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BMC Health Services Research
Published in: BMC Health Services Research 1/2018

Open Access 01-12-2018 | Research article

What are the perceived added values and barriers of regulating long-term care in the home environment using a care network perspective: a qualitative study

Authors: Didi Verver, Annemiek Stoopendaal, Hanneke Merten, Paul Robben, Cordula Wagner

Published in: BMC Health Services Research | Issue 1/2018

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Abstract

Background

Changes in Dutch policy towards long-term care led to the Dutch Health and Youth Care Inspectorate testing a regulatory framework focusing on care networks around older adults living independently. This regulatory activity involved all care providers and the older adults themselves.

Methods

Semi-structured interviews with the older adults, and focus groups with care providers and inspectors were used to assess the perceived added value of, and barriers to the framework.

Results

The positive elements of this framework were the involvement of the older adults in the regulatory activity, the focus of the framework on care networks and the open character of the conversations with the inspectors. However, applying the framework requires a substantial investment of time. Care providers often did not perceive themselves as being part of a care network around one person and they expressed concerns about financial and privacy issues when thinking in terms of care networks.

Conclusions

The experiences of the client were seen as important in regulating long-term care. Regulating care networks as a whole puts cooperation between care providers involved around one person on the agenda. However, barriers for this form of regulation were also perceived and, therefore, careful consideration when and how to regulate care networks is recommended.
Literature
1.
2.
3.
Young HM. Challenges and solutions for care of frail older adults. Online J Issues Nurs. 2003;8(2):5.PubMed
4.
European Commission and Social Protection Committee. Adequate social protection for long-term care needs in an ageing society. European Union 2014. ISBN 978-92-79-39282-5 - doi:10.2767/32147
5.
6.
7.
Cohen-Mansfield J. Turnover among nursing home staff: a review. Nurs Manag. 1997;28(5):59–64.CrossRef
8.
Dellefield ME. The relationship between nurse staffing in nursing homes and quality indicators. J Gerontol Nurs. 2000;26(6):14–28.CrossRefPubMed
9.
Van den Brink-Muinen A, Wagner C. Risk indicators for long-term care [original title in Dutch: Risico-indicatoren voor de langdurige zorgverlening]. Utrecht: Nivel; 2004.
10.
van Campen C. Frail older adults [original title in Dutch: Kwetsbare Ouderen]. Dutch Institute for Social Research (SCP). The Hague: SCP; 2011.
11.
Kroneman M, Boerma W, Berg M, van den Groenewegen P, Jong J, de Ginneken E. The Netherlands: health system review. Health system in transition. Kopenhagen: WHO regional office for Europe; 2016. p. 240.
12.
Dutch House of Parliament. Parliamentary papers II 2012–2013,. 30597, no 296. Dutch House of Parliament: The Hague; 2013. p. 2.
13.
Dutch House of Parliament. Parliamentary papers II 2013–2014. 30597, no 280. Dutch House of Parliament: The Hague; 2014. p. 1.
14.
Garssen J. Demographics of the graying of the population [original title in Dutch: Demografie van de vergrijzing]; 2011.
15.
Miele F, Coletta C, Piras EM, Bruni A, Zanutto A. GPs and elderly patients: organizing a care network. Mikucka, M, Sarracino, F (a cura di). Beyond money: the social roots of life satisfaction and health. Hauppauge: Nova Publisher;2014:151–64.
16.
May C. The Clinical Encounter and the Problem of Context. Sociology. 2007;41(1):29–45.
17.
Raak Av, Mur-Veeman I, Hardy B, Steenbergen M, Paulus A. Integrated care in Europe. Description and comparison of integrated care in six EU countries Maarssen: Elsevier Gezondheidszorg 2003.
18.
Dutch Ministry of Health, Welfare and Sports (2001) ‘care nearby’. Memorandum about the informal care provider. The Hague, Minesty of VWS [original title in Dutch: Zorg nabij, notitie over mantelzorg ondersteuning].
19.
Kodner DL, Spreeuwenberg C. Integrated care: meaning, logic, applications, and implications–a discussion paper. Int J Integr Care. 2002;2(4):e12.CrossRefPubMed
20.
Dutch Health and Youth care Inspectorate.Plan of action 2018. [original title in Dutch: Werkplan 2018] Utrecht. Accessed via: file:///M:/projecten/2012/PV-AWT/Kwetsbare%20ouderen/E%20Rapportage/Fase%204,%20artikel%206/Literatuur/2017-12-18+IGZ+Werkplan+2018-ia_DEF.pdf.
21.
Broese van Groenou M, Jacobs M, Zwart-Olde I, Deeg DJ. Mixed care networks of community-dwelling older adults with physical health impairments in the Netherlands. Health Soc Care Community. 2016;24(1):95–104.CrossRefPubMed
22.
