Implementation Barriers and Facilitators of an Integrated Care Initiative Targeting Socioeconomically Vulnerable Groups
References
- Beran M, Schram MT.
Prediabetes in Nederland . Diabetes Fonds: Maastricht University; Maastricht UMC. - Echouffo-Tcheugui JB, Selvin E. Pre-Diabetes and What It Means: The Epidemiological Evidence. Annual Review Public Health. 2021;42:59–77. DOI: 10.1146/annurev-publhealth-090419-102644
- Ligthart S, van Herpt TTW, Leening MJG, Kavousi M, Hofman A, Stricker BHC, et al. Lifetime risk of developing impaired glucose metabolism and eventual progression from prediabetes to type 2 diabetes: a prospective cohort study. The Lancet Diabetes & Endocrinology. 2016;4(1):44–51. DOI: 10.1016/S2213-8587(15)00362-9
- Agardh E, Allebeck P, Hallqvist J, Moradi T, Sidorchuk A. Type 2 diabetes incidence and socio-economic position: a systematic review and meta-analysis. Int J Epidemiol. 2011;40:804–818. DOI: 10.1093/ije/dyr029
- Tabák AG, Herder C, Rathmann W, Brunner EJ, M K. Prediabetes: a high-risk state for diabetes development. Lancet. 2012;379(9833):2279–2290. DOI: 10.1016/S0140-6736(12)60283-9
- American Diabetes A. 3. Prevention or Delay of Type 2 Diabetes: Standards of Medical Care in Diabetes—2021. Diabetes Care. 2020;44(Supplement_1):S34–S39. DOI: 10.2337/dc21-S003
- van Ommen B, Wopereis S, van Empelen P, van Keulen HM, Otten W, Kasteleyn M, et al. From Diabetes Care to Diabetes Cure-The Integration of Systems Biology, eHealth, and Behavioral Change. Frontiers in endocrinology. 2018;8(381). DOI: 10.3389/fendo.2017.00381
- Chinn DJ, White M, Howel D, Harland JOE, Drinkwater CK. Factors associated with non-participation in a physical activity promotion trial. Public Health. 2006;120(4):309–319. DOI: 10.1016/j.puhe.2005.11.003
- Stange KC. The Problem of Fragmentation and the Need for Integrative Solutions. The Annals of Family Medicine. 2009;7(2):100. DOI: 10.1370/afm.971
- Alley Dawn E, Asomugha Chisara N, Conway Patrick H, Sanghavi Darshak M. Accountable Health Communities — Addressing Social Needs through Medicare and Medicaid. New England Journal of Medicine. 2016;374(1):8–11. DOI: 10.1056/NEJMp1512532
- Béland F, Hollander MJ. Integrated models of care delivery for the frail elderly: international perspectives. Gaceta Sanitaria. 2011;25:138–146. DOI: 10.1016/j.gaceta.2011.09.003
- Cameron A, Lart R, Bostock L, Coomber C. Factors that promote and hinder joint and integrated working between health and social care services: a review of research literature. Health & Social Care in the Community. 2014;22(3):225–233. DOI: 10.1111/hsc.12057
- Nies H, Stekelenburg D, Minkman M, Huijsman R. A Decade of Lessons Learned from Integration Strategies in the Netherlands. International Journal of Integrated Care. 2021. DOI: 10.5334/ijic.5703
- Wu J, Xue E, Huang S, Fu Y, Chen D, Shao J, et al. Facilitators and Barriers of Integrated Care for Older Adults with Multimorbidity: A Descriptive Qualitative Study. Clinical interventions in aging. 2023;18:1973–1983. DOI: 10.2147/CIA.S436294
- Peer Y, Koren A. Facilitators and barriers for implementing the integrated behavioural health care model in the USA: An integrative review. International Journal of Mental Health Nursing. 2022;31(6):1300–1314. DOI: 10.1111/inm.13027
- Watt N, Sigfrid L, Legido-Quigley H, Hogarth S, Maimaris W, Otero-García L, et al. Health systems facilitators and barriers to the integration of HIV and chronic disease services: a systematic review. Health Policy and Planning. 2017;32(suppl_4):iv13–iv26. DOI: 10.1093/heapol/czw149
