1. Longitudinal multiple case study on effectiveness of network-based dementia care towards more integration, quality of care, and collaboration in primary care.
- Author
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Richters A, Nieuwboer MS, Olde Rikkert MGM, Melis RJF, Perry M, and van der Marck MA
- Subjects
- Humans, Longitudinal Studies, Systems Integration, Dementia, Intersectoral Collaboration, Primary Health Care statistics & numerical data, Quality of Health Care statistics & numerical data
- Abstract
Introduction: This study aimed to provide insight into the merits of DementiaNet, a network-based primary care innovation for community-dwelling dementia patients., Methods: Longitudinal mixed methods multiple case study including 13 networks of primary care professionals as cases. Data collection comprised continuously-kept logs; yearly network maturity score (range 0-24), yearly quality of care assessment (quality indicators, 0-100), and in-depth interviews., Results: Networks consisted of median nine professionals (range 5-22) covering medical, care and welfare disciplines. Their follow-up was 1-2 years. Average yearly increase was 2.03 (95%-CI:1.20-2.96) on network maturity and 8.45 (95%-CI:2.80-14.69) on quality indicator score. High primary care practice involvement and strong leadership proved essential in the transition towards more mature networks with better quality of care., Discussion: Progress towards more mature networks favored quality of care improvements. DementiaNet appeared to be effective to realize transition towards network-based care, enhance multidisciplinary collaboration, and improve quality of dementia care., Competing Interests: The authors have declared that no competing interests exist.
- Published
- 2018
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