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How can collaboration be strengthened between public health and primary care? A Dutch multiple case study in seven neighbourhoods.

Storm I, van Gestel A, van de Goor I, van Oers H - BMC Public Health (2015)

Bottom Line: Collaboration was perceived as positive (e.g., feels involved, focus on consensus), but a starting process.Local actors also believe that the stepwise approach supported the process.Local differences may arise in the intensity and form of the various steps, but because they are practical and clearly defined, they remain transferrable to other neighbourhoods.

View Article: PubMed Central - PubMed

Affiliation: National Institute for Public Health and the Environment, Centre for Health and Society, PO Box 1, 3720, BA, Bilthoven, The Netherlands. ilse.storm@rivm.nl.

ABSTRACT

Background: Although public health and primary care share the goal of promoting the health and wellbeing of the public, the two health sectors find it difficult to develop mutually integrated plans and to collaborate with each other. The aim of this multiple case study was to compare seven neighbourhoods in which a stepwise approach based on two central tools (district health profile and policy dialogue) was used to develop integrated district plans and promote collaboration.

Methods: The stepwise approach involved the following steps: 1 Getting to know the neighbourhood, 2 Assembling the workgroup, 3 Analysing the neighbourhood, 4 Developing a district health profile, 5 Preparing policy dialogue, 6 Holding local dialogues, 7 Embedding integrated district plans and collaboration. To supervise this process, a core team was assembled for each neighbourhood, consisting of people drawn from both public health and primary care. Both the use of the two tools and the collaboration were studied by means of documentary analysis, interviews, questionnaires and observations.

Results: The seven neighbourhoods differed in the way the two tools of the stepwise approach were used: general versus focused profiles, the actors involved, the aims of the dialogue or the intensity of the steps. There were also similarities: profile indicators (e.g., population prognosis, vulnerability) and dialogue themes (e.g., obesity, social cohesion). The local actors experienced that the combination of both tools facilitates the process of bringing public health and primary care closer together, and that it is essential to invest sufficiently in the integration of profile data and in involving appropriate actors in the dialogue (e.g., GPs, residents). Collaboration was perceived as positive (e.g., feels involved, focus on consensus), but a starting process. Local actors also believe that the stepwise approach supported the process.

Conclusion: A stepwise approach involving the combined use of district health profiles and policy dialogues promotes the integrated planning of health activities and facilitates collaboration between public health and primary care at the local level. Local differences may arise in the intensity and form of the various steps, but because they are practical and clearly defined, they remain transferrable to other neighbourhoods.

No MeSH data available.


Related in: MedlinePlus

Stepwise approach
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Fig1: Stepwise approach

Mentions: In each of seven neighbourhoods, a stepwise approach was used to develop an integrated district plan or activities, focusing on collaboration between public health and primary care with a view to improving the health of the local population. District health profiles and policy dialogues were the central tools used for the approach. The stepwise approach is summarised in Fig. 1.Fig. 1


How can collaboration be strengthened between public health and primary care? A Dutch multiple case study in seven neighbourhoods.

Storm I, van Gestel A, van de Goor I, van Oers H - BMC Public Health (2015)

Stepwise approach
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4587830&req=5

Fig1: Stepwise approach
Mentions: In each of seven neighbourhoods, a stepwise approach was used to develop an integrated district plan or activities, focusing on collaboration between public health and primary care with a view to improving the health of the local population. District health profiles and policy dialogues were the central tools used for the approach. The stepwise approach is summarised in Fig. 1.Fig. 1

Bottom Line: Collaboration was perceived as positive (e.g., feels involved, focus on consensus), but a starting process.Local actors also believe that the stepwise approach supported the process.Local differences may arise in the intensity and form of the various steps, but because they are practical and clearly defined, they remain transferrable to other neighbourhoods.

View Article: PubMed Central - PubMed

Affiliation: National Institute for Public Health and the Environment, Centre for Health and Society, PO Box 1, 3720, BA, Bilthoven, The Netherlands. ilse.storm@rivm.nl.

ABSTRACT

Background: Although public health and primary care share the goal of promoting the health and wellbeing of the public, the two health sectors find it difficult to develop mutually integrated plans and to collaborate with each other. The aim of this multiple case study was to compare seven neighbourhoods in which a stepwise approach based on two central tools (district health profile and policy dialogue) was used to develop integrated district plans and promote collaboration.

Methods: The stepwise approach involved the following steps: 1 Getting to know the neighbourhood, 2 Assembling the workgroup, 3 Analysing the neighbourhood, 4 Developing a district health profile, 5 Preparing policy dialogue, 6 Holding local dialogues, 7 Embedding integrated district plans and collaboration. To supervise this process, a core team was assembled for each neighbourhood, consisting of people drawn from both public health and primary care. Both the use of the two tools and the collaboration were studied by means of documentary analysis, interviews, questionnaires and observations.

Results: The seven neighbourhoods differed in the way the two tools of the stepwise approach were used: general versus focused profiles, the actors involved, the aims of the dialogue or the intensity of the steps. There were also similarities: profile indicators (e.g., population prognosis, vulnerability) and dialogue themes (e.g., obesity, social cohesion). The local actors experienced that the combination of both tools facilitates the process of bringing public health and primary care closer together, and that it is essential to invest sufficiently in the integration of profile data and in involving appropriate actors in the dialogue (e.g., GPs, residents). Collaboration was perceived as positive (e.g., feels involved, focus on consensus), but a starting process. Local actors also believe that the stepwise approach supported the process.

Conclusion: A stepwise approach involving the combined use of district health profiles and policy dialogues promotes the integrated planning of health activities and facilitates collaboration between public health and primary care at the local level. Local differences may arise in the intensity and form of the various steps, but because they are practical and clearly defined, they remain transferrable to other neighbourhoods.

No MeSH data available.


Related in: MedlinePlus