Start Submission Become a Reviewer

Reading: How to evaluate a Nationwide Whole System Change in Health Care towards Integrated Care for ...

Download

A- A+
Alt. Display

Poster Abstracts

How to evaluate a Nationwide Whole System Change in Health Care towards Integrated Care for people with Chronic Conditions? Part I: the co-construction of an evaluation framework

Authors:

Jean Macq ,

Universite Catholique de Louvain, BE
X close

Geert Goderis,

K U Leuven, BE
X close

Elien Colman,

Ghent University; University of Antwerpen, BE
X close

Nathan Charlier,

Universite de Liege, BE
X close

Sibyl Anthierens,

University of Antwerpen, BE
X close

Nick Verhaege,

Free University of Brussels, BE
X close

Elias Van Deun,

K U Leuven, BE
X close

Ann Vanhecke,

Ghent University, BE
X close

Benoit Petre,

Universite de Liege, BE
X close

Dirk Devroey,

Free University of Brussels, BE
X close

Isabelle Bragard,

Universite de Liege, BE
X close

Lucia Alvarez Irusta,

Universite Catholique de Louvain, BE
X close

Michele Guillaume,

Universite de Liege, BE
X close

Roy Remmen,

University of Antwerpen, BE
X close

Walter Sermeus,

K U Leuven, BE
X close

Therese Van Durme

Universite Catholique de Louvain, BE
X close

Abstract

Background: The Belgian government program “Integrated Care for better health” www.integreo.be aims at a Nationwide Whole System Change in health and social care. This implies change in its structures, finances, processes and paradigms towards more Integrated Care IC. It concerns geographically defined pilot projects that should cover in ‘full implementation” more than 3.670.000 people, about one third of the total Belgian Population. Pilot projects are both large-scale implementation projects and test cases.

Each pilot aims at changing the organization of their loco-regional area network covering up to 150.000 inhabitants towards more IC. Changes are directed at 14 components, structured at three levels: 1 the patient level e.g. case management; 2 the inter-professional collaboration level e.g. shared medical file; and 3 the inter-organizational collaboration at loco-regional level e.g. quality culture  The ultimate goal is to improve the ‘Triple Aim’ quality of care, equity and the work life of healthcare providers ‘TA2+’.

A scientific team was appointed to:

design and implement an evaluation framework alongside the pilot-projects-in-development.

function as a support mechanism to the pilot projects in assisting and accompanying them with their self-evaluation process.

function as a support mechanism for the government agencies who induced and guide the change management program.

Existing research on achieving sustainable change of loco-regional networks towards more IC and Triple Aim within a nation-wide program is scarce. Moreover, existing research is highly context specific. This need to be taken into account in the generalization process.

Aim: To reflect with the target audience on the necessity of changing research paradigms towards theory driven appraisals when engaging into Whole System Change evaluation in healthcare.

Format: Interactive workshop with both ‘teasing’ questions to the target audience and presentation of our lessons learned

Speakers: Geert Goderis, Jean Macq, Nathan Charlier, Elien Colman.

Target Audience: Researchers and professionals active in the field of IC and system change.

Learnings:

-   System change towards IC cannot be conceived as a delineated intervention, but as a complex strategy or even a policy to innovate and implement long-lasting change. This complexity often manifests as shifting and unpredictable contexts, deep differences among perspectives, and even conflict among stakeholders.

-   Scientific evaluation is necessary and imposes a paradigm change for the involved scientists. ‘Laboratory like’ methodologies type ‘Randomized Controlled Trials’ are unfit and must be replaced by theory driven approaches, describing the processes and contextual factors leading to desired outcomes.

-   The evaluation should transcend the question ‘what works?’ towards questions on how, why, for whom and in what circumstances the program brings the desired outcomes, in order to allow upscaling of the program to a system change covering entire Belgian territory.

-   Scientists engage in a co-creative process producing new knowledge, in partnership with all other involved stakeholders like e.g. health professionals and government agents. This co-creation process disables the possibility to plan a fixed endpoint: the design is tribute to multiple issues that evolve over time. Meanwhile, the whole program serves as a leverage to create breakthroughs in these issues.

How to Cite: Macq J, Goderis G, Colman E, Charlier N, Anthierens S, Verhaege N, et al.. How to evaluate a Nationwide Whole System Change in Health Care towards Integrated Care for people with Chronic Conditions? Part I: the co-construction of an evaluation framework. International Journal of Integrated Care. 2018;18(s2):279. DOI: http://doi.org/10.5334/ijic.s2279
19
Views
4
Downloads
Published on 23 Oct 2018.

Downloads

  • PDF (EN)

    comments powered by Disqus