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Identifying Differences in Frames of Reference That Are Hard to Reconcile During the Process of Normative Integration to Deliver Care for People with Multiple Problems: A Mixed-Method Delphi Study in the Netherlands Cover

Identifying Differences in Frames of Reference That Are Hard to Reconcile During the Process of Normative Integration to Deliver Care for People with Multiple Problems: A Mixed-Method Delphi Study in the Netherlands

Open Access
|Apr 2024

Figures & Tables

Table 1

Characteristics of participating panelists.

TYPE OF PROFESSIONAL AND OFFICERORGANIZATIONPARTICIPATED IN WAVES
Team leader/ManagerSocial care organization1,2
Policy advisor long term careHealth insurer1,2,3
Quality officer social careMunicipality of Rotterdam1,2,3
Community-based nurseHome care organization1
Quality officer Dept RestructuringMunicipality of Rotterdam1,2,3
Team leader/ManagerSocial care organization1,2,3
Team leader/Manager community-based primary care teamMunicipality of Rotterdam1,2,3
Policy advisorMunicipality of Rotterdam1,2,3
Team leader/ManagerMental health and addiction organization1
Team leader/ManagerHome care organization1
ijic-24-2-7583-g1.png
Figure 1

Overview of data collection process.

Table 2

PWMPs’ characteristics.

SEX
Male10
Female5
Total15
AGE
25–50 years6
51–75 years6
76–1003
Total15
LIVING CIRCUMSTANCES
Alone8
With partner/roommates/children5
With partner/roommates & child(ren)2
Total15
TYPE OF PROBLEMS
Finances (e.g., no income or debts)15
Daytime activities (e.g., no daytime activities)10
Housing (e.g., impending house eviction, homelessness, or contaminated house)9
Domestic relationships (e.g., domestic violence or parenting problems)3
Physical health9
Mental health (e.g., mental problems or mental illness)14
Addiction6
Activities of daily living6
Social network (e.g., absence of a social network or a destructive social network8
Participation in society (e.g., no job or no volunteer work)10
Encounters with law enforcement system (e.g., (pending) lawsuits for criminal activities)5
Table 3

Professional’ and informal caretakers’ characteristics

TYPE OF PROFESSIONAL CARETAKERORGANIZATIONNUMBER
Informal caretakersN/A6
Community-based primary care team professionalMunicipality of Rotterdam20
Social workerOrganization for addiction treatment
Organization for people with acquired brain injury
Religious social work organization
Organization for sheltered living
7
Psychiatric nurseMental health organization
Organization for addiction treatment
2
PsychiatristMental health organization1
TrusteeTrustee’s office6
Debt counselorOrganization for forensic and specialized care
Voluntary organization for debt counseling
Debt counseling organization
3
Spiritual caretakerOrganization for spiritual care1
Pro bono legal counselorsMunicipality of Rotterdam1
General PractitionerGeneral practice2
General-practice-based nurse specialist specialized in mental healthGeneral practice1
Social support act professionals responsible for assigning care for which an indication from the municipality was necessary (in Dutch Wmo-consulenten)Municipality of Rotterdam2
Table 4

Consensus and non-consensus scores.

FIRST WAVESECOND WAVETHIRD WAVE
ROUND 1ROUND 2ROUND 1ROUND 2ROUND 1ROUND 2
Overall consensus score55%
On average consensus on 5 items per case
56%
On average consensus on 5 items per case
60%
On average consensus on 7 items per case
60%
On average consensus on 7 items per case
61%
On average consensus on 4 items per case
61%
On average consensus on 4 items per case
Average number of items on which consensus was reached5 items5 items7 items7 items4 items4 items
Average number of items on which no consensus was reached14 items14 items12 items12 items15 items15 items
Table 5

Consensus scores of cases.

CASE NUMBERAVERAGE CONSENSUS SCORE ROUND 1AVERAGE CONSENSUS SCORE ROUND 2
1.55%55%
2.64%66%
3.51%53%
4.58%58%
5.50%47%
6.68%68%
7.49%49%
8.58%58%
9.69%69%
10.54%54%
11.59%59%
12.60%60%
13.59%56%
14.67%67%
15.61%61%
DOI: https://doi.org/10.5334/ijic.7583 | Journal eISSN: 1568-4156
Language: English
Submitted on: Jan 31, 2023
Accepted on: Mar 7, 2024
Published on: Apr 4, 2024
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2024 Lieke Reinhoudt-den Boer, Robbert Huijsman, Jeroen David Hendrikus van Wijngaarden, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.