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P-447 - Uncovering Facilitators and Barriers for the Integration of Community Dementia Care

Published online by Cambridge University Press:  15 April 2020

I. Draskovic
Affiliation:
Primary & Community Care, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
M.E. Otero
Affiliation:
IQ Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
M. Olde Rikkert
Affiliation:
Geriatrics, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
M. Vernooij-Dassen
Affiliation:
IQ Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands

Abstract

Objective:

To gain insight into facilitators and barriers for the integration of community dementia care.

Design:

Qualitative focus group discussions and semistructured interviews.

Setting:

Community care in a period in which the National Dementia Program stimulated integration of dementia care; at the same time, a new law stimulated market mechanism in care.

Participants:

Professionals involved in the development of five dementia networks.

Measurement:

We conducted three focus group interviews and three face-to-face interviews with 17 professionals from various disciplines involved in the National Dementia Program. the data were analyzed using the grounded theory approach.

Results:

Analysis revealed facilitators and barriers affecting integration of dementia care. the facilitators were the intrinsic motivation to collaborate on improving dementia care, client-centeredness of the improvement projects, positive team climate, sufficient financial support and embedding of the improvement projects, and the well-structured, uniform format of the National Dementia Programme. At the individual level, the main barriers were demotivation, sub-optimal professional participation, insufficient funding of improvement projects, and market mechanisms and competition.

Conclusions:

We hypothesize that societal trends strongly influence the level of inter-organisational collaboration and individual commitment, thereby modulating the effectiveness of integrative efforts in dementia care.

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Copyright
Copyright © European Psychiatric Association 2012
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