Author:

Keywords:

Science & Technology, Life Sciences & Biomedicine, Health Care Sciences & Services, Health Policy & Services, Integrated care, Implementation science, Frail elderly, Logic model, Program development, Program theory, JOINT ACTION, PEOPLE, PROGRAM, IMPLEMENTATION, HEALTH, DISABILITY, CONSENSUS, FIDELITY, SERVICES, INSPIRE consortium, 1110 Nursing, 1117 Public Health and Health Services, 4203 Health services and systems, 4206 Public health

Abstract:

INTRODUCTION: Implementation science methods and a theory-driven approach can enhance the understanding of whether, how, and why integrated care for frail older adults is successful in practice. In this study, we aimed to perform a contextual analysis, develop a logic model, and select preliminary implementation strategies for an integrated care model in newly created information and advice centers for older adults in Canton Basel-Landschaft, Switzerland. METHODS: We conducted a contextual analysis to determine factors which may influence the integrated care model and implementation strategies needed. A logic model depicting the overall program theory, including inputs, core components, outputs and outcomes, was designed using a deductive approach, and included stakeholders' feedback and preliminary implementation strategies. RESULTS: Contextual factors were identified (e.g., lack of integrated care regulations, existing community services, and a care pathway needed). Core components of the care model include screening, referral, assessment, care plan creation and coordination, and follow-up. Outcomes included person-centred coordinated care experiences, hospitalization rate and symptom burden, among others. Implementation strategies (e.g., nurse training and co-developing educational materials) were proposed to facilitate care model adoption. CONCLUSION: Contextual understanding and a clear logic model should enhance the potential for successful implementation of the integrated care model.