A platform for research: civil engineering, architecture and urbanism
A platform for research: civil engineering, architecture and urbanism
Collaboration processes and perceived effectiveness of integrated care projects in primary care:A longitudinal mixed-methods study
Background Collaborative partnerships are considered an essential strategy for integrating local disjointed health and social services. Currently, little evidence is available on how integrated care arrangements between professionals and organisations are achieved through the evolution of collaboration processes over time. The first aim was to develop a typology of integrated care projects (ICPs) based on the final degree of integration as perceived by multiple stakeholders. The second aim was to study how types of integration differ in changes of collaboration processes over time and final perceived effectiveness. Methods A longitudinal mixed-methods study design based on two data sources (surveys and interviews) was used to identify the perceived degree of integration and patterns in collaboration among 42 ICPs in primary care in The Netherlands. We used cluster analysis to identify distinct subgroups of ICPs based on the final perceived degree of integration from a professional, organisational and system perspective. With the use of ANOVAs, the subgroups were contrasted based on: 1) changes in collaboration processes over time (shared ambition, interests and mutual gains, relationship dynamics, organisational dynamics and process management) and 2) final perceived effectiveness (i.e. rated success) at the professional, organisational and system levels. Results The ICPs were classified into three subgroups with: ‘United Integration Perspectives (UIP)’, ‘Disunited Integration Perspectives (DIP)’ and ‘Professional-oriented Integration Perspectives (PIP)’. ICPs within the UIP subgroup made the strongest increase in trust-based (mutual gains and relationship dynamics) as well as control-based (organisational dynamics and process management) collaboration processes and had the highest overall effectiveness rates. On the other hand, ICPs with the DIP subgroup decreased on collaboration processes and had the lowest overall effectiveness rates. ICPs within the PIP subgroup increased in control-based collaboration ...
Collaboration processes and perceived effectiveness of integrated care projects in primary care:A longitudinal mixed-methods study
Background Collaborative partnerships are considered an essential strategy for integrating local disjointed health and social services. Currently, little evidence is available on how integrated care arrangements between professionals and organisations are achieved through the evolution of collaboration processes over time. The first aim was to develop a typology of integrated care projects (ICPs) based on the final degree of integration as perceived by multiple stakeholders. The second aim was to study how types of integration differ in changes of collaboration processes over time and final perceived effectiveness. Methods A longitudinal mixed-methods study design based on two data sources (surveys and interviews) was used to identify the perceived degree of integration and patterns in collaboration among 42 ICPs in primary care in The Netherlands. We used cluster analysis to identify distinct subgroups of ICPs based on the final perceived degree of integration from a professional, organisational and system perspective. With the use of ANOVAs, the subgroups were contrasted based on: 1) changes in collaboration processes over time (shared ambition, interests and mutual gains, relationship dynamics, organisational dynamics and process management) and 2) final perceived effectiveness (i.e. rated success) at the professional, organisational and system levels. Results The ICPs were classified into three subgroups with: ‘United Integration Perspectives (UIP)’, ‘Disunited Integration Perspectives (DIP)’ and ‘Professional-oriented Integration Perspectives (PIP)’. ICPs within the UIP subgroup made the strongest increase in trust-based (mutual gains and relationship dynamics) as well as control-based (organisational dynamics and process management) collaboration processes and had the highest overall effectiveness rates. On the other hand, ICPs with the DIP subgroup decreased on collaboration processes and had the lowest overall effectiveness rates. ICPs within the PIP subgroup increased in control-based collaboration ...
Collaboration processes and perceived effectiveness of integrated care projects in primary care:A longitudinal mixed-methods study
Valentijn, P.P. (author) / Ruwaard, D. (author) / Vrijhoef, H.J.M. (author) / de Bont, Antoinette (author) / Arends, R.Y. (author) / Bruijnzeels, M.A. (author)
2015-01-01
Valentijn , P P , Ruwaard , D , Vrijhoef , H J M , de Bont , A , Arends , R Y & Bruijnzeels , M A 2015 , ' Collaboration processes and perceived effectiveness of integrated care projects in primary care : A longitudinal mixed-methods study ' , BMC Health Services Research , vol. 15 , 463 . https://doi.org/10.1186/s12913-015-1125-4
Article (Journal)
Electronic Resource
English
DDC:
690
Evaluating the Safety Climate in Construction Projects: A Longitudinal Mixed-Methods Study
| DOAJ | 2024
Digitalisation in construction: Mixed blessing for collaboration in projects
| BASE | 2019
Collaboration, learning and working processes in project groups in partnering projects
| British Library Conference Proceedings | 2003