the Rainbow Model of IntegratedCare. Key features associated with the clinical, professional, organisational and normative dimensions were considered appropriate by theexperts. Key features linked to the functional and system dimensions were considered less appropriate.Discussion: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.Keywords: integrated care, primary care, Delphi study, classification, literature review, taxonomy, coordinated care",
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Valentijn, PP, Boesveld, IC, van der Klauw, DM, Ruwaard, D, Struijs, JN, Molema, JJW, Bruijnzeels, MA & Vrijhoef, HJM 2015, 'Towards a taxonomy for integrated care: A mixed-methods study', International Journal of Integrated Care, vol. 15, e003.

Towards a taxonomy for integrated care : A mixed-methods study. / Valentijn, P.P.; Boesveld, I.C.; van der Klauw, D.M.; Ruwaard, D.; Struijs, J.N.; Molema, J.J.W.; Bruijnzeels, M.A.; Vrijhoef, H.J.M.

In: International Journal of Integrated Care, Vol. 15, e003, 2015.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Towards a taxonomy for integrated care

T2 - A mixed-methods study

AU - Valentijn, P.P.

AU - Boesveld, I.C.

AU - van der Klauw, D.M.

AU - Ruwaard, D.

AU - Struijs, J.N.

AU - Molema, J.J.W.

AU - Bruijnzeels, M.A.

AU - Vrijhoef, H.J.M.

N1 - Open access journal

PY - 2015

Y1 - 2015

N2 - Introduction:Building integrated services in a primary care setting is considered an essential important strategy for establishing a highquality 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.Methods: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.Results:The taxonomy consists of 59 key features distributed across the six integration dimensions of the Rainbow Model of IntegratedCare. Key features associated with the clinical, professional, organisational and normative dimensions were considered appropriate by theexperts. Key features linked to the functional and system dimensions were considered less appropriate.Discussion: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.Keywords: integrated care, primary care, Delphi study, classification, literature review, taxonomy, coordinated care

AB - Introduction:Building integrated services in a primary care setting is considered an essential important strategy for establishing a highquality 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.Methods: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.Results:The taxonomy consists of 59 key features distributed across the six integration dimensions of the Rainbow Model of IntegratedCare. Key features associated with the clinical, professional, organisational and normative dimensions were considered appropriate by theexperts. Key features linked to the functional and system dimensions were considered less appropriate.Discussion: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.Keywords: integrated care, primary care, Delphi study, classification, literature review, taxonomy, coordinated care

M3 - Article

VL - 15

JO - International Journal of Integrated Care

JF - International Journal of Integrated Care

SN - 1568-4156

M1 - e003

ER -

Valentijn PP, Boesveld IC, van der Klauw DM, Ruwaard D, Struijs JN, Molema JJW et al. Towards a taxonomy for integrated care: A mixed-methods study. International Journal of Integrated Care. 2015;15. e003.