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The four phases model has the potential to serve as a generic quality management tool for multiple integrated care practices.
Based on these results we may conclude that the empirical test of our theoretical model has been successful and that this tool has the potential to effectively support multiple integrated care practices.
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Experts met the following criteria: multiple years of experience with integrated care, experience with multiple and different patient groups or integrated care settings, and expert knowledge based on research, implementation projects or practical experience.
At the start of this study there were multiple initiatives to provide integrated care across the entire country, stimulated by the introduction of the bundled payment system and other financial incentives.
Projects have been expanded or integrated in integrated care programs.
11 12 Clinical care is often fragmented, involving both primary care and multiple secondary care specialists who may not be communicating effectively, and there is a clear need for integrated care of multiple conditions.
Farid Fouladinejad, IT strategy lead, CWHHE clinical commissioning groups collaborative: The biggest challenge is around meeting the expectations on integrated care across multiple organisations using different generations of standards and IT platforms while limiting impact on frontline staff.
Large scale evaluation of practical approaches to implementing integrated care for multiple conditions is needed.
Chronic illness management requires health systems to be able to deliver integrated care across multiple disciplines with collaboration across sectors.
We conclude that successful ageing could be enhanced by integrated care of multiple chronic conditions that covers both physical and psychological illness.
This raises the question about the general applicability of the development phases and the question if they are useful for multiple or all kind of integrated care services.
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