- Engel M, Stoppelenburg A, van der Ark A, Bols FM, Bruggeman J, Janssens-van Vliet ECJ, et al. Development and implementation of a transmural palliative care consultation service: a multiple case study in the Netherlands. BMC Palliative Care. 2021;20(1):81. DOI: 10.1186/s12904-021-00767-6
- Grootjans SJM, Stijnen MMN, Hesdahl-De Jong I, Kroese MEAL, Ruwaard D, Jansen MWJ. Implementation of an integrated community approach in deprived neighbourhoods: a theory-based process evaluation using the Consolidated Framework for Implementation Research (CFIR). Scandinavian Journal of Public Health. 2023:14034948231199804. DOI: 10.1177/14034948231199804
- Zavrnik Č, Danhieux K, Monarres MH, Stojnić N, Lukančič MM, Martens M, et al. Scaling-up an integrated care for patients with non-communicable diseases: An analysis of healthcare barriers and facilitators in Slovenia and Belgium. Slovenian Journal of Public Health. 2021;60(3):158–166. DOI: 10.2478/sjph-2021-0023
- Huber M, van Vliet M, Giezenberg M, Winkens B, Heerkens Y, Dagnelie PC, et al. Towards a ‘patient-centred’ operationalisation of the new dynamic concept of health: a mixed methods study. BMJ Open. 2016;6(1):
e010091 . DOI: 10.1136/bmjopen-2015-010091 - Integraal Zorgakkoord. 2022.
- Ministerie van Volksgezondheid WeS. GALA Gezond en Actief Leven Akkoord. 2023.
- Skoglund G, Nilsson BB, Olsen CF, Bergland A, Hilde G. Facilitators and barriers for lifestyle change in people with prediabetes: a meta-synthesis of qualitative studies. BMC Public Health. 2022;22(1):553. DOI: 10.1186/s12889-022-12885-8
- Proctor E, Silmere H, Raghavan R, Hovmand P, Aarons G, Bunger A, et al. Outcomes for Implementation Research: Conceptual Distinctions, Measurement Challenges, and Research Agenda. Administration and Policy in Mental Health and Mental Health Services Research. 2011;38(2):65–76. DOI: 10.1007/s10488-010-0319-7
- Berwick DM, Nolan TW, Whittington J. The Triple Aim: Care, Health, And Cost. Health Affairs. 2008;27(3):759–769. DOI: 10.1377/hlthaff.27.3.759
- Leeftijd, achtergrond en sociaal-economische status [Available from:
https://denhaag.incijfers.nl/mosaic/nl-nl/segregatiemonitor/2--leeftijd--achtergrond-en-sociaal-economische-status ]. - Damschroder LJ, Reardon CM, Widerquist MAO, Lowery J. The updated Consolidated Framework for Implementation Research based on user feedback. Implementation Science. 2022;17(1):75. DOI: 10.1186/s13012-022-01245-0
- Valentijn PP, Schepman SM, Opheij W, Bruijnzeels MA. Understanding integrated care: a comprehensive conceptual framework based on the integrative functions of primary care. International Journal of Integrated Care. 2013. DOI: 10.5334/ijic.886
- Implementation TCf. Consolidated Framework for Implementation Research (CFIR).
https://thecenterforimplementation.com/toolbox/cfir2025 . - Powell BJ, Waltz TJ, Chinman MJ, Damschroder LJ, Smith JL, Matthieu MM, et al. A refined compilation of implementation strategies: results from the Expert Recommendations for Implementing Change (ERIC) project. Implementation Science. 2015;10(1):21. DOI: 10.1186/s13012-015-0209-1
- Hennink MM, Kaiser BN, Marconi VC. Code Saturation Versus Meaning Saturation: How Many Interviews Are Enough? Qualitative Health Research. 2016;27(4):591–608. DOI: 10.1177/1049732316665344
- Rutakumwa R, Mugisha JO, Bernays S, Kabunga E, Tumwekwase G, Mbonye M, et al. Conducting in-depth interviews with and without voice recorders: a comparative analysis. Qualitative Research. 2019;20(5):565–581. DOI: 10.1177/1468794119884806
- Ritchie J, Spencer L.
