Dataset Information

Mixed-method evaluation of CARITAS: a hospital-to-community model of integrated care for dementia.

ABSTRACT:

Objectives

The capability and capacity of the primary and community care (PCC) sector for dementia in Singapore may be enhanced through better integration. Through a partnership involving a tertiary hospital and PCC providers, an integrated dementia care network (CARITAS: comprehensive, accessible, responsive, individualised, transdisciplinary, accountable and seamless) was implemented. The study evaluated the process and extent of integration within CARITAS.

Design

Triangulation mixed-methods design and analyses were employed to understand factors underpinning network mechanisms.

Setting

The study was conducted at a tertiary hospital in the northern region of Singapore.

Participants

We recruited participants who were involved in the conceptualisation, design, development and implementation of the CARITAS Programme from a tertiary hospital and PCC providers.

Intervention

We used the Rainbow Model of Integrated Care-Measurement Tool (RMIC-MT) to assess integration from managerial perspectives. RMIC-MT comprises eight dimensions that play interconnected roles on a macro-level, meso-level and micro-level. We administered RMIC-MT to healthcare providers and conducted in-depth interviews with key CARITAS stakeholders.

Primary and secondary outcome measures

We assessed integration scores across eight dimensions of the RMIC-MT and factors underpinning network mechanisms.

Results

Compared with other dimensions, functional integration (mechanisms by which information and management modalities are linked) achieved the lowest mean score of 55. Other dimensions (eg, clinical, professional and organisational integration) scored about 70. Presence of inspiring clinical leaders and tacit interdependencies among partners strengthened the network. However, the lack of structured documentation and a shared information-technology platform hindered functional integration.

Conclusion

CARITAS has reached maturity in micro-levels and meso-levels of integration, while macro-integration needs further development. Integration can be enhanced by assessing service gaps, increasing engagement with stakeholders and providing a shared communication system.

SUBMITTER: Ha NHL

PROVIDER: S-EPMC7537438 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Mixed-method evaluation of CARITAS: a hospital-to-community model of integrated care for dementia.

Ha Ngoc Huong Lien NHL Chan Ivana I Yap Philip P Nurjono Milawaty M Vrijhoef Hubertus J M HJM Nicholas Sean Olivia SO Wee Shiou-Liang SL

BMJ open 20201005 10

<h4>Objectives</h4>The capability and capacity of the primary and community care (PCC) sector for dementia in Singapore may be enhanced through better integration. Through a partnership involving a tertiary hospital and PCC providers, an integrated dementia care network (CARITAS: comprehensive, accessible, responsive, individualised, transdisciplinary, accountable and seamless) was implemented. The study evaluated the process and extent of integration within CARITAS.<h4>Design</h4>Triangulation ...[more]

PMID: 33020104

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Dataset Information

Mixed-method evaluation of CARITAS: a hospital-to-community model of integrated care for dementia.

Objectives

Design

Setting

Participants

Intervention

Primary and secondary outcome measures

Results

Conclusion

Publications

Mixed-method evaluation of CARITAS: a hospital-to-community model of integrated care for dementia.

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