Abstract
Introduction: Nowadays citizens’ complex needs are characterized by support questions in several life domains that are related to each other. A request for help consists of several interacting components: also called a complex care request. Care organizations traditionally provide only single component healthcare which matches only in part with the complex care request. Health and social care services should therefore be provided within dynamic micro networks or partnerships around the citizen or patient. Consequently, integration knowledge is required at several levels (micro, meso, macro) to move from the current mainly single component standardized health care and social services to integrated and customized care services.
Aims, Objectives, Theory or Methods: Integration knowledge is lacking among almost all parties involved: care providers, informal caregivers, managers, administrators, supervisors and financers. Dynamic partnerships in which health and social care services are provided in an integrated and personalized manner will increase in significance. This raises the question how we can enable all these actors in care and welfare to develop and deliver effective personalized care.
In over thirty research projects in practice involving healthcare and social care organisations and citizens in neighbourhoods in The Netherlands, we collected central questions that need to be answered for creating, organising, financing and delivering personalised care to citizens.
Highlights or Results or Key Findings: For providing healthcare services in an integrated and personalized manner, dynamic partnerships are necessary.
At the micro level, a central question is how to achieve co-creation and collaboration with clients, informal caregivers and various professionals in dynamic networking.
At the meso level, the central question is how dynamic networks can be organized and managed.
At the macro level, a central question is how accountability and financing of dynamic network care can be structured.
A crucial question that plays a role at all three levels is how policy can be made at local, regional, national and European level for facilitating dynamic micro network care.
Conclusions: Citizens want to feel supported in participating optimally in society with the highest possible quality of life, at the lowest possible cost (triple aim) and with more meaning for care providers (quadruple aim). Citizens' complex care needs are still mostly approached by more individual acting professionals resulting in fragmented care.
Implications for applicability/transferability, sustainability, and limitations: In creating dynamic partnerships around the citizen/patient, the care provided from professional organizations will decrease in significance. For this integration knowledge is required and this must be developed in integrated research on collaboration, organization, financing and supporting policymaking and is by itself integrated on micro, meso and macro level.