Implementing Integrated Care in Practice – Learning from MDTs Driving the Integrated Care Programme for Older Persons in Ireland
Bibliographic Data
| ID | 12828471 |
|---|---|
| Authors | Sarah Barry (0000-0001-9024-6212, Trinity College Dublin, corresponding author), Maebh Ní Fhallúin (Trinity College Dublin), Stephen Thomas (0000-0001-9306-0114, Trinity College Dublin), PJ Harnett (University Hospital Kerry), Sara Burke (0000-0001-9419-1642, Trinity College Dublin) |
| Year | 2021 |
| Volume | 21 |
| Issue | 1 |
| Pages | 15-15 |
| Publication date | 2021-01-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Integrated Care (JOURNAL) |
| Journal identifiers | ISSN: 1568-4156 • E-ISSN: 1568-4156 |
| Publisher | Ubiquity Press (PUBLISHER • GB) |
| DOI | 10.5334/ijic.4682 |
| PMID | 33776604 |
| OpenAlex | W3137484355 |
| Language | EN |
| Citations received | 2 |
| References cited | 9 |
The importance of multidisciplinary teams (MDTs) as critical implementation drivers emerged from this case study conducted with three pioneer sites implementing integrated care for older persons in Ireland as part of the Integrated Care Programme for Older Persons (ICPOP). We describe the practices of MDTs learning to deliver integrated care in service delivery settings, including the framework, resourcing, strategies, challenges and barriers they encounter. The study was conducted by a team of researchers in collaboration with ICPOP at both national programme and pioneer site levels. Qualitative methods of participant observation, workshopping, and documentary analysis were used to build a rich description, and using organisational and systems lenses identification of critical factors as both themes and resources for learning. The case study suggests the MDT is an essential driver of integrated care delivery. For example, ICPOP MDTs working across pioneer sites develop new service models and care opportunities, troubleshoot and challenge the systemic status quo, and disrupt professional silos. However, they also deliver on programme goals. Nonetheless, progress is constrained by organisational factors including fragmented funding structures, high turnover of senior level decision-makers, a lack of multiannual funding and complex professional arrangements. This study finds ICPOP offers practical and timely insight to inform health system reform. It embraces the complexity of delivery at national, local and community levels. The MDT emerges as an essential mechanism to manage such complexity and deliver on wider reform goals such as patient-centredness and timely access
Business · Health care · Integrated care · Knowledge management · Medical education · Multidisciplinary approach · Political science · Process management · Public relations · Service (business · Service delivery framework · Sociology · Status quo · Clinical practice guidelines implementation · Computer Science · Health Policy Implementation Science · Interprofessional Education and Collaboration · Medicine · Nursing · Marketing
| Unique citing works | 2 |
|---|---|
| Citations per year | 0,67 |
| Citation span | 2023 - 2024 (2) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 2 |