Approaches that integrate care across sectors and disciplines have been increasingly developed and implemented in European countries in Prostatitis Lomit Susta to tackle this challenge. The aim of the article is to identify success factors and crucial elements in the process of integrated care delivery for persons with complex needs as seen from the practical perspective of the involved stakeholders patients, professionals, informal caregivers, managers, initiators, payers.
METHODS: Seventeen integrated care programmes for persons with complex needs in 8 European countries were investigated using a qualitative approach, namely thick description, based on semi-structured interviews and document analysis. In total, face-to-face interviews were conducted with stakeholders of the programmes between March and September Meta-analysis of the individual thick description reports was performed with a focus on the process of care delivery.
RESULTS: Four categories that emerged from the overarching analysis are discussed in the article: 1 a holistic view of the patient, considering both mental health and the social situation in addition to physical health, 2 continuity of care in the form of single contact points, alignment of services and good relationships between patients and professionals, 3 relationships between professionals built on trust and facilitated by continuous communication, and 4 patient involvement in goal-setting and decision-making, allowing patients to adapt to reorganised service delivery.
The article sets itself apart from the existing literature by specifically focussing on the growing share of the population with complex care needs and by providing an analysis of actual processes and interpersonal relationships that shape integrated care in practice, incorporating evidence from a variety of programmes in several countries.