Proposal of a service delivery integration index of home care for older persons: application in several European cities.

Jean-Claude Henrard; Joël Ankri; Dinnus Frijters; Iain Carpenter; Eva Topinkova; Vjenka Garms-Homolova; Harriett Finne-Soveri; Liv Wergeland Sørbye; Palmi V. Jónsson; Gunnar Ljunggren; Marianne Schroll; Cordula Wagner; Roberto Bernabei

inserm-00108381, version 1

Proposal of a service delivery integration index of home care for older persons: application in several European cities.
Henrard J.-C., Ankri J., Frijters D., Carpenter I., Topinkova E., Garms-Homolova V., Finne-Soveri H., Sørbye L. W., Jónsson P. V., Ljunggren G. et al
Int J Integr Care 6 (2006) e11 - http://www.hal.inserm.fr/inserm-00108381

PMID: identifiant
de la référence Pubmed :

(17006549)

titre :

Proposal of a service delivery integration index of home care for older persons: application in several European cities.

auteur(s) :

Jean-Claude Henrard¹, Joël Ankri^{1, 2}, Dinnus Frijters³, Iain Carpenter⁴, Eva Topinkova⁵, Vjenka Garms-Homolova⁶, Harriett Finne-Soveri⁷, Liv Wergeland Sørbye⁸, Palmi Jónsson⁹, Gunnar Ljunggren¹⁰, Marianne Schroll¹¹, Cordula Wagner¹², Roberto Bernabei¹³

laboratoire :

1 :	Santé-Vieillissement-Société

Université de Versailles Saint-Quentin-en-Yvelines

Centre de gerontologie Hôpital Sainte Périne Paris

France

2 :	Santé publique et épidémiologie des déterminants professionnels et sociaux de la santé

http://www.u687.idf.inserm.fr/

INSERM : U687 – IFR69 – Université Paris XI - Paris Sud – Université de Versailles Saint-Quentin-en-Yvelines

Hôpital Paul Brousse 16, av Paul Vaillant Couturier 94807 VILLEJUIF

France

3 :	Utrecht, the Netherlands and EMGO

Free University Medical Centre

Amsterdam

Pays-Bas

4 :	Centre for Health Services Studies

University of Kent

Canterbury

Royaume-Uni

5 :	Department Geriatrics

Institute of Postgraduate Medical Education – Charles University

Prague

Tchèque, République

6 :	Alice Salomon University of Applied Sciences

Institute for Health Analysis and Social Concepts

Berlin

Allemagne

7 :	National Research and Development Centre for Welfare and Health (Stakes)/CHESS

National Research and Development Centre for Welfare and Health (Stakes)/CHESS

Helsinki

Finlande

8 :	The Diakonhjemmet University College

The Diakonhjemmet University College

Oslo

Norvège

9 :	Department of Geriatrics

Landspitali University Hospital

Reykjavik

Islande

10 :	Centre for Gerontology and Health Economics

Karolinska Institute and Stockholm County Council

Stockholm

Suède

11 :	Bispebjerg Hospital

Copenhagen University

Danemark

12 :	Dutch Institute for Primary Care Research

Dutch Institute for Primary Care Research

Utrecht

Pays-Bas

13 :	Department of Geriatrics

Catholic University

Rome

Italie

résumé :

PURPOSE: To propose an integration index of home care delivery to older persons, to study its validity and to apply it to home care services of European cities. THEORY: Home care delivery integration was based on two dimensions referring to process-centred integration and organisational structure approach. METHOD: Items considered as part of both dimensions according to an expert consensus (face validity) were extracted from a standardised questionnaire used in "Aged in Home care" (AdHoc) study to capture basic characteristics of home care services. Their summation leads to a services' delivery integration index. This index was applied to AdHoc services. A factor analysis was computed in order to empirically test the validity of the theoretical constructs. The plot of the settings was performed. RESULTS: Application of the index ranks home care services in four groups according to their score. Factor analysis identifies a first factor which opposes working arrangement within service to organisational structure bringing together provisions for social care. A second factor corresponds to basic nursing care and therapies. Internal consistency for those three domains ranges from 0.78 to 0.93. When plotting the different settings different models of service delivery appear. CONCLUSION: The proposed index shows that behind a total score several models of care