Fostering Behavioural Change Towards Integrated Care - a Multi-Team Case Study in Specialised Youth Services.

IF 2.6 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
International Journal of Integrated Care Pub Date : 2025-02-07 eCollection Date: 2025-01-01 DOI:10.5334/ijic.8842
Andrée Sekreve, Maurits Struik, Woody van Olffen, Laura Nooteboom
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引用次数: 0

Abstract

Introduction: Integrated care is crucial in delivering coherent and coordinated support to families with multiple and complex problems. Reorienting care organisations towards integrated care is a complex organisational change process. It requires both structural and behavioural adjustments. To learn about effective practice, it is useful to study implementation between contexts.

Description: This mixed methods case study provides a comparison over time of five regional teams simultaneously implementing an integrated care delivery mode. Group interviews identified whether and how different elements in the change approach helped or hindered the change progress.

Discussion: We describe and discuss how the teams were guided and supported in learning to make the behavioural switches associated with their new integrated mode of operation.

Conclusion: Our support-interventions appeared to be largely successful in fostering four pre-defined integrated care behaviours. This research took place during the Covid-19 pandemic, which was challenging but also brought unexpected benefits.

促进行为转变,迈向综合照顾-青少年特别服务的多小组个案研究。
综合护理在向有多种复杂问题的家庭提供连贯和协调的支持方面至关重要。将护理组织重新定位为综合护理是一个复杂的组织变革过程。这需要结构和行为上的调整。为了了解有效的实践,研究上下文之间的执行是有用的。描述:这个混合方法的案例研究提供了五个区域团队同时实施综合护理交付模式的比较。小组访谈确定了变更方法中的不同元素是否以及如何帮助或阻碍了变更进展。讨论:我们描述和讨论如何指导和支持团队学习做出与他们新的综合运作模式相关的行为转换。结论:我们的支持干预措施似乎在很大程度上成功地促进了四种预先定义的综合护理行为。这项研究是在Covid-19大流行期间进行的,这是一项具有挑战性的研究,但也带来了意想不到的好处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International Journal of Integrated Care
International Journal of Integrated Care HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.80
自引率
8.30%
发文量
887
审稿时长
>12 weeks
期刊介绍: Established in 2000, IJIC’s mission is to promote integrated care as a scientific discipline. IJIC’s primary purpose is to examine critically the policy and practice of integrated care and whether and how this has impacted on quality-of-care, user experiences, and cost-effectiveness. The journal regularly publishes conference supplements and special themed editions. To find out more contact Managing Editor, Susan Royer. The Journal is supported by the International Foundation for Integrated Care (IFIC).
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