Title
Towards a taxonomy for integrated care: A mixed-methods study
Author
Valentijn, P.P.
Boesveld, I.C.
van der Klauw, D.M.
Ruwaard, D.
Struijs, J.N.
Molema, J.J.W.
Bruijnzeels, M.A.
Vrijhoef, H.J.M.
Publication year
2015
Abstract
Introduction: Building integrated services in a primary care setting is considered an essential important strategy for establishing a highquality and affordable health care system. The theoretical foundations of such integrated service models are described by the Rainbow Model of Integrated Care, which distinguishes six integration dimensions (clinical, professional, organisational, system, functional and normative integration). The aim of the present study is to refine the Rainbow Model of Integrated Care by developing a taxonomy that specifies the underlying key features of the six dimensions. Methods: First, a literature review was conducted to identify features for achieving integrated service delivery. Second, a thematic analysis method was used to develop a taxonomy of key features organised into the dimensions of the Rainbow Model of Integrated Care. Finally, the appropriateness of the key features was tested in a Delphi study among Dutch experts. Results: The taxonomy consists of 59 key features distributed across the six integration dimensions of the Rainbow Model of Integrated Care. Key features associated with the clinical, professional, organisational and normative dimensions were considered appropriate by the experts. Key features linked to the functional and system dimensions were considered less appropriate. Discussion: This study contributes to the ongoing debate of defining the concept and typology of integrated care. This taxonomy provides a development agenda for establishing an accepted scientific framework of integrated care from an end-user, professional, managerial and policy perspective. © 2015, Igitur, Utrecht Publishing and Archiving Services. All Rights Reserved.
Subject
ELSS - Earth, Life and Social Sciences
Life
Healthy Living
Work and Employment
Classification
Coordinated care
Delphi study
Integrated care
Literature review
Primary care
Taxonomy
WHC - Work, Health and Care
To reference this document use:
http://resolver.tudelft.nl/uuid:62547197-6656-4f79-95c2-97004c1f50e1
TNO identifier
524136
ISSN
1568-4156
Source
International Journal of Integrated Care, 15 (15), e003
Document type
article