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Regional Integrated Cardiovascular Risk Management Care Pathway in the Netherlands: Benefits and Working Mechanisms Cover

Regional Integrated Cardiovascular Risk Management Care Pathway in the Netherlands: Benefits and Working Mechanisms

International Journal of Integrated Care
Volume 25 (2025): Issue 3
By:
Open Access
|Jul 2025

References

  1. 1Vos T, Lim SS, Abbafati C, Abbas KM, Abbasi M, Abbasifard M, et al. Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396(10258):1204–22. DOI: 10.1016/S0140-6736(20)30925-9
    Back to article
  2. 2Mensah GA, Roth GA, Fuster V. The Global Burden of Cardiovascular Diseases and Risk Factors: 2020 and Beyond. J Am Coll Cardiol. 2019 Nov 19;74(20):2529–32. DOI: 10.1016/j.jacc.2019.10.009
    Back to article
  3. 3Seguin C, Tian Y, Zalesky A. Network communication models improve the behavioral and functional predictive utility of the human structural connectome. Network Neuroscience. 2020;4(4):980–1006. DOI: 10.1162/netn_a_00161
    Back to article
  4. 4Nuti S, Ferré F, Seghieri C, Foresi E, Stukel TA. Managing the performance of general practitioners and specialists referral networks: A system for evaluating the heart failure pathway. Health Policy. 2020 Jan;124(1):44–51. DOI: 10.1016/j.healthpol.2019.11.001
    Back to article
  5. 5Foglino S, Bravi F, Carretta E, Fantini MP, Dobrow MJ, Brown AD. The relationship between integrated care and cancer patient experience: A scoping review of the evidence. Health Policy. 2016 Jan;120(1):55–63. DOI: 10.1016/j.healthpol.2015.12.004
    Back to article
  6. 6Zonneveld N, Driessen N, Stüssgen RAJ, Minkman MMN. Values of Integrated Care: A Systematic Review. Int J Integr Care. 2018 Nov 15;18(4):9. DOI: 10.5334/ijic.4172
    Back to article
  7. 7WHO. Strengthening people-centred health systems in the WHO European Region: framework for action on integrated health services delivery. WHO Regional Office for Europe. [Internet]. Available from: https://www.quotidianosanita.it/allegati/allegato9625744.pdf. [Accessed 13th November 2022].
    Back to article
  8. 8Goodwin N. Understanding integrated care. Int J Integr Care. 2016;16(4). DOI: 10.5334/ijic.2530
    Back to article
  9. 9Michgelsen J, Zonneveld N, Tesfay E, Minkman M. Measuring the Impact of Integrated Care: from Principles to Real-World Impact. Int J Integrated Care, 2023;23(4):12,1–4. DOI: 10.5334/ijic.7783
    Back to article
  10. 10Vanhaecht K, Panella M, van Zelm R, Sermeus W. An overview on the history and concept of care pathways as complex interventions. Int J Care Coord. 2010 Sept 1;14(3):117–123. DOI: 10.1258/jicp.2010.010019
    Back to article
  11. 11Deneckere S, Euwema M, van Herck P, Lodewijckx C, Panella M, Sermeus W, et al. Care pathways lead to better teamwork: results of a systematic review. Soc Sci Med. 2012 Jul;75(2):264–8. DOI: 10.1016/j.socscimed.2012.02.060
    Back to article
  12. 12Panella M, Marchisio S, Brambilla R, Vanhaecht K, Di Stanislao F. A cluster randomized trial to assess the effect of clinical pathways for patients with stroke: results of the clinical pathways for effective and appropriate care study. BMC Med. 2012;10(1):71. DOI: 10.1186/1741-7015-10-71
    Back to article
  13. 13Townsend N, Kazakiewicz D, Wright LF, Timmis A, Huculeci R, Torbica A, et al. Epidemiology of cardiovascular disease in Europe. Nat Rev Cardiol. 2022 Feb;19(2):133–43. DOI: 10.1038/s41569-021-00607-3
