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|Publication type:||Article in scientific journal|
|Type of review:||Peer review (publication)|
|Title:||A contextual analysis and logic model for integrated care for frail older adults living at home : the INSPIRE project|
Zullig, Leah L.
De Geest, Sabina M.
|Published in:||International Journal of Integrated Care|
|Publisher / Ed. Institution:||Ubiquity Press|
|Subjects:||Integrated care; Implementation science; Frail elderly; Logic model; Program development; Program theory|
|Subject (DDC):||610.73: Nursing|
|Abstract:||Introduction: Implementation science methods and a theory-driven approach can enhance the understanding of whether, how, and why integrated care for frail older adults is successful in practice. In this study, we aimed to perform a contextual analysis, develop a logic model, and select preliminary implementation strategies for an integrated care model in newly created information and advice centers for older adults in Canton Basel-Landschaft, Switzerland. Methods: We conducted a contextual analysis to determine factors which may influence the integrated care model and implementation strategies needed. A logic model depicting the overall program theory, including inputs, core components, outputs and outcomes, was designed using a deductive approach, and included stakeholders’ feedback and preliminary implementation strategies. Results: Contextual factors were identified (e.g., lack of integrated care regulations, existing community services, and a care pathway needed). Core components of the care model include screening, referral, assessment, care plan creation and coordination, and follow-up. Outcomes included person-centred coordinated care experiences, hospitalization rate and symptom burden, among others. Implementation strategies (e.g., nurse training and co-developing educational materials) were proposed to facilitate care model adoption. Conclusion: Contextual understanding and a clear logic model should enhance the potential for successful implementation of the integrated care model.|
|Fulltext version:||Published version|
|License (according to publishing contract):||CC BY 4.0: Attribution 4.0 International|
|Organisational Unit:||Institute of Nursing (IPF)|
|Appears in collections:||Publikationen Gesundheit|
Files in This Item:
|2021_Yip-etal_Integrated-care-frail-elderly-INSPIRE.pdf||2.57 MB||Adobe PDF|
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