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The SUSTAIN Project: A European Study on Improving Integrated Care for Older People Living at Home Cover

References

  1. 1National Institutes of Health/World Health Organization. Global health and aging. NIH publication no 11-7737. 2011 [cited 2016 October 7]. Available from: http://www.who.int/ageing/publications/global_health.pdf.
  2. 2Commission of the European Communities. Regions 2020: An assessment of future challenges for EU regions. 2008 [cited 2016 October 7]. Available from: http://ec.europa.eu/regional_policy/sources/docoffic/working/regions2020/pdf/regions2020_en.pdf.
  3. 3Ricciardi, W, Specchia, ML and Marino, M. Health of the elderlies and healthy ageing: Challenge for Europe. Studies in Health Technology and Informatics, 2014; 203: 19. DOI: 10.3233/978-1-61499-425-1-1
  4. 4OECD. Health reform: Meeting the challenge of ageing and multiple morbidities. 2011 [cited 2016 October 7]. Available from: http://www.oecd-ilibrary.org/docserver/download/8111171e.pdf?expires=1493716006&id=id&accname=ocid49027884&checksum=255577E73173C96A9607DFAA81932937.
  5. 5Fried, LP, Tangen, CM, Walston, J, Newman, AB, Hirsch, C, Gottdiener, J, Seeman, T, Tracy, R, Kop, WJ, Burke, G and McBurnie, MA. Frailty in older adults evidence for a phenotype. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 2001; 56(3): M146M157. DOI: 10.1093/gerona/56.3.M146
  6. 6Markle-Reid, M and Browne, G. Conceptualizations of frailty in relation to older adults. Journal of advanced nursing, 2003; 44(1): 5868. DOI: 10.1046/j.1365-2648.2003.02767.x
  7. 7Fried, LP, Ferrucci, L, Darer, J, Williamson, JD and Anderson, G. Untangling the concepts of disability, frailty, and comorbidity: Implications for improved targeting and care. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 2004; 59(3): M255M263. DOI: 10.1093/gerona/59.3.M255
  8. 8Metzelthin, SF, van Rossum, E, de Witte, LP, Ambergen, AW, Hobma, SO, Sipers, W and Kempen, GIJM. Effectiveness of interdisciplinary primary care approach to reduce disability in community dwelling frail older people: Cluster randomised controlled trial. British Medical Journal, 2013; 347: f5264. DOI: 10.1136/bmj.f5264
  9. 9Berwick, DM, Nolan, TW and Whittington, J. The Triple Aim: Care, Health, And Cost. Health Affairs 2008; 27(3): 759769. DOI: 10.1377/hlthaff.27.3.759
  10. 10Gress, S, Baan, CA, Calnan, M, Dedeu, T, Groenewegen, P, Howson, H, Maroy, L, Nolte, E, Redaelli, M, Saarelma, O, Schmacke, N, Schumacher, K, van Lente, EJ and Vrijhoef, B. Co-ordination and management of chronic conditions in Europe: The role of primary care – position paper of the European Forum for Primary Care. Quality in Primary Care, 2009; 17(1): 7586.
  11. 11Mattke, S, Seid, M and Ma, S. Evidence for the effect of disease management: Is $1 billion a year a good investment? American Journal of Managed Care, 2007; 13(12): 670676.
  12. 12Wagner, EH, Bennett, SM, Austin, BT, Greene, SM, Schaefer, JK and Vonkorff, M. Finding common ground: Patient-centeredness and evidence-based chronic illness care. Journal of Alternative and Complementary Medicine, 2005; 11 Suppl 1: S715. DOI: 10.1089/acm.2005.11.s-7
  13. 13Boult, C, Green, AF, Boult, LB, Pacala, JT, Snyder, C and Leff, B. Successful models of comprehensive care for older adults with chronic conditions: Evidence for the Institute of Medicine’s “retooling for an aging America” report. Journal of the American Geriatrics Society, 2009; 57(12): 23282337. DOI: 10.1111/j.1532-5415.2009.02571.x
  14. 14De Bruin, SR, Versnel, N, Lemmens, LC, Molema, CCM, Schellevis, FG, Nijpels, G and Baan, CA. Comprehensive care programs for patients with multiple chronic conditions: A systematic literature review. Health Policy, 2012; 107(2–3): 108145. DOI: 10.1016/j.healthpol.2012.06.006
  15. 15Hopman, P, de Bruin, SR, Forjaz, MJ, Rodriguez-Blazquez, C, Tonnara, G, Lemmens, LC, Onder, G, Baan, CA and Rijken, M. Effectiveness of comprehensive care programs for patients with multiple chronic conditions or frailty: A systematic literature review. Health Policy, 2016; 120(7): 818832. DOI: 10.1016/j.healthpol.2016.04.002
  16. 16van Raak, A, Mur-Veeman, I, Hardy, B, Steenbergen, M and Paulus, A (eds.). Integrated care in Europe: Description and comparison of integrated care in six EU countries. Maarssen: Elsevier; 2003.
