Inspecting integrated care in the Netherlands

Introduction: Health and social care in the Netherlands is undergoing a major transition. People receive health and social care at home as long as possible. Informal care has become more important and the municipalities have more legal tasks in providing social care for their citizens. The number of beds in nursing homes and psychiatric hospitals has fallen. After hospitalisation, people go home as soon as possible. Medical care after hospital discharge is given in the home environment. Since 2015 the Dutch Health and Youth Care Inspectorate (IGJ) has explored how to adjust their inspection po... Mehr ...

Verfasser: Heleen Buijze
Dokumenttyp: Artikel
Erscheinungsdatum: 2019
Reihe/Periodikum: International Journal of Integrated Care, Vol 19, Iss 4 (2019)
Verlag/Hrsg.: Ubiquity Press
Schlagwörter: regulation and inspection / care networks / inspection framework / frail elderly people / Medicine (General) / R5-920
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-27189638
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://doi.org/10.5334/ijic.s3090

Introduction: Health and social care in the Netherlands is undergoing a major transition. People receive health and social care at home as long as possible. Informal care has become more important and the municipalities have more legal tasks in providing social care for their citizens. The number of beds in nursing homes and psychiatric hospitals has fallen. After hospitalisation, people go home as soon as possible. Medical care after hospital discharge is given in the home environment. Since 2015 the Dutch Health and Youth Care Inspectorate (IGJ) has explored how to adjust their inspection policy to this transition. Policy context and objective: The transition in health and social care requires IGJ to shift attention from inspecting health care providers to inspecting care networks. The object for IGJ is to: get a basic understanding of what care networks are; decide at what level care networks should be assessed; develop methods to inspect care networks; select items that are key for integrated care. Targeted population: Integrated care is essential for people with multiple care needs, living in home environments. Target groups for IGJ are frail elderly people, people with severe mental health problems or seriously ill children who receive specialist care. Highlights: IGJ has developed a policy for inspecting integrated care. The main points are: -Care networks should be considered from the client perspective. Personal care networks are the starting point for inspecting integrated care; -The inspection framework for personal care networks in home settings poses four key questions concerning whether the care network: provides person-centred care? collaborates with principal carers? collaborates to provide coordinated care? provides safe care? -Results on the level of the personal care networks can be aggregated on a local or regional level. The key question on the local or regional level is: -Do health and social care providers facilitate collaboration in care networks? -The role of IGJ in integrated care is to ...