    Back to article
  14. 14Lawal AK, Rotter T, Kinsman L, Machotta A, Ronellenfitsch U, Scott SD, et al. What is a clinical pathway? Refinement of an operational definition to identify clinical pathway studies for a Cochrane systematic review. BMC Med. 2016 Feb 23;14:3. DOI: 10.1186/s12916-016-0580-z
    Back to article
  15. 15Shanbhag D, Graham ID, Harlos K, Haynes RB, Gabizon I, Connolly SJ, et al. Effectiveness of implementation interventions in improving physician adherence to guideline recommendations in heart failure: a systematic review. BMJ Open. 2018;8(3). DOI: 10.1136/bmjopen-2017-017765
    Back to article
  16. 16Rhodes T, Closson EF, Paparini S, Guise A, Strathdee S. Towards “evidence-making intervention” approaches in the social science of implementation science: The making of methadone in East Africa. International Journal of Drug Policy. 2016;30:17–26. DOI: 10.1016/j.drugpo.2016.01.002
    Back to article
  17. 17De Bree M, Stoopendaal A. De- and Recoupling and Public Regulation. OS. 2018 november 7;41(5):599–620. DOI: 10.1177/0170840618800115
    Back to article
  18. 18Köhler J, Geels FW, Kern F, Markard J, Onsongod E, Wieczoreke A, et al. An agenda for sustainability transitions research: State of the art and future directions. Environ Innov Soc Transit. 2019 Jan 31;31:1–32. DOI: 10.1016/j.eist.2019.01.004
    Back to article
  19. 19Côté-Boileau E, Denis JL, Callery B, Sabean M. The unpredictable journeys of spreading, sustaining and scaling healthcare innovations: a scoping review. Health Res Policy Syst. 2019 Sep 13;17(1):84. DOI: 10.1186/s12961-019-0482-6
    Back to article
  20. 20Looman W, Struckmann V, Köppen J, Baltaxe E, Czypionka T, Huic M, et al. Drivers of successful implementation of integrated care for multi-morbidity: Mechanisms identified in 17 case studies from 8 European countries. Soc Sci Med. 2021 May;277:113728. DOI: 10.1016/j.socscimed.2021.113728
    Back to article
  21. 21Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M. Developing and evaluating complex interventions: the new Medical Research Council guidance. BMJ. 2008 Sep 29;337:1655. DOI: 10.1136/bmj.a1655
    Back to article
  22. 22Lub V, de Groot N, Schaafsma J. Polarisatie en radicalisering: De onderbouwing van sociale interventies getoetst. [Internet]. Available from: https://www.movisie.nl/publicatie/polarisatie-radicalisering. [Accessed November 2022].
    Back to article
  23. 23Suter E, Mallinson S, Misfeldt R, Boakye O, Nasmith L, Wong ST. Advancing team-based primary health care: a comparative analysis of policies in western Canada. BMC Health Serv Res. 2017 July 17;493. DOI: 10.1186/s12913-017-2439-1
    Back to article
  24. 24Scriven M. Types of Evaluation and Types of Evaluator. Evaluation Practice. 1996;17:2:151–161. DOI: 10.1016/S0886-1633(96)90020-3
    Back to article
  25. 25Cohen, J. A power primer. Psychol Bull. 1992 Jul;112(1):155–9. DOI: 10.1037//0033-2909.112.1.155
    Back to article
  26. 26Patterson MG, West MA, Shackleton VJ, Dawson JF, Lawthom R, Maitlis S, et al. Validating the organizational climate measure: links to managerial practices, productivity and innovation. J Organ Behav. 2005 June;26(4):379–408. DOI: 10.1002/job.312
    Back to article
  27. 27Costello AB, Osborne J. Best Practices in Exploratory Factor Analysis: Four Recommendations for Getting the Most from Your Analysis. PARE. 2005;10:1–9.
