Developing Integrated Care: Towards a development model for integrated care

The thesis adresses the phenomenon of integrated care. The implementation of integrated care for patients with a stroke or dementia is studied. Because a generic quality management model for integrated care is lacking, the study works towards building a development model for integrated care. Based on a systematic approach in which a literature study, a delphi study, a concept mapping study and questionnaire research are combined, a development model for integrated care is created. The model exists of 89 elements of integrated care, which are clustered in nine themes. Also the model describes four phases of development which integrated care services can experience. The model is succesfully empirically validated in 84 integrated care services for stroke, acute myocardial infarct or dementia patients. The model has the potential to serve as a generic quality management model for integrated care services and can be used for monitoring, self evaluation or benchmarking of integrated care services. Also insurers or policy makers could use the model to stimulate integrated care services to further improve and develop their integrated care.

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