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01.12.2014 | Research article | Ausgabe 1/2014 Open Access

BMC Geriatrics 1/2014

Towards personalized integrated dementia care: a qualitative study into the implementation of different models of case management

Zeitschrift:
BMC Geriatrics > Ausgabe 1/2014
Autoren:
Lisa D Van Mierlo, Franka JM Meiland, Hein PJ Van Hout, Rose-Marie Dröes
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1471-2318-14-84) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

LVM, FM, HVH and RMD contributed to the development, conceptualization and the design of the study. LVM was responsible for data collection (conducting interviews), transcription, analysis and preparation of the manuscript. FM, HVH and RMD supervised the research process data and provided assistance with data analysis and editing the final manuscript. All authors contributed to the interpretation of the results, and all authors reviewed and approved the final manuscript.

Abstract

Background

The aim of this process evaluation was to provide insight into facilitators and barriers to the delivery of community-based personalized dementia care of two different case management models, i.e. the linkage model and the combined intensive case management/joint agency model. These two emerging dementia care models differ considerably in the way they are organized and implemented. Insight into facilitators and barriers in the implementation of different models is needed to create future guidelines for successful implementation of case management in other regions.

Methods

A qualitative case study design was used; semi-structured interviews were conducted with 22 stakeholders on the execution and continuation phases of the implementation process. The stakeholders represented a broad range of perspectives (i.e. project leaders, case managers, health insurers, municipalities).

Results

The independence of the case management organization in the intensive model facilitated the implementation, whereas the presence of multiple competing case management providers in the linkage model impeded the implementation. Most impeding factors were found in the linkage model and were related to the organizational structure of the dementia care network and how partners collaborate with each other in this network.

Conclusions

The results of this process evaluation show that the intensive case management model is easier to implement as case managers in this model tend to be more able to provide quality of care, are less impeded by competitiveness of other care organizations and are more closely connected to the expert team than case managers in the linkage model.
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