  17. 17Goodwin, N, Stein, V and Amelung, V. What Is Integrated Care? In: Amelung V, Stein V, Goodwin N, Balicer R, Nolte E and Suter E, (eds.) Handbook Integrated Care. Cham: Springer International Publishing; 2017. p. 323. DOI: 10.1007/978-3-319-56103-5_1
  18. 18World Health Organization, Health Services Delivery Programme and Division of Health Systems and Public Health. Roadmap. Strengthening people-centred health systems in the WHO European region: A framework for action towards coordinated integrated health services delivery (CIHSD). 2013.
  19. 19Barr, VJ, Robinson, S, Marin-Link, B, Underhill, L, Dotts, A, Ravensdale, D and Salivaras, S. The expanded Chronic Care Model: An integration of concepts and strategies from population health promotion and the Chronic Care Model. Hospital Quarterly, 2003; 7(1): 7382. DOI: 10.12927/hcq.2003.16763
  20. 20Epping-Jordan, JE, Pruitt, SD, Bengoa, R and Wagner, EH. Improving the quality of health care for chronic conditions. Quality and Safety in Health Care, 2004; 13(4): 299305. DOI: 10.1136/qshc.2004.010744
  21. 21Raleigh, V, Bardsley, M, Smith, P, Wistow, G, Wittenberg, R, Erens, B and Mays, N. Integrated care and support pioneers: Indicators for measuring the quality of integrated care. 2014, Policy Innovation Research Unit (PIRU).
  22. 22Minkman, MMN. Developing integrated care: Towards a development model for integrated care. 2012, Kluwer.
  23. 23Van der Heide, I, Snoeijs, S, Melchiorre, MG, Quattrini, S, Boerma, W, Schellevis, F and Rijken, M. Innovating care for people with multiple chronic conditions in Europe: An overview. 2015, Nivel: Utrecht.
  24. 24Noordman, J, Van der Heide, I, Hopman, P, Schellevis, F and Rijken, M. Innovative health care approaches for patients with multi-morbidity in Europe. 2015.
  25. 25Kodner, DL and Kyriacou, CK. Fully integrated care for frail elderly: Two American models. International Journal of Integrated Care 2000; 1: e08. DOI: 10.5334/ijic.11
  26. 26Hébert, R, Durand, PJ, Dubuc, N and Tourigny, A. PRISMA: A new model of integrated service delivery for the frail older people in Canada. International journal of integrated care, 2003; 3: e08. DOI: 10.5334/ijic.73
  27. 27Hoogendijk, EO. How effective is integrated care for community-dwelling frail older people? The case of the Netherlands. Age and Ageing, 2016; 45: 587590. DOI: 10.1093/ageing/afw081
  28. 28Leichsenring, K, Billings, J and Nies, H (eds). Long-term care in Europe – improving policy and practice. Basingstoke: Palgrave Macmillan; 2013. DOI: 10.1057/9781137032348
  29. 29Onder, G, Palmer, K, Navickas, R, Jurevičiene, E, Mammarella, F, Strandzheva, M, Mannucci, P, Pecorelli, S and Marengoni, A. Time to face the challenge of multimorbidity. A European perspective from the joint action on chronic diseases and promoting healthy ageing across the life cycle (JA-CHRODIS). European Journal of Internal Medicine, 2015; 26(3): 157159. DOI: 10.1016/j.ejim.2015.02.020
  30. 30Banerjee, S. Multimorbidity – older adults need health care that can count past one. The Lancet; 385(9968): 587589. DOI: 10.1016/S0140-6736(14)61596-8
  31. 31Blom, J, Den Elzen, W, Vn Houwelingen, AH, Heijmans, M, Stijnen, T, Van den Hout, W and Gussekloo, J. Effectiveness and cost-effectiveness of a proactive, goal-oriented, integrated care model in general practice for older people. A cluster randomised controlled trial: Integrated Systematic Care for older People—the ISCOPE study. Age and Ageing, 2016; 45(1): 3041. DOI: 10.1093/ageing/afv174
  32. 32Yin, RK. Case study research: Design and methods. Sage Publications Inc; 2013.
  33. 33Van der Eerden, M, Csikos, A, Busa, C, Hughes, S, Radbruch, L, Menten, J, Hasselaar, J and Groot, M. Experiences of patients, family and professional caregivers with Integrated Palliative Care in Europe: Protocol for an international, multicenter, prospective, mixed method study. BMC Palliative Care, 2014; 13(1): 52. DOI: 10.1186/1472-684X-13-52
  34. 34Billings, JR and Leichsenring, K (eds.). Integrating health and social services for older persons: Evidence from nine European countries Public Policy and Social Welfare. Aldershot: Ashgate; 2005.
  35. 35Coulter, A, Roberts, S and Dixon, A. Delivering better services for people with long-term conditions: Building the house of care. 2013.
  36. 36Lloyd, J and Wait, S. Integrated care: A guide for policymakers. 2006, Alliance for Health & the Future.
