Experiences of Community-Living Older Adults Receiving Integrated Care Based on the Chronic Care Model: A Qualitative Study
Integrated care models aim to solve the problem of fragmented and poorly coordinated care in current healthcare systems. These models aim to be patient-centered by providing continuous and coordinated care and by considering the needs and preferences of patients. The objective of this study was to e...
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| Veröffentlicht in: | PloS one 2015-10, Vol.10 (10), p.e0137803-e0137803 |
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| creator | Spoorenberg, Sophie L W Wynia, Klaske Fokkens, Andrea S Slotman, Karin Kremer, Hubertus P H Reijneveld, Sijmen A |
| description | Integrated care models aim to solve the problem of fragmented and poorly coordinated care in current healthcare systems. These models aim to be patient-centered by providing continuous and coordinated care and by considering the needs and preferences of patients. The objective of this study was to evaluate the opinions and experiences of community-living older adults with regard to integrated care and support, along with the extent to which it meets their health and social needs.
Semi-structured interviews were conducted with 23 older adults receiving integrated care and support through "Embrace," an integrated care model for community-living older adults that is based on the Chronic Care Model and a population health management model. Embrace is currently fully operational in the northern region of the Netherlands. Data analysis was based on the grounded theory approach.
Responses of participants concerned two focus areas: 1) Experiences with aging, with the themes "Struggling with health," "Increasing dependency," "Decreasing social interaction," "Loss of control," and "Fears;" and 2) Experiences with Embrace, with the themes "Relationship with the case manager," "Interactions," and "Feeling in control, safe, and secure". The prospect of becoming dependent and losing control was a key concept in the lives of the older adults interviewed. Embrace reinforced the participants' ability to stay in control, even if they were dependent on others. Furthermore, participants felt safe and secure, in contrast to the fears of increasing dependency within the standard care system.
The results indicate that integrated care and support provided through Embrace met the health and social needs of older adults, who were coping with the consequences of aging. |
| doi_str_mv | 10.1371/journal.pone.0137803 |
| format | Article |
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Semi-structured interviews were conducted with 23 older adults receiving integrated care and support through "Embrace," an integrated care model for community-living older adults that is based on the Chronic Care Model and a population health management model. Embrace is currently fully operational in the northern region of the Netherlands. Data analysis was based on the grounded theory approach.
Responses of participants concerned two focus areas: 1) Experiences with aging, with the themes "Struggling with health," "Increasing dependency," "Decreasing social interaction," "Loss of control," and "Fears;" and 2) Experiences with Embrace, with the themes "Relationship with the case manager," "Interactions," and "Feeling in control, safe, and secure". The prospect of becoming dependent and losing control was a key concept in the lives of the older adults interviewed. Embrace reinforced the participants' ability to stay in control, even if they were dependent on others. Furthermore, participants felt safe and secure, in contrast to the fears of increasing dependency within the standard care system.
The results indicate that integrated care and support provided through Embrace met the health and social needs of older adults, who were coping with the consequences of aging.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0137803</identifier><identifier>PMID: 26489096</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adaptation, Psychological ; Adult ; Adults ; Age ; Aged ; Aged, 80 and over ; Aging ; Aging - psychology ; Analysis ; Chronic illnesses ; Communities ; Data analysis ; Data processing ; Delivery of Health Care - organization & administration ; Elderly ; Fear & phobias ; Female ; Health ; Health aspects ; Health care ; Health sciences ; Humans ; Life assessment ; Long-Term Care ; Male ; Management ; Medical care ; Medical personnel ; Medicine ; Models, Psychological ; Netherlands ; Older people ; Patient Participation - psychology ; Patients ; Perception - physiology ; Practice ; Qualitative Research ; R&D ; Research & development ; Residence Characteristics ; Social aspects ; Stability ; Studies ; Surveys and Questionnaires ; Systematic review</subject><ispartof>PloS one, 2015-10, Vol.10 (10), p.e0137803-e0137803</ispartof><rights>COPYRIGHT 2015 Public Library of Science</rights><rights>2015 Spoorenberg et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2015 Spoorenberg et al 2015 Spoorenberg et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-567302d8c4d67ba3738c654a4ac6ffc29e24c0cfb1dd28fcdc34f79844e0f0e73</citedby><cites>FETCH-LOGICAL-c692t-567302d8c4d67ba3738c654a4ac6ffc29e24c0cfb1dd28fcdc34f79844e0f0e73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4619446/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4619446/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26489096$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Spoorenberg, Sophie L W</creatorcontrib><creatorcontrib>Wynia, Klaske</creatorcontrib><creatorcontrib>Fokkens, Andrea S</creatorcontrib><creatorcontrib>Slotman, Karin</creatorcontrib><creatorcontrib>Kremer, Hubertus P H</creatorcontrib><creatorcontrib>Reijneveld, Sijmen A</creatorcontrib><title>Experiences of Community-Living Older Adults Receiving Integrated Care Based on the Chronic Care Model: A Qualitative Study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Integrated care models aim to solve the problem of fragmented and poorly coordinated care in current healthcare systems. These models aim to be patient-centered by providing continuous and coordinated care and by considering the needs and preferences of patients. The objective of this study was to evaluate the opinions and experiences of community-living older adults with regard to integrated care and support, along with the extent to which it meets their health and social needs.
