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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
Authors: Yip, Olivia
Huber, Evelyn
Stenz, Samuel
Zullig, Leah L.
Zeller, Andreas
De Geest, Sabina M.
Deschodt, Mieke
et. al: No
DOI: 10.5334/ijic.5607
Published in: International Journal of Integrated Care
Volume(Issue): 21
Issue: 2
Pages: 9
Issue Date: Apr-2021
Publisher / Ed. Institution: Ubiquity Press
ISSN: 1568-4156
Language: English
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
Departement: Health Professions
Organisational Unit: Institute of Nursing (IPF)
Appears in collections:Publikationen Gesundheit

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