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<p>Although many integrated community care (ICC) pilots and initiatives have been undertaken in the Netherlands, there is still a&#xa0;lack of an overview of how they are implemented in practice. In this study, a&#xa0;multiple case study was conducted on how initiatives for ICC implement the five strategies of the WHO Integrated People-Centred Health Services (IPCHS) framework, what similarities and differences there are in the implementation of each strategy, and what lessons can be learned from this for the further development of ICC in the Netherlands. Six ICC initiatives for which scientific publications were available were selected for inclusion. The data collection was based on documents and semi-structured interviews with experts. Both data collection and extraction of the documents and interviews were conducted using the WHO IPCHS framework. All qualitative data were thematically analyzed using the five strategies of the WHO IPCHS framework. The initiatives implement these strategies in various ways. Despite this variation, several lessons emerged that are applicable to different contexts. Boundary spanners are crucial for fostering a&#xa0;sense of ownership among citizens and strengthening the connection between citizens and other stakeholders in the neighborhood—their structural embedding in ICC appears to be essential for the sustainability of the initiatives. In addition, combining a&#xa0;top-down and bottom-up approach, tailored to the local context, appears to contribute to the successful scaling up of initiatives. New evaluation methods, such as realist evaluation and mixed methods designs, with outcome measures such as the Quintuple Aim model, are needed to measure the impact of ICC.</p>

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Een meervoudig caseonderzoek naar integrale wijkzorg in Nederland en Vlaanderen

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年6月23日

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  • Joana Schraft,
  • Anne O. E. van den Bulck,
  • Sarah C. M. Willard,
  • Erik van Rossum,
  • Arianne M. J. Elissen

摘要

Although many integrated community care (ICC) pilots and initiatives have been undertaken in the Netherlands, there is still a lack of an overview of how they are implemented in practice. In this study, a multiple case study was conducted on how initiatives for ICC implement the five strategies of the WHO Integrated People-Centred Health Services (IPCHS) framework, what similarities and differences there are in the implementation of each strategy, and what lessons can be learned from this for the further development of ICC in the Netherlands. Six ICC initiatives for which scientific publications were available were selected for inclusion. The data collection was based on documents and semi-structured interviews with experts. Both data collection and extraction of the documents and interviews were conducted using the WHO IPCHS framework. All qualitative data were thematically analyzed using the five strategies of the WHO IPCHS framework. The initiatives implement these strategies in various ways. Despite this variation, several lessons emerged that are applicable to different contexts. Boundary spanners are crucial for fostering a sense of ownership among citizens and strengthening the connection between citizens and other stakeholders in the neighborhood—their structural embedding in ICC appears to be essential for the sustainability of the initiatives. In addition, combining a top-down and bottom-up approach, tailored to the local context, appears to contribute to the successful scaling up of initiatives. New evaluation methods, such as realist evaluation and mixed methods designs, with outcome measures such as the Quintuple Aim model, are needed to measure the impact of ICC.