Semi-structured interviews were conducted with 23 older adults receiving integrated care and support through "Embrace," an integrated care model for community-living older adults that is based on the Chronic Care Model and a population health management model. Embrace is currently fully operational in the northern region of the Netherlands. Data analysis was based on the grounded theory approach.
Responses of participants concerned two focus areas: 1) Experiences with aging, with the themes "Struggling with health," "Increasing dependency," "Decreasing social interaction," "Loss of control," and "Fears;" and 2) Experiences with Embrace, with the themes "Relationship with the case manager," "Interactions," and "Feeling in control, safe, and secure". The prospect of becoming dependent and losing control was a key concept in the lives of the older adults interviewed. Embrace reinforced the participants' ability to stay in control, even if they were dependent on others. Furthermore, participants felt safe and secure, in contrast to the fears of increasing dependency within the standard care system.
The results indicate that integrated care and support provided through Embrace met the health and social needs of older adults, who were coping with the consequences of aging.</description><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Adults</subject><subject>Age</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging</subject><subject>Aging - psychology</subject><subject>Analysis</subject><subject>Chronic illnesses</subject><subject>Communities</subject><subject>Data analysis</subject><subject>Data processing</subject><subject>Delivery of Health Care - organization & administration</subject><subject>Elderly</subject><subject>Fear & phobias</subject><subject>Female</subject><subject>Health</subject><subject>Health aspects</subject><subject>Health care</subject><subject>Health sciences</subject><subject>Humans</subject><subject>Life assessment</subject><subject>Long-Term Care</subject><subject>Male</subject><subject>Management</subject><subject>Medical care</subject><subject>Medical personnel</subject><subject>Medicine</subject><subject>Models, Psychological</subject><subject>Netherlands</subject><subject>Older people</subject><subject>Patient Participation - psychology</subject><subject>Patients</subject><subject>Perception - physiology</subject><subject>Practice</subject><subject>Qualitative Research</subject><subject>R&D</subject><subject>Research & development</subject><subject>Residence Characteristics</subject><subject>Social aspects</subject><subject>Stability</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Systematic review</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNk99rUzEUxy-iOJ3-B6IXBNGH1vy6uff6INQytTAZbuprSJOTNiNNapI7NvznTddurLIHyUPCyed8z4_kVNULjMaYtvj9eRiil268Dh7GqJg6RB9UT3BPyYgTRB_eOR9UT1M6R6ihHeePqwPCWdejnj-p_hxdriFa8ApSHUw9DavV4G2-Gh3bC-sX9YnTEOuJHlxO9Sko2JpnPsMiygy6nsoI9SeZyjH4Oi-hni5j8FZtb74FDe5DPam_D9LZLLO9gPosD_rqWfXISJfg-W4_rH5-Pvox_To6Pvkym06OR4r3JI8a3lJEdKeY5u1c0pZ2ijdMMqm4MYr0QJhCysyx1qQzSivKTNt3jAEyCFp6WL3a6q5dSGLXtyRwSxqEO9zyQsy2hA7yXKyjXcl4JYK04toQ4kLImK1yIGBO-h4zRlo8ZxybDnPSGMk6YLxBcyhaH3fRhvkKtAKfo3R7ovs33i7FIlyIotYztknm7U4ght8DpCxWNilwTnoIw3XeLaO8x7Sgr_9B769uRy1kKcB6E0pctREVE0YJIQ1uNlrje6iyNKysKp_M2GLfc3i351CYDJd5IYeUxOzs9P_Zk1_77Js77BKky8sU3JBt8GkfZFtQxZBSBHPbZIzEZkZuuiE2MyJ2M1LcXt59oFunm6GgfwGiSwt9</recordid><startdate>20151021</startdate><enddate>20151021</enddate><creator>Spoorenberg, Sophie L W</creator><creator>Wynia, Klaske</creator><creator>Fokkens, Andrea S</creator><creator>Slotman, Karin</creator><creator>Kremer, Hubertus P H</creator><creator>Reijneveld, Sijmen A</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20151021</creationdate><title>Experiences of Community-Living Older Adults Receiving Integrated Care Based on the Chronic Care Model: A Qualitative Study</title><author>Spoorenberg, Sophie L W ; Wynia, Klaske ; Fokkens, Andrea S ; Slotman, Karin ; Kremer, Hubertus P H ; Reijneveld, Sijmen A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-567302d8c4d67ba3738c654a4ac6ffc29e24c0cfb1dd28fcdc34f79844e0f0e73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Adults</topic><topic>Age</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging</topic><topic>Aging - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Spoorenberg, Sophie L W</au><au>Wynia, Klaske</au><au>Fokkens, Andrea S</au><au>Slotman, Karin</au><au>Kremer, Hubertus P H</au><au>Reijneveld, Sijmen A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Experiences of Community-Living Older Adults Receiving Integrated Care Based on the Chronic Care Model: A Qualitative Study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2015-10-21</date><risdate>2015</risdate><volume>10</volume><issue>10</issue><spage>e0137803</spage><epage>e0137803</epage><pages>e0137803-e0137803</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Integrated care models aim to solve the problem of fragmented and poorly coordinated care in current healthcare systems. These models aim to be patient-centered by providing continuous and coordinated care and by considering the needs and preferences of patients. The objective of this study was to evaluate the opinions and experiences of community-living older adults with regard to integrated care and support, along with the extent to which it meets their health and social needs.
Semi-structured interviews were conducted with 23 older adults receiving integrated care and support through "Embrace," an integrated care model for community-living older adults that is based on the Chronic Care Model and a population health management model. Embrace is currently fully operational in the northern region of the Netherlands. Data analysis was based on the grounded theory approach.
Responses of participants concerned two focus areas: 1) Experiences with aging, with the themes "Struggling with health," "Increasing dependency," "Decreasing social interaction," "Loss of control," and "Fears;" and 2) Experiences with Embrace, with the themes "Relationship with the case manager," "Interactions," and "Feeling in control, safe, and secure". The prospect of becoming dependent and losing control was a key concept in the lives of the older adults interviewed. Embrace reinforced the participants' ability to stay in control, even if they were dependent on others. Furthermore, participants felt safe and secure, in contrast to the fears of increasing dependency within the standard care system.
The results indicate that integrated care and support provided through Embrace met the health and social needs of older adults, who were coping with the consequences of aging.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>26489096</pmid><doi>10.1371/journal.pone.0137803</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Adaptation, Psychological Adult Adults Age Aged Aged, 80 and over Aging Aging - psychology Analysis Chronic illnesses Communities Data analysis Data processing Delivery of Health Care - organization & administration Elderly Fear & phobias Female Health Health aspects Health care Health sciences Humans Life assessment Long-Term Care Male Management Medical care Medical personnel Medicine Models, Psychological Netherlands Older people Patient Participation - psychology Patients Perception - physiology Practice Qualitative Research R&D Research & development Residence Characteristics Social aspects Stability Studies Surveys and Questionnaires Systematic review |
| title | Experiences of Community-Living Older Adults Receiving Integrated Care Based on the Chronic Care Model: A Qualitative Study |
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