Working towards integrated community care for older people: Empowering organisational features from a professional perspective

B. Janssen, M. Snoeren, T. Van Regenmortel, T.A. Abma

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Although multi-disciplinary cooperation between professionals is a prerequisite to provide integrated care in the community, this seems hard to realise in practice. Yet, little is known about the experiences of professionals who implement it nor about the organisational features professionals identify as empowering during this cooperation process. Therefore, a case study of a multi-disciplinary geriatric team was performed. The data-collection included observations of meetings, in-depth interviews and focus groups with professionals (N = 12). Data were analysed inductively and related to the three organisational levels within the model of organisational empowerment of Peterson and Zimmerman. Signs of empowering organisational features on the intraorganisational level were mutual trust and clear working routines. On the interorganisational level important features included improved linkages between participating organisations and increased insight into each other's tasks. Tensions occurred relating to the inter- and the extraorganisational level. Professionals felt that the commitment of the management of involved organisations should be improved just as the capacity of the team to influence (local) policy. It is recommended that policymakers should not determine the nature of professional cooperation in advance, but to leave that to the local context as well as to the judgement of involved professionals.
Keywords: Integrated care, Older people, Long-term community care, Multidisciplinary teams, Multidisciplinary cooperation
Organisational reform
Organisational empowerment
Original languageEnglish
Pages (from-to)1-8
JournalHealth Policy
Volume119
Issue number1
DOIs
Publication statusPublished - 2015

Fingerprint

Organizational Models
Organizations
Long-Term Care
Focus Groups
Geriatrics
Interviews

Cite this

@article{97ef0a2e3ce3497db3b42a4a74974847,
title = "Working towards integrated community care for older people: Empowering organisational features from a professional perspective",
abstract = "Although multi-disciplinary cooperation between professionals is a prerequisite to provide integrated care in the community, this seems hard to realise in practice. Yet, little is known about the experiences of professionals who implement it nor about the organisational features professionals identify as empowering during this cooperation process. Therefore, a case study of a multi-disciplinary geriatric team was performed. The data-collection included observations of meetings, in-depth interviews and focus groups with professionals (N = 12). Data were analysed inductively and related to the three organisational levels within the model of organisational empowerment of Peterson and Zimmerman. Signs of empowering organisational features on the intraorganisational level were mutual trust and clear working routines. On the interorganisational level important features included improved linkages between participating organisations and increased insight into each other's tasks. Tensions occurred relating to the inter- and the extraorganisational level. Professionals felt that the commitment of the management of involved organisations should be improved just as the capacity of the team to influence (local) policy. It is recommended that policymakers should not determine the nature of professional cooperation in advance, but to leave that to the local context as well as to the judgement of involved professionals.Keywords: Integrated care, Older people, Long-term community care, Multidisciplinary teams, Multidisciplinary cooperationOrganisational reformOrganisational empowerment",
author = "B. Janssen and M. Snoeren and {Van Regenmortel}, T. and T.A. Abma",
year = "2015",
doi = "10.1016/j.healthpol.2014.09.016",
language = "English",
volume = "119",
pages = "1--8",
journal = "Health Policy",
issn = "0168-8510",
publisher = "Elsevier Ireland Ltd",
number = "1",

}

Working towards integrated community care for older people : Empowering organisational features from a professional perspective. / Janssen, B.; Snoeren, M.; Van Regenmortel, T.; Abma, T.A.

In: Health Policy, Vol. 119, No. 1, 2015, p. 1-8.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Working towards integrated community care for older people

T2 - Empowering organisational features from a professional perspective

AU - Janssen, B.

AU - Snoeren, M.

AU - Van Regenmortel, T.

AU - Abma, T.A.

PY - 2015

Y1 - 2015

N2 - Although multi-disciplinary cooperation between professionals is a prerequisite to provide integrated care in the community, this seems hard to realise in practice. Yet, little is known about the experiences of professionals who implement it nor about the organisational features professionals identify as empowering during this cooperation process. Therefore, a case study of a multi-disciplinary geriatric team was performed. The data-collection included observations of meetings, in-depth interviews and focus groups with professionals (N = 12). Data were analysed inductively and related to the three organisational levels within the model of organisational empowerment of Peterson and Zimmerman. Signs of empowering organisational features on the intraorganisational level were mutual trust and clear working routines. On the interorganisational level important features included improved linkages between participating organisations and increased insight into each other's tasks. Tensions occurred relating to the inter- and the extraorganisational level. Professionals felt that the commitment of the management of involved organisations should be improved just as the capacity of the team to influence (local) policy. It is recommended that policymakers should not determine the nature of professional cooperation in advance, but to leave that to the local context as well as to the judgement of involved professionals.Keywords: Integrated care, Older people, Long-term community care, Multidisciplinary teams, Multidisciplinary cooperationOrganisational reformOrganisational empowerment

AB - Although multi-disciplinary cooperation between professionals is a prerequisite to provide integrated care in the community, this seems hard to realise in practice. Yet, little is known about the experiences of professionals who implement it nor about the organisational features professionals identify as empowering during this cooperation process. Therefore, a case study of a multi-disciplinary geriatric team was performed. The data-collection included observations of meetings, in-depth interviews and focus groups with professionals (N = 12). Data were analysed inductively and related to the three organisational levels within the model of organisational empowerment of Peterson and Zimmerman. Signs of empowering organisational features on the intraorganisational level were mutual trust and clear working routines. On the interorganisational level important features included improved linkages between participating organisations and increased insight into each other's tasks. Tensions occurred relating to the inter- and the extraorganisational level. Professionals felt that the commitment of the management of involved organisations should be improved just as the capacity of the team to influence (local) policy. It is recommended that policymakers should not determine the nature of professional cooperation in advance, but to leave that to the local context as well as to the judgement of involved professionals.Keywords: Integrated care, Older people, Long-term community care, Multidisciplinary teams, Multidisciplinary cooperationOrganisational reformOrganisational empowerment

U2 - 10.1016/j.healthpol.2014.09.016

DO - 10.1016/j.healthpol.2014.09.016

M3 - Article

VL - 119

SP - 1

EP - 8

JO - Health Policy

JF - Health Policy

SN - 0168-8510

IS - 1

ER -