    Back to article
  28. 28Taber KS. The use of Cronbach’s alpha when developing and reporting research instruments in science education. Res sci educ. 2016;48:1273–96. DOI: 10.1007/s11165-016-9602-2
    Back to article
  29. 29Lyssens-Danneboom V, Eggermont S, Mortelmans D. Living Apart Together (LAT) and Law: Exploring Legal Expectations Among LAT Individuals in Belgium. Social & Legal Studies. 2013;22(3):357–76. DOI: 10.1177/0964663913478960
    Back to article
  30. 30Voogdt-Pruis HR, Zonneveld N, Bergsma M, van Wijk E, Kerkhoff H, van der Dussen L, et al. Optimising Integrated Stroke Care in Regional Networks: A Nationwide Self-Assessment Study in 2012, 2015 and 2019. Int J Integr Care. 2021 Jul–Sep;21(3):12. DOI: 10.5334/ijic.5611
    Back to article
  31. 31Palmer K, Marengoni A, Forjaz MJ, Jureviciene E, Laatikainen T, Mammarella F, et al. Multimorbidity care model: Recommendations from the consensus meeting of the Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle (JA-CHRODIS). Health Policy. 2018 Jan;122(1):4–11. DOI: 10.1016/j.healthpol.2017.09.006
    Back to article
  32. 32Lund B. The questionnaire method in systems research: an overview of sample sizes, response rates and statistical approaches utilized in studies. VINE. 2021 Jan 14;53(1):1–10. DOI: 10.1108/VJIKMS-08-2020-0156
    Back to article
  33. 33Kotseva K, EUROASPIRE Investigators. The EUROASPIRE surveys: lessons learned in cardiovascular disease prevention. Cardiovasc Diagn Ther. 2017 Dec;7(6):633–39. DOI: 10.21037/cdt.2017.04.06
    Back to article
  34. 34Ray KK, Molemans B, Schoonen WM, Giovas P, Bray S, Kiru G, et al. EU-Wide Cross-Sectional Observational Study of Lipid-Modifying Therapy Use in Secondary and Primary Care: the DA VINCI study. Eur J Prev Cardiol. 2021 Sep 20;28(11):1279–89.
    Back to article
  35. 35Ray KK, Haq I, Bilitou A, Manu MC, Burden A, Aguiar C, et al. Treatment gaps in the implementation of LDL cholesterol control among high- and very high-risk patients in Europe between 2020 and 2021: the multinational observational SANTORINI study. Lancet 2023 Jun;29:100624. DOI: 10.1016/j.lanepe.2023.100624
    Back to article
  36. 36Mihaylova B, Emberson J, Blackwell L, Keech A, Simes J, Barnes EH, et al. The effects of lowering LDL cholesterol with statin therapy in people at low risk of vascular disease: meta-analysis of individual data from 27 randomised trials. Lancet. 2012 Aug 11;380(9841):581–90. DOI: 10.1016/S0140-6736(12)60367-5
    Back to article
  37. 37Ference BA, Ginsberg HN, Graham I, Ray KK, Packard CJ, Bruckert E, et al. Low-density lipoproteins cause atherosclerotic cardiovascular disease. 1. Evidence from genetic, epidemiologic, and clinical studies. A consensus statement from the European Atherosclerosis Society Consensus Panel. Eur Heart J. 2017 Aug 21;38(32):2459–72. DOI: 10.1093/eurheartj/ehx144
    Back to article
  38. 38Domanski MJ, Wu CO, Tian X, Hasan AA, Ma X, Huang Y, et al. Association of Incident Cardiovascular Disease With Time Course and Cumulative Exposure to Multiple Risk Factors. J Am Coll Cardiol. 2023 Mar 28;81(12):1151–61. DOI: 10.1016/j.jacc.2023.01.024
    Back to article
  39. 39Nolte E, McKee CM. Measuring the health of nations: updating an earlier analysis. Health Aff (Millwood). 2008;27(1):58–71. DOI: 10.1377/hlthaff.27.1.58
    Back to article
  40. 40Lemetti T, Stolt M, Rickard N, Suhonen R. Collaboration between hospital and primary care nurses: A literature review. Int. Int Nurs Rev. 2015 Jun;62(2):248–66. DOI: 10.1111/inr.12147
    Back to article
