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Building integrated care systems: a case study of Bidasoa Integrated Health Organisation.

Polanco NT, Zabalegui IB, Irazusta IP, Solinís RN, Del Río Cámara M - Int J Integr Care (2015)

Bottom Line: Similarly the collaboration between professionals of different care levels showed a steady improvement in each of the 10 items.Furthermore, the Triple Aim-based indicators showed a better experience of care in terms of patients' perceptions of care coordination; a reduction in hospital utilisation, particularly for patients with complex chronic conditions; and cost-containment in terms of per capita expenditure.There is a significant amount of data that shows that Bidasoa Integrated Health Organisation has progressed in terms of delivering integrated care for chronic conditions with a positive impact on several Triple Aim outcomes.

View Article: PubMed Central - HTML - PubMed

Affiliation: O+Berri, Basque Institute for Healthcare Innovation, Basque Country, Spain.

ABSTRACT

Introduction: This paper analyses the implementation of integrated care policies in the Basque Country through the deployment of an Integrated Health Organisation in Bidasoa area during the period 2011-2014. Structural, functional and clinical integration policies have been employed with the aim to deliver integrated and person-centred care for patients, especially for those living with chronic conditions.

Methods: This organisational case study used multiple data sources and methods in a pragmatic and reflexive manner to build a picture of the organisational development over a 4-year period. In order to measure the progress of integration three concepts have been measured: (i) readiness for chronicity measured with Assessment of Readiness for Chronicity in Healthcare Organisations tool; (ii) collaboration between clinicians from different care levels measured with the D'Amour Questionnaire, and (iii) overall impact of integration through several indicators based on the Triple Aim Framework.

Results: The measurement of organisational readiness for chronicity showed improvements in five of the six areas under evaluation. Similarly the collaboration between professionals of different care levels showed a steady improvement in each of the 10 items. Furthermore, the Triple Aim-based indicators showed a better experience of care in terms of patients' perceptions of care coordination; a reduction in hospital utilisation, particularly for patients with complex chronic conditions; and cost-containment in terms of per capita expenditure.

Conclusion: There is a significant amount of data that shows that Bidasoa Integrated Health Organisation has progressed in terms of delivering integrated care for chronic conditions with a positive impact on several Triple Aim outcomes.

No MeSH data available.


Results in collaboration between professionals of different care levels in Bidasoa Integrated Health Organisation
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fg0005: Results in collaboration between professionals of different care levels in Bidasoa Integrated Health Organisation

Mentions: Stemming from D'Amour Model, Osakidetza and the Basque Institute for Healthcare Innovation elaborated a questionnaire [24], to measure the degree of collaboration between clinical staff of different care levels. Bidasoa Integrated Health Organisation has applied this questionnaire three times (in 2010 before integration, 2012 and 2013) using a sample (number of clinicians) of 80 in 2010, 117 in 2012 and 122 in 2013. The results are shown in Figure 5.


Building integrated care systems: a case study of Bidasoa Integrated Health Organisation.

Polanco NT, Zabalegui IB, Irazusta IP, Solinís RN, Del Río Cámara M - Int J Integr Care (2015)

Results in collaboration between professionals of different care levels in Bidasoa Integrated Health Organisation
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4491322&req=5

fg0005: Results in collaboration between professionals of different care levels in Bidasoa Integrated Health Organisation
Mentions: Stemming from D'Amour Model, Osakidetza and the Basque Institute for Healthcare Innovation elaborated a questionnaire [24], to measure the degree of collaboration between clinical staff of different care levels. Bidasoa Integrated Health Organisation has applied this questionnaire three times (in 2010 before integration, 2012 and 2013) using a sample (number of clinicians) of 80 in 2010, 117 in 2012 and 122 in 2013. The results are shown in Figure 5.

Bottom Line: Similarly the collaboration between professionals of different care levels showed a steady improvement in each of the 10 items.Furthermore, the Triple Aim-based indicators showed a better experience of care in terms of patients' perceptions of care coordination; a reduction in hospital utilisation, particularly for patients with complex chronic conditions; and cost-containment in terms of per capita expenditure.There is a significant amount of data that shows that Bidasoa Integrated Health Organisation has progressed in terms of delivering integrated care for chronic conditions with a positive impact on several Triple Aim outcomes.

View Article: PubMed Central - HTML - PubMed

Affiliation: O+Berri, Basque Institute for Healthcare Innovation, Basque Country, Spain.

ABSTRACT

Introduction: This paper analyses the implementation of integrated care policies in the Basque Country through the deployment of an Integrated Health Organisation in Bidasoa area during the period 2011-2014. Structural, functional and clinical integration policies have been employed with the aim to deliver integrated and person-centred care for patients, especially for those living with chronic conditions.

Methods: This organisational case study used multiple data sources and methods in a pragmatic and reflexive manner to build a picture of the organisational development over a 4-year period. In order to measure the progress of integration three concepts have been measured: (i) readiness for chronicity measured with Assessment of Readiness for Chronicity in Healthcare Organisations tool; (ii) collaboration between clinicians from different care levels measured with the D'Amour Questionnaire, and (iii) overall impact of integration through several indicators based on the Triple Aim Framework.

Results: The measurement of organisational readiness for chronicity showed improvements in five of the six areas under evaluation. Similarly the collaboration between professionals of different care levels showed a steady improvement in each of the 10 items. Furthermore, the Triple Aim-based indicators showed a better experience of care in terms of patients' perceptions of care coordination; a reduction in hospital utilisation, particularly for patients with complex chronic conditions; and cost-containment in terms of per capita expenditure.

Conclusion: There is a significant amount of data that shows that Bidasoa Integrated Health Organisation has progressed in terms of delivering integrated care for chronic conditions with a positive impact on several Triple Aim outcomes.

No MeSH data available.