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


Monique Spierenburg

Vilans, NL
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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 new insights in what is really important to change.

Limitations: A multiple approach needs a multi stakeholder commitment. The research done is just made by one partner in this complex field. The next step has to be made in a multiple stakeholder approach. The new steps in prevention are not tested yet.

Suggestions for future  research: New research has to be done in action-research to follow the new implementation in the chain of elderly care and support.

How to Cite: Spierenburg M. Urgency in emergency cases in elderly care, applying the Kings Fund model in the Netherlands. International Journal of Integrated Care. 2019;19(4):431. DOI:
Published on 08 Aug 2019.


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