Verver D, Merten H, Robben P, Wagner C. Care and support for older adults in the Netherlands living independently. Health Soc Care Community. 2018;26:e404–14 https://​doi.​org/​10.​1111/​hsc.​12539.​CrossRefPubMed
23.
24.
Cohen D. Dementia, depression, and nutritional status. Primary care. 1994;21(1):107–19.PubMed
25.
Bouwman R, Bomhoff M, Robben P, Friele R. Patients’ perspectives on the role of their complaints in the regulatory process. Health Expect. 2015;19(2):483–96.
26.
Rockwood K, Mitnitski A, Song X, Steen B, Skoog I. Long-term risks of death and institutionalization of elderly people in relation to deficit accumulation at age 70. J Am Geriatr Soc. 2006;54(6):975–9.CrossRefPubMed
27.
Cabinet office (UK), Power in Peoples’ Hands. Learning from the Wolrds best public services. London: Cabinet office; 2009.
28.
Health and Social Care Regulatory Forum, Framework for public & Service user Involvement in Health and Social Care Regulation in Ireland. 2009.
29.
Adams S, van de Bovenkamp H, Robben P. Including citizens in institutional reviews: expectations and experiences from the Dutch healthcare inspectorate. Health Expect: an international journal of public participation in health care and health policy. 2013;2013(epub ahead of print):1–11.
30.
Verver D, Merten H, Robben P, Wagner C. Supervision of care networks for frail community dwelling adults aged 75 years and older: protocol of a mixed methods study. BMJ Open. 2015;5(8):e008632.CrossRefPubMedPubMedCentral
31.
Carpentier N, Ducharme F. Care-giver network transformations: the need for an integrated perspective. Ageing Soc. 2003;23(04):507–25.CrossRef
32.
Bomhoff M, de Boer D, Friele R. Conceptueel kader voor de ontwikkeling van toezicht op samenwerking in de zorg en ondersteuning van kwetsbare cliënten thuis. 2016.
33.
ATLAS.ti Scientific Software Development GmbH, Berlin.
34.
35.
Sturges JE, Hanrahan KJ. Comparing telephone and face-to-face qualitative interviewing: a research note. Qual Res. 2004;4(1):107–18.CrossRef
36.
Gobbens RJ, van Assen MA, Luijkx KG, Wijnen-Sponselee MT, Schols JM. The Tilburg frailty indicator: psychometric properties. J Am Med Dir Assoc. 2010;11(5):344–55.CrossRefPubMed
37.
Gobbens R, van Assen M. The Tilburg frailty Indicator: validity and reliability [original title in Dutch: De Tilburg frailty Indicator: Validiteit en betrouwbaarheid]. Tijdschrift voor Ouderengeneeskunde. 2012;37(2):75–9.
38.
Sutton JL, Gould RL, Daley S, Coulson MC, Ward EV, Butler AM, Nunn SP, Howard RJ RJ. Psychometric properties of multicomponent tools designed to assess frailty in older adults: A systematic review. BMC Geriatr. 2016;16:55.CrossRefPubMedPubMedCentral
39.
40.
Baart A. About the new rules, obedience and sanity. Reflections on the developing quality framework elderly care [original title in Dutch: Over de nieuwe regels, gehoorzaamheid en verstandigheid. Reflecties bij het kwaliteitskader ouderenzorg in ontwikkeling]. Utrecht: Stichting Presentie; 2016.
41.
Callister RR, Wall JA Jr. Conflict across organizational boundaries: managed care organizations versus health care providers. J Appl Psychol. 2001;86(4):754.CrossRefPubMed
42.
Hall P. Interprofessional teamwork: professional cultures as barriers. J Interprof Care. 2005;19(sup1):188–96.CrossRefPubMed
43.
Van De Bovenkamp HM, De Mul M, Quartz JG, Weggelaar-Jansen J, Marie A, Bal R. Institutional layering in governing healthcare quality. Public Adm. 2014;92(1):208–23.CrossRef
44.
Schakel L, Stoopendaal A, Bal R. Public interst in care [original title in Dutch: Publieke belangen in de zorg]. Tijdschrift voor Toezicht. 2016;2:10–28.CrossRef
45.
Grit K, Bomhoff M, Friele R, Bal R. Regulation in unstable situations [original title in Dutch: Toezicht in onzekere situaties]; 2016.
46.
Minkman M. The development model for integrated care: a validated tool for evaluation and development. J Integr Care. 2016;24(1):38–52 https://​doi.​org/​10.​1108/​JICA-01-2016-0005.​CrossRef
47.
Proot IM, Ter Meulen RH, Abu-Saad HH, Crebolder HF. Supporting stroke patients’ autonomy during rehabilitation. Nurs Ethics. 2007;14(2):229–41.CrossRefPubMed
48.
Dahler-Larsen P. The evaluation society. Redwood City: Stanford University Press; 2011.
49.
Oldenhof L, Stoopendaal A, Putters K. From boundaries to boundary work: middle managers creating inter-organizational change. J Health Organ Manag. 2016;30(8):1204–20 https://​doi.​org/​10.​1108/​JHOM-03-2016-0041.​CrossRefPubMed
Metadata
Title
What are the perceived added values and barriers of regulating long-term care in the home environment using a care network perspective: a qualitative study
Authors
Didi Verver
Annemiek Stoopendaal
Hanneke Merten
Paul Robben
Cordula Wagner
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2018
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-018-3770-x

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