Unknown makes unloved: A case study on improving integrated health and social care in the Netherlands using a participatory approach

Manon Lette*, Marijke Boorsma, Lidwien Lemmens, Annerieke Stoop, Giel Nijpels, Caroline Baan, Simone de Bruin

*Corresponding author for this work

Research output: Contribution to journalArticleScientificpeer-review

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Abstract

Many initiatives integrating health and social care have been implemented in order to provide adequate care and support to older people living at home. Further development of existing initiatives requires iterative processes of developing, implementing and evaluating improvements to current practice. This case study provides insight into the process of improving an existing integrated care initiative in the Netherlands. Using a participatory approach, researchers and local stakeholders collaborated to develop and implement activities to further improve collaboration between health and social care professionals. Improvement activities included interprofessional meetings focussing on reflection and mutual learning and workplace visits. Researchers evaluated the improvement process, using data triangulation of multiple qualitative and quantitative data sources. According to participating professionals, the improvement activities improved their communication and collaboration by establishing mutual understanding and trust. Enabling factors included the safe and informal setting in which the meetings took place and the personal relationships they developed during the project. Different organisational cultures and interests and a lack of ownership and accountability among managers hindered the improvement process, whereas issues such as staff shortages, time constraints and privacy regulations made it difficult to implement improvements on a larger scale. Still, the participatory approach encouraged the development of partnerships and shared goals on the level of both managers and professionals. This case study highlights that improving communication between professionals is an important first step in improving integrated care. In addition, it shows that a participatory approach, in which improvements are co-created and tailored to local priorities and needs, can help in the development of shared goals and trust between stakeholders with different perspectives. However, stakeholders' willingness and ability to participate in such an improvement process is challenged by many factors.

Original languageEnglish
Pages (from-to)670-680
JournalHealth & Social Care in the Community
Volume28
Issue number2
DOIs
Publication statusPublished - 2020

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Netherlands
Communication
Organizational Culture
Delivery of Health Care
Ownership
Privacy
Information Storage and Retrieval
health
Workplace
stakeholder
manager
communication
triangulation
organizational culture
shortage
privacy
workplace
staff
regulation
responsibility

Keywords

  • ADULTS
  • MULTIPLE CHRONIC CONDITIONS
  • PROGRAMS
  • case study research
  • health and social care
  • integrated care
  • interprofessional education and service developments
  • multi-professional collaborations
  • participative research

Cite this

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title = "Unknown makes unloved: A case study on improving integrated health and social care in the Netherlands using a participatory approach",
abstract = "Many initiatives integrating health and social care have been implemented in order to provide adequate care and support to older people living at home. Further development of existing initiatives requires iterative processes of developing, implementing and evaluating improvements to current practice. This case study provides insight into the process of improving an existing integrated care initiative in the Netherlands. Using a participatory approach, researchers and local stakeholders collaborated to develop and implement activities to further improve collaboration between health and social care professionals. Improvement activities included interprofessional meetings focussing on reflection and mutual learning and workplace visits. Researchers evaluated the improvement process, using data triangulation of multiple qualitative and quantitative data sources. According to participating professionals, the improvement activities improved their communication and collaboration by establishing mutual understanding and trust. Enabling factors included the safe and informal setting in which the meetings took place and the personal relationships they developed during the project. Different organisational cultures and interests and a lack of ownership and accountability among managers hindered the improvement process, whereas issues such as staff shortages, time constraints and privacy regulations made it difficult to implement improvements on a larger scale. Still, the participatory approach encouraged the development of partnerships and shared goals on the level of both managers and professionals. This case study highlights that improving communication between professionals is an important first step in improving integrated care. In addition, it shows that a participatory approach, in which improvements are co-created and tailored to local priorities and needs, can help in the development of shared goals and trust between stakeholders with different perspectives. However, stakeholders' willingness and ability to participate in such an improvement process is challenged by many factors.",
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author = "Manon Lette and Marijke Boorsma and Lidwien Lemmens and Annerieke Stoop and Giel Nijpels and Caroline Baan and {de Bruin}, Simone",
year = "2020",
doi = "10.1111/hsc.12901",
language = "English",
volume = "28",
pages = "670--680",
journal = "Health & Social Care in the Community",
issn = "1365-2524",
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}

Unknown makes unloved : A case study on improving integrated health and social care in the Netherlands using a participatory approach. / Lette, Manon; Boorsma, Marijke; Lemmens, Lidwien; Stoop, Annerieke; Nijpels, Giel; Baan, Caroline; de Bruin, Simone.

In: Health & Social Care in the Community , Vol. 28, No. 2, 2020, p. 670-680.

Research output: Contribution to journalArticleScientificpeer-review

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AU - Lette, Manon

AU - Boorsma, Marijke

AU - Lemmens, Lidwien

AU - Stoop, Annerieke

AU - Nijpels, Giel

AU - Baan, Caroline

AU - de Bruin, Simone

PY - 2020

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N2 - Many initiatives integrating health and social care have been implemented in order to provide adequate care and support to older people living at home. Further development of existing initiatives requires iterative processes of developing, implementing and evaluating improvements to current practice. This case study provides insight into the process of improving an existing integrated care initiative in the Netherlands. Using a participatory approach, researchers and local stakeholders collaborated to develop and implement activities to further improve collaboration between health and social care professionals. Improvement activities included interprofessional meetings focussing on reflection and mutual learning and workplace visits. Researchers evaluated the improvement process, using data triangulation of multiple qualitative and quantitative data sources. According to participating professionals, the improvement activities improved their communication and collaboration by establishing mutual understanding and trust. Enabling factors included the safe and informal setting in which the meetings took place and the personal relationships they developed during the project. Different organisational cultures and interests and a lack of ownership and accountability among managers hindered the improvement process, whereas issues such as staff shortages, time constraints and privacy regulations made it difficult to implement improvements on a larger scale. Still, the participatory approach encouraged the development of partnerships and shared goals on the level of both managers and professionals. This case study highlights that improving communication between professionals is an important first step in improving integrated care. In addition, it shows that a participatory approach, in which improvements are co-created and tailored to local priorities and needs, can help in the development of shared goals and trust between stakeholders with different perspectives. However, stakeholders' willingness and ability to participate in such an improvement process is challenged by many factors.

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JO - Health & Social Care in the Community

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