  37. 37Claassens, L, Terwee, CB, Deeg, DJH, Broese van Groenou, MI, Widdershoven, GAM and Huisman, M. Development and validation of a questionnaire assessing the perceived control in health care among older adults with care needs in the Netherlands. Quality of Life Research, 2016; 25(4): 859870. DOI: 10.1007/s11136-015-1124-2
  38. 38Lau, DT, Scandrett, KG, Jarzebowski, M, Holman, K and Emanuel, L. Health-related safety: A framework to address barriers to aging in place. The Gerontologist, 2007; 47(6): 830837. DOI: 10.1093/geront/47.6.830
  39. 39Suter, E, Oelke, ND, Adair, CE and Armitage, GD. Ten key principles for successful health systems integration. Healthcare Quarterly, 2009; 13(Spec No): 1623. DOI: 10.12927/hcq.2009.21092
  40. 40Shaw, S, Rosen, R and Rumbold, B. What is integrated care: An overview of integrated care in the NHS. 2011, The Nuffield Trust: London.
  41. 41Arrue, B, Ambugo, EA, Baan, C, Barbaglia, G, Billings, J, de Bruin, S, de Weger, E, Espallargues Carrera, M, Hagen, T, Leichsenring, K, Lette, M, Minkman, M, Nies, H, Nijpels, G, Paat-Ahi, G, Ruppe, G, Schlette, S, Stoop, A, Tram, N, Vaage, SK, Wistow, G, Wosko, P and Zonneveld, N. Integrated care for older people living at home: Current situation and ambition of sites participating in the SUSTAIN project, In: Wosko, P and Ruppe, G (ed.). Vienna: Austrian Interdisciplinary Platform on Ageing/OEPIA; 2016. Available from: http://www.sustain-eu.org/products/eu-baseline-report/.
  42. 42Glasgow, RE, Green, LW, Taylor, MV and Stange, KC. An evidence integration triangle for aligning science with policy and practice. American Journal of Preventive Medicine, 2012; 42(6): 646654. DOI: 10.1016/j.amepre.2012.02.016
  43. 43Sugavanam, T, Byng, R, Horrell, J, Fosh, B, Close, J, Lloyd, H. Co-designing a Generic Measure to Probe Person Centred Coordinated Care from the Perspective of the Patient: The Development of the P3CEQ. Journal of patient experience (under review).
  44. 44Anderson, N and West, MA. Team Climate Inventory: Manual and user’s guide. Windsor, UK: NFER-Nelson; 1994.
  45. 45Kivimaki, M and Elovainio, M. A short version of the Team Climate Inventory: Development and psychometric properties. Journal of occupational and organizational psychology, 1999; 72(2): 241246. DOI: 10.1348/096317999166644
  46. 46Craig, P, Dieppe, P, Macintyre, S, Michie, S, Nazareth, I and Petticrew, M. Developing and evaluating complex interventions: The new Medical Research Council guidance. British Medical Journal, 2008; 337. DOI: 10.1136/bmj.a1655
  47. 47Billings, J. The INTERLINKS framework for long-term care of older people in Europe. Journal of Integrated Care, 2013; 21(3): 126138. DOI: 10.1108/JICA-02-2013-0007
  48. 48Billings, J and Leichsenring, K. Methodological development of the interactive INTERLINKS Framework for Long-term Care. International journal of integrated care, 2014; 14: e021. DOI: 10.5334/ijic.1173
  49. 49Rijken, M, Struckmann, V, Dyakova, M, Melchiorre, MG, Rissanen, S and Van Ginneken, E. ICARE4EU: Improving care for people with multiple chronic conditions in Europe. Eurohealth, 2013; 19(3): 2931.
  50. 50European Innovation Partnership on Active and Healthy Ageing. [webpage on the internet]. [cited 2017 January 6]. Available from: http://ec.europa.eu/research/innovation-union/index_en.cfm?section=active-healthy-ageing.
  51. 51SELFIE. 2020 (Sustainable integrated care models for multi-morbidity: Delivery, financing and performance) [webpage on the internet]. [cited 2017 January 9]. Available from: http://www.selfie2020.eu/.
  52. 52ACT@Scale [webpage on the internet]. [cited 2017 January 9]. Available from: https://www.act-at-scale.eu/.
  53. 53JA-CHRODIS. (EU Joint Action on Chronic Diseases and promoting healthy ageing across the life-cycle) [webpage on the internet]. [cited 2017 January 9]. Available from: http://chrodis.eu/.
DOI: https://doi.org/10.5334/ijic.3090 | Journal eISSN: 1568-4156
Language: English
Submitted on: May 3, 2017
Accepted on: Nov 15, 2017
Published on: Jan 16, 2018
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2018 Simone R. de Bruin, Annerieke Stoop, Jenny Billings, Kai Leichsenring, Georg Ruppe, Nhu Tram, María Gabriela Barbaglia, Eliva A. Ambugo, Nick Zonneveld, Gerli Paat-Ahi, Henrik Hoffmann, Usman Khan, Viktoria Stein, Gerald Wistow, Manon Lette, Aaltje P.D. Jansen, Giel Nijpels, Caroline A. Baan, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.