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Research & theory

Understanding integrated care: a comprehensive conceptual framework based on the integrative functions of primary care

Authors:

Pim P. Valentijn ,

NL
About Pim P.
MSc, Researcher, Jan van Es Institute, Netherlands Expert Centre Integrated Primary Care, The Netherlands
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Sanneke M. Schepman,

NL
About Sanneke M.
MSc, Researcher, NIVEL, Netherlands Institute for Health Services Research, The Netherlands
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Wilfrid Opheij,

NL
About Wilfrid

PhD, Senior partner, Twynstra Gudde, Consultants and Managers, The Netherlands

 

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Marc A. Bruijnzeels

About Marc A.
PhD, Director, Jan van Es Institute, Netherlands Expert Centre Integrated Primary Care, The Netherlands
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Abstract

Introduction: Primary care has a central role in integrating care within a health system. However, conceptual ambiguity regarding integrated care hampers a systematic understanding. This paper proposes a conceptual framework that combines the concepts of primary care and integrated care, in order to understand the complexity of integrated care.

Methods:  The search method involved a combination of electronic database searches, hand searches of reference lists (snowball method) and contacting researchers in the field. The process of synthesizing the literature was iterative, to relate the concepts of primary care and integrated care. First, we identified the general principles of primary care and integrated care. Second, we connected the dimensions of integrated care and the principles of primary care. Finally, to improve content validity we held several meetings with researchers in the field to develop and refine our conceptual framework.

Results: The conceptual framework combines the functions of primary care with the dimensions of integrated care. Person-focused and population-based care serve as guiding principles for achieving integration across the care continuum. Integration plays complementary roles on the micro (clinical integration), meso (professional and organisational integration) and macro (system integration) level. Functional and normative integration ensure connectivity between the levels.

Discussion:  The presented conceptual framework is a first step to achieve a better understanding of the inter-relationships among the dimensions of integrated care from a primary care perspective.

How to Cite: Valentijn PP, Schepman SM, Opheij W, Bruijnzeels MA. Understanding integrated care: a comprehensive conceptual framework based on the integrative functions of primary care. International Journal of Integrated Care. 2013;13(1):None. DOI: http://doi.org/10.5334/ijic.886
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Published on 22 Mar 2013.
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