Qualitative data analysis for applied policy research . In: Bryman A, Burgess RG, editors. Analysing qualitative data. London: Routledge; 1994. pp. 173–194. DOI: 10.4324/9780203413081_chapter_9 - Smith B, McGannon KR. Developing rigor in qualitative research: problems and opportunities within sport and exercise psychology. International Review of Sport and Exercise Psychology. 2018;11(1):101–121. DOI: 10.1080/1750984X.2017.1317357
- Strategy Design Consolidated Framework for Implementation Research [Available from:
https://cfirguide.org/choosing-strategies/ ]. - Stronks K, Hoeymans N, Haverkamp B, den Hertog FRJ, van Bon-Martens MJH, Galenkamp H, et al. Do conceptualisations of health differ across social strata? A concept mapping study among lay people. BMJ Open. 2018;8(4):
e020210 . DOI: 10.1136/bmjopen-2017-020210 - van der Vlegel-Brouwer W, Eelderink M, Bussemaker J. Participatory Action Research as a Driver for Health Promotion and Prevention: A Co-creation Process Between Professionals and Citizens in a Deprived Neighbourhood in the Hague. International Journal of Integrated Care. 2023. DOI: 10.5334/ijic.7560
- van de Wetering S. Facilitating citizen participation in marginalised neighbourhoods: selective empowerment in between vulnerability and active citizenship. Local Government Studies. 2024;50(3):498–520. DOI: 10.1080/03003930.2023.2218801
- Krijgsheld M, Schmidt E, Levels E, Schuurmans M. Healthcare professionals as change agents: Factors influencing bottom-up, personal initiatives on appropriate care, a qualitative study in the Netherlands. Health Policy. 2024;147:105120. DOI: 10.1016/j.healthpol.2024.105120
- Berwick DM. Disseminating Innovations in Health Care. JAMA. 2003;289(15):1969–1975. DOI: 10.1001/jama.289.15.1969
- Holterman S, Lahr M, Wynia K, Hettinga M, Buskens E. Integrated Care for Older Adults: A Struggle for Sustained Implementation in Northern Netherlands. International Journal of Integrated Care. 2020. DOI: 10.5334/ijic.5434
- Hilhorst P, Wijngaart Mvd.
Samenwerking sociaal en medisch domein. Een verkenning . EMMA: EMMA; 2024. - European Commission: Directorate-General for H, Food S. Blocks – Tools and methodologies to assess integrated care in Europe – Report by the Expert Group on Health Systems Performance Assessment: Publications Office; 2017.
- Reid RJ, Wodchis WP, Kuluski K, Lee-Foon NK, Lavis JN, Rosella LC, et al. Actioning the Learning Health System: An applied framework for integrating research into health systems. SSM – Health Systems. 2024;2:100010. DOI: 10.1016/j.ssmhs.2024.100010
DOI: https://doi.org/10.5334/ijic.10182 | Journal eISSN: 1568-4156
Language: English
Page range: 11 - 11
Submitted on: Aug 25, 2025
Accepted on: Aug 5, 2026
Published on: Aug 18, 2026
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Keywords:
© 2026 Jonne G. ter Braake, Annefrans F. T. M. van Ede, Tara Kwakkernaat, Maud J. Verhoeven, Jessica C. Kiefte-de Jong, Rimke C. Vos, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.