  41. 41Winpenny EM, Miani C, Pitchforth E, King S, Roland M. Improving the effectiveness and efficiency of outpatient services: a scoping review of interventions at the primary-secondary care interface. J Health Serv Res Policy. 2017 Jan;22(1):53–64. DOI: 10.1177/1355819616648982
    Back to article
  42. 42Baxter S, Johnson M, Chambers D, Sutton A, Goyder E, Booth A. The effects of integrated care: a systematic review of UK and international evidence. BMC Health Serv Res. 2018 May 10;18(1):350. DOI: 10.1186/s12913-018-3161-3
    Back to article
  43. 43Salmond SW, Echevarria M. Healthcare Transformation and Changing Roles for Nursing. Orthop Nurs. 2017 Jan;36(1):12–25. DOI: 10.1097/NOR.0000000000000308
    Back to article
  44. 44Karam M, Chouinard MC, Poitras ME, Couturier Y, Vedel I, Grgurevic N, Hudon C. Nursing Care Coordination for Patients with Complex Needs in Primary Healthcare: A Scoping Review. Int J Integr Care. 2021 Mar 19;21:1:16. DOI: 10.5334/ijic.5518
    Back to article
  45. 45Hunt CM, Spence M, McBride A. The role of boundary spanners in delivering collaborative care: a process evaluation. BMC Fam Pract. 2016 Jul 29;17:96. DOI: 10.1186/s12875-016-0501-4
    Back to article
  46. 46Wenger E. Communities of practice: learning, meaning, and identity. Cambridge: University Press; 1998. DOI: 10.1017/CBO9780511803932
    Back to article
  47. 47Mills KT, O’Connell SS, Pan M, Obst KM, He H, He J. Role of Health Care Professionals in the Success of Blood Pressure Control Interventions in Patients With Hypertension: A Meta-Analysis. Circulation: Cardiovascular quality and outcomes. 2024;17(8). DOI: 10.1161/CIRCOUTCOMES.123.010396
    Back to article
  48. 48Gilburt H. Supporting integration through new roles and working across boundaries. London: King’s Fund; 2016.
    Back to article
  49. 49Melo S, Bishop S. Translating healthcare research evidence into practice: The role of linked boundary objects. Soc Sci Med. 2020 Feb:246:112731. DOI: 10.1016/j.socscimed.2019.112731
    Back to article
  50. 50Meier N. Collaboration in Healthcare Through Boundary Work and Boundary Objects. Qual Soc Rev. 2015;11(3):60–82. 52. DOI: 10.18778/1733-8077.11.3.05
    Back to article
  51. 51Fleming MD, Safaeinili N, Knox M, Hernandez E, Brewster L. Between health care and social services: Boundary objects and cross-sector collaboration. Soc Sci Med. 2023 Mar;320:115758. DOI: 10.1016/j.socscimed.2023.115758
    Back to article
  52. 52Star SL, Griesemer JR. Institutional ecology, translations’ and boundary objects: Amateurs and professionals in Berkeley’s Museum of Vertebrate Zoology, 1907–39. Social Studies of Science. 1989;19(3):387–420. DOI: 10.1177/030631289019003001
    Back to article
  53. 53Chow JSF, Gonzalez-Arce VE, Tam CWM, Neville B, McDougall A. HealthPathways implementation on type 2 diabetes: A programmatic evaluation (HIT2 evaluation). IJIC. 27(2):153–62. DOI: 10.1108/JICA-07-2018-0047
    Back to article
  54. 54Tørseth TN, Ådnanes M. Trust in pathways? Professionals’ sensemaking of care pathways in the Norwegian mental health services system. BMC Health Serv Res. 2022 Jan 5;22(1):33. DOI: 10.1186/s12913-021-07424-x
    Back to article
  55. 55Tsasis P, Evans JM, Rush L, Diamond J. Learning to Learn: towards a Relational and Transformational Model of Learning for Improved Integrated Care Delivery. Admin Sci. 2013 June;3(2):9–31. DOI: 10.3390/admsci3020009
    Back to article
  56. 56Bal R, Weggelaar AM, Wallenburg I. Op zoek naar goede leefsystemen. Zorgrebellen en het doen van kwaliteit. [Internet]. Rotterdam: Erasmus Universiteit Rotterdam; 2018 February. Available from: https://www.eur.nl/sites/corporate/files/2018-02/Op%20zoek%20naar%20goede%20leefsystemen%20zorgrebellen%20en%20het%20doen%20van%20kwaliteit.pdf. [Accessed 13th November 2022].
