The online version of this article (doi:10.1186/1471-2318-14-84) contains supplementary material, which is available to authorized users.
The authors declare that they have no competing interests.
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.
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.
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).
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.
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.
Bodenheimer T, Wagner EH, Grumbach K: Improving primary care for patients with chronic illness. JAMA. 2002, 14: 1775-1779. CrossRef
Bodenheimer T, Berry-Millet R: Care Management of Patients with Complex Health Care Needs. [ http://www.rwjf.org/en/research-publications/find-rwjf-research/2009/12/care-management-of-patients-with-complex-health-care-needs.html]
MacAdam M: Frameworks of integrated care for the elderly: a systematic review. [ http://www.cprn.org/documents/49813_FR.pdf]
Dementia Care Standard. [ http://www.vilans.nl/Publicaties-Zorgstandaard-dementie.html]
MacNeil Vroomen J, Van Mierlo LD, Van de Ven PM, Bosmans JE, Van den Dungen P, Meiland FJM, Dröes RM, van Charante EP M, Van der Horst HE, De Rooij SE, Van Hout HPJ: Comparing Dutch Case management care models for people with dementia and their caregivers: The design of the COMPAS study. BMC Health Serv Res. 2012, 12: 132-10.1186/1472-6963-12-132. CrossRefPubMedPubMedCentral
Banks P: Case management. Integrating services for older people – a resource book for managers. Edited by: Berman NPC. 2004, Dublin: EHMA, 101-112.
Meiland FJ, Dröes RM, De Lange J, Vernooij-Dassen MJ: Development of a theoretical model for tracing facilitators and barriers in adaptive implementaion of innovative practices in dementia care. Arch Gerontol Geriatr. 2004, 9 (Suppl): 279-290. CrossRef
Grol R, Wensing M: Implementatie: effectieve verbetering in de patientenzorg. Implementation: effective improvements in patient care. In Dutch. 2011, Amsterdam: Reed Business, Fourth, revised
Peeters LM, de Lange J, Spreeuwenberg P, Veerbeek M, Pot AM, Francke AL: Landelijke evaluatie van casemanagement dementie. [ http://www.nivel.nl/sites/default/files/bestanden/Rapport-casemanagement-dementie.pdf.]
Dröes RM, Meiland FJM, Schmitz MJ, Vernooij-Dassen MJFJ, De Lange J, Derksen E, Boerema I, Grol RPTM, Van Tilburg W: Implementatiemodel ontmoetingscentra; een onderzoek naar de voorwaarden voor succesvolle landelijke implementatie van ontmoetingscentra voor mensen met dementie en hun verzorgers. Eindrapport. Implementation meeting centres model; a study into the conditions of succesfull national implementation of meeting centres for people with dementia and their carers. Final report. 2003, Amsterdam: Department of Psychiatry, VU Medical Center
Yin RK: Case study research: Design and methods. 2003, Thousand Oaks, CA: Sage, 3
Barbour RS: The case for combining qualitative and quantitative approaches in health services research. J Health Serv Res Policy. 1999, 4: 39-43. PubMed
Atlas-ti: ATLAS.Ti Version 5.2, 2008. 2012, Berlin: Scientific Software Development GmbH
Guba EG: Criteria for assessing the trustworthiness of naturalistic inquiries. Educ Technol Res Dev Annual Review Paper. 1981, 29: 75-91.
Verkade PJ, van Meijel B, Brink C, van Os-Medendorp H, Koekkoek B, Francke AL: Delphi research exploring essential components and preconditions for case management in people with dementia. BMC Geriatr. 2010, 9: 10-54.
Boekholdt M, Pepels R: Implementation: introducing innovations in the field of care for the elderly. Innovation Work in the Field of Care for the Elderly in Practice. Edited by: Nies H, Kollaard S. 1994, Houten/Zaventem: Bohn, Stafleu Van Lochum, in Dutch
- Towards personalized integrated dementia care: a qualitative study into the implementation of different models of case management
Lisa D Van Mierlo
Franka JM Meiland
Hein PJ Van Hout
- BioMed Central
Neu im Fachgebiet Innere Medizin
Meistgelesene Bücher aus der Inneren Medizin
Mail Icon II