Dataset Information

Consensus on Integrated Care for Older People Among Dutch Experts: A Delphi Study.

ABSTRACT:

Introduction

In a previous rapid realist review (RRR), an initial programme theory (PT) was established giving insight into the interrelatedness of context items, mechanisms, programme-activities, and outcomes that influence integrated care programmes (ICPs) for community-dwelling frail older people. As ICPs need to be tailored to their local setting, the objective of this study is to assess consensus on the relevance of the items identified in the RRR for the Dutch setting, and refine the PT, where appropriate.

Methods

A two-round e-Delphi study was carried out among Dutch experts to determine the relevance of 71 items.

Results

Consensus on relevance was reached on 57 out of 71 items (80%). Items added to refine the PT included: increasing number of older people, decreasing access to hospital beds, well-designed ICP implementation processes, case management, having a clear portfolio of patients, the role of the government, aligning existing health and social care systems, management and monitoring of care activities, strong relationship between older person and healthcare providers (HCP), and providing continuous feedback to HCPs.

Conclusion and discussion

The initial PT was refined for the Dutch setting. Items on which no consensus was found, need to be further investigated on the reason behind it.

SUBMITTER: Ahmed A

PROVIDER: S-EPMC8663748 | biostudies-literature | 2021 Oct-Dec

REPOSITORIES: biostudies-literature

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Publications

Consensus on Integrated Care for Older People Among Dutch Experts: A Delphi Study.

Ahmed Anam A van den Muijsenbergh Maria Etc ME Vrijhoef Hubertus Jm HJ

International journal of integrated care 20211001 4

<h4>Introduction</h4>In a previous rapid realist review (RRR), an initial programme theory (PT) was established giving insight into the interrelatedness of context items, mechanisms, programme-activities, and outcomes that influence integrated care programmes (ICPs) for community-dwelling frail older people. As ICPs need to be tailored to their local setting, the objective of this study is to assess consensus on the relevance of the items identified in the RRR for the Dutch setting, and refine t ...[more]

PMID: 34963759

Similar Datasets

Project description:BackgroundIntegrated care is recognised as an important enabler to healthy ageing, yet few countries have managed to sustainably deliver integrated care for older people. We aimed to gather global consensus on the key actions required to realign health and long-term systems and integrate services to implement the World Health Organization (WHO) Integrated Care for Older People (ICOPE) approach.MethodsA two-round eDelphi study, including a global consultation meeting, was undertaken to identify, refine and generate consensus on the actions required across high-, middle- and low-income countries to implement the WHO ICOPE approach. In round 1, a framework of 31 actions, empirically derived from previous WHO evidence reviews was presented to panellists to judge the relative importance of each action (numeric rating scale; range:1-9) and provide free-text comments concerning the scope of the actions. These outcomes were discussed and debated at the global consultation meeting. In round 2, a revised framework of 19 actions was presented to panellists to measure their extent of agreement and identify 'essential' actions (five-point Likert scale; range: strongly agree to strongly disagree). A threshold of ≥80% for agree/strongly agree was set a priori for consensus.ResultsAfter round 1 (n = 80 panellists), median scores across 31 actions ranged from 6 to 9. Based on pre-defined category thresholds for median scores, panellists considered 28 actions (90·3%) as 'important' and three (9·7%) as 'uncertain'. Fifteen additional actions were suggested for inclusion based on free-text comments, creating 46 for consideration at the global consultation meeting. In round 2 (n = 84 panellists), agreement (agree or strongly agree) ranged from 84·6-97·6%, suggesting consensus. Fourteen (73·7%) actions were rated as essential.ConclusionFourteen essential actions and five important actions are necessary at system (macro; n = 10) and service (meso; n = 9) levels to implement community-based integrated care for older people.

Dataset Information

Consensus on Integrated Care for Older People Among Dutch Experts: A Delphi Study.

Introduction

Methods

Results

Conclusion and discussion

Publications

Consensus on Integrated Care for Older People Among Dutch Experts: A Delphi Study.

Similar Datasets

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