    Back to article
  57. 57Hut-Mossel L, Ahaus K, Welker G, Rijk G. Which Attributes of Credibility Matter for Quality Improvement Projects in Hospital Care—A Multiple Case Study among Hospitalists in Training. Int J Environ Res Public Health. 2022 Dec 6;19(23):16335. DOI: 10.3390/ijerph192316335
    Back to article
  58. 58Maassen SM, van Oostveen C, Vermeulen H, Weggelaar AM. Defining a positive work environment for hospital healthcare professionals: A Delphi study. PLoS One. 2021 Feb 25;16(2):e0247530. DOI: 10.1371/journal.pone.0247530
    Back to article
  59. 59Ansell C, Gash A. Collaborative Platforms as a Governance Strategy. J of Public Admin Research and Theory. 2018;28(1):16–32. DOI: 10.1093/jopart/mux030
    Back to article
  60. 60Van der Woerd O, van Veen-Berkx E, van der Scheer W, Bal R. How does a Network Platform Work for Participating Actors Towards Integrated Care Governance? A Case Study of a Dutch Hospital Region. Int J Integr Care. 2022 Dec 20;22(4):20. DOI: 10.5334/ijic.6736
    Back to article
  61. 61Iedema R, Verma R, Wutzke S, Lyons N, McCaughan B. A network of networks: the governance of deliberative approaches to healthcare improvement and reform. J Health Organ Manag. 2017 Apr 10;31(2):223–236. DOI: 10.1108/JHOM-07-2016-0146
    Back to article
  62. 62Holterman S, Lahr M, Wynia K, Hettinga M, Buskens E. Integrated Care for Older Adults: A Struggle for Sustained Implementation in Northern Netherlands. Int J Integr Care. 2020 Jul 13;20(3). DOI: 10.5334/ijic.5434
    Back to article
  63. 63Ordóñez LD, Schweitzer ME, Galinsky AD, Bazerman MH. Goals Gone Wild: The Systematic Side Effects of Over-Prescribing Goal Setting. Harvard Business School Working Paper. 2009 Jan;09–083. DOI: 10.2139/ssrn.1332071
    Back to article
  64. 64Wasti SP, Simkhada P, van Teijlingen ER, Sathian B, Banerjee I. The Growing Importance of Mixed-Methods Research in Health. Nepal J Epidemiol. 2022 Mar 31;12(1):1175–8. DOI: 10.3126/nje.v12i1.43633
    Back to article
DOI: https://doi.org/10.5334/ijic.8654 | Journal eISSN: 1568-4156
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Language: English
Submitted on: Apr 29, 2024
Accepted on: Jun 19, 2025
Published on: Jul 1, 2025
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
Cardiovascular Risk Management,
care pathway,
integrated care,
evaluation,
benefits,
working mechanisms

© 2025 Relinde J. de Koeijer, Marcella E. de Geest, Gideon R. Hajer, Fabrice M. A. C. Martens, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.

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