Poster (Scientific congresses and symposiums)
Would you care for some integrated care in your fragmented health system? A participatory action research to improve integration between levels of care in a Belgian urban setting.
Belche, Jean Luc; Duchesnes, Christiane; Darras, Christian et al.
201616th International Conference for Integrated Care
 

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Keywords :
integrated care; local health system; primary/secondary care interface; participatory action research
Abstract :
[en] Integration between levels of care is not facilitated by the Belgian health system. Indeed, patients have uninhibited access to every level of care, there is no gatekeeping system, and no structural coordination between levels of care. Meanwhile, on one hand, the occurrence of more complex care situations in the ambulatory setting is enhancing the need for coordination while on the other hand, hospitals face financial constraints to provide care in the community. The aim of the research was to organize coordination between levels of care at the local level, in an urban setting. We used the “Local Health System” model (LHS) that aims at integrating hospital and primary care activities for a defined population at the local level. We chose the participatory action research (PAR) methodology and its spiral plan-do-study-act cycles, to ensure the participation and implementation of results by the targeted actors (hospital and local general practitioners (GP) organizations).
Disciplines :
Public health, health care sciences & services
Author, co-author :
Belche, Jean Luc  ;  Université de Liège > Département des sciences cliniques > Médecine générale
Duchesnes, Christiane ;  Université de Liège > Département des sciences cliniques > Médecine générale
Darras, Christian
van der Vennet, Jean
Monet, Francis
Unger, Jean-Pierre
Giet, Didier ;  Université de Liège > IFRES
Language :
English
Title :
Would you care for some integrated care in your fragmented health system? A participatory action research to improve integration between levels of care in a Belgian urban setting.
Publication date :
24 May 2016
Number of pages :
A5
Event name :
16th International Conference for Integrated Care
Event organizer :
International Foundation for Integrated Care
Event place :
Barcelona, Spain
Event date :
Monday, 23 May 2016 at 13:00 - Wednesday, 25 May 2016 at 17:00
Audience :
International
Funders :
GLS - Groupement Pluraliste Liégeois des Soins à Domicile [BE]
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