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Title: Towards an international taxonomy of integrated primary care: A Delphi consensus approach Service organization, utilization, and delivery of care
Authors: Valentijn P.P.
Vrijhoef H.J.M. 
Ruwaard D.
Boesveld I.
Arends R.Y.
Bruijnzeels M.A.
Keywords: classification
Delphi study
integrated health care system
international cooperation
nonbiological model
organization and management
primary health care
Delivery of Health Care, Integrated
Delphi Technique
International Cooperation
Models, Organizational
Primary Health Care
Issue Date: 2015
Publisher: BioMed Central Ltd.
Citation: Valentijn P.P., Vrijhoef H.J.M., Ruwaard D., Boesveld I., Arends R.Y., Bruijnzeels M.A. (2015). Towards an international taxonomy of integrated primary care: A Delphi consensus approach Service organization, utilization, and delivery of care. BMC Family Practice 16 (1) : 64. ScholarBank@NUS Repository.
Abstract: Background: Developing integrated service models in a primary care setting is considered an essential strategy for establishing a sustainable and affordable health care system. The Rainbow Model of Integrated Care (RMIC) describes the theoretical foundations of integrated primary care. The aim of this study is to refine the RMIC by developing a consensus-based taxonomy of key features. Methods: First, the appropriateness of previously identified key features was retested by conducting an international Delphi study that was built on the results of a previous national Delphi study. Second, categorisation of the features among the RMIC integrated care domains was assessed in a second international Delphi study. Finally, a taxonomy was constructed by the researchers based on the results of the three Delphi studies. Results: The final taxonomy consists of 21 key features distributed over eight integration domains which are organised into three main categories: scope (person-focused vs. population-based), type (clinical, professional, organisational and system) and enablers (functional vs. normative) of an integrated primary care service model. Conclusions: The taxonomy provides a crucial differentiation that clarifies and supports implementation, policy formulation and research regarding the organisation of integrated primary care. Further research is needed to develop instruments based on the taxonomy that can reveal the realm of integrated primary care in practice. © 2015 Valentijn et al.; licensee BioMed Central.
Source Title: BMC Family Practice
ISSN: 14712296
DOI: 10.1186/s12875-015-0278-x
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