Urgency in emergency cases in elderly care, applying the Kings Fund model in the Netherlands

Introduction: We all want to have a long healthy and vital life and we all know that in time we will become more and more vulnerable. People do want to stay at home, also if they have more longterm conditions. In case of emergency professionals need to know what the preferences of the elderly are. That is currently not the case. The goal of this research is to extend en enrich the model of integrated care of Kings Fund (2014) en to tailor the model to the local context in the Netherlands. Method: We conducted a multimethod approach: focusgroups with elderly (&). literature review (7 studie... Mehr ...

Verfasser: Monique Spierenburg
Dokumenttyp: Artikel
Erscheinungsdatum: 2019
Reihe/Periodikum: International Journal of Integrated Care, Vol 19, Iss 4 (2019)
Verlag/Hrsg.: Ubiquity Press
Schlagwörter: collaboration / prevention / proactive care / care transition / patiëntcentred / Medicine (General) / R5-920
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-26803359
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://doi.org/10.5334/ijic.s3431

Introduction: We all want to have a long healthy and vital life and we all know that in time we will become more and more vulnerable. People do want to stay at home, also if they have more longterm conditions. In case of emergency professionals need to know what the preferences of the elderly are. That is currently not the case. The goal of this research is to extend en enrich the model of integrated care of Kings Fund (2014) en to tailor the model to the local context in the Netherlands. Method: We conducted a multimethod approach: focusgroups with elderly (&). literature review (7 studies in the last year), 20 interviews with experts in hospital, longterm care, homecare, social care and general practitioner, health centre, and Design Thinking method is used in two meetings with all the partners in de room, inclusive vulnerable elderly. Results: We built on the model of Kings Fund (2014) Integrated services to provide personcentred care, to extend this model to more practice based interventions. In design thinking sessions we discovered new working principles to make the shift to prevention and proactive care. Built on practical examples of professionals of different expertise in the emergency care for elderly. Discussions: There is enough ambition to change working in silos and become a more competent elderly care network. Sometimes professionals don't know about good practical examples they can use. Sometimes they don't look 'at the other site of the street' and don't know what (elderly)expertise is available. The awareness of these shortcomings is growing, but a lot of work need to be done. The patient journey and working principles can make a difference to be aware of new opportunities to make the shift to prevention en pro-active care of the view of the elderly themselves. Conclusions: Together we know more, The working principles based on good examples visualize the step forward to prevention and proactive care. Lessons learned: Incorporation of the view of the elderly in research is efficient en give ...