Sekreve Andrée, Struik Maurits, van Olffen Woody, Nooteboom Laura
Youké Youth Care, 109 Verlengde Slotlaan, 3700AW Zeist, The Netherlands.
TIAS Business School | Tilburg University, The Netherlands.
Int J Integr Care. 2025 Feb 7;25(1):7. doi: 10.5334/ijic.8842. eCollection 2025 Jan-Mar.
Integrated care is crucial in delivering coherent and coordinated support to families with multiple and complex problems. Reorienting care organisations towards integrated care is a complex organisational change process. It requires both structural and behavioural adjustments. To learn about effective practice, it is useful to study implementation between contexts.
This mixed methods case study provides a comparison over time of five regional teams simultaneously implementing an integrated care delivery mode. Group interviews identified whether and how different elements in the change approach helped or hindered the change progress.
We describe and discuss how the teams were guided and supported in learning to make the behavioural switches associated with their new integrated mode of operation.
Our support-interventions appeared to be largely successful in fostering four pre-defined integrated care behaviours. This research took place during the Covid-19 pandemic, which was challenging but also brought unexpected benefits.
综合护理对于为面临多重复杂问题的家庭提供连贯且协调的支持至关重要。使护理组织重新定位以实现综合护理是一个复杂的组织变革过程。这需要结构和行为上的调整。为了了解有效的实践方法，研究不同背景下的实施情况很有帮助。
本混合方法案例研究对五个同时实施综合护理提供模式的区域团队进行了长期比较。小组访谈确定了变革方法中的不同要素是否以及如何促进或阻碍了变革进程。
我们描述并讨论了团队在学习做出与其新的综合运营模式相关的行为转变时是如何得到指导和支持的。
我们的支持性干预措施在促进四种预先定义的综合护理行为方面似乎大体上是成功的。这项研究是在新冠疫情期间进行的，这带来了挑战，但也带来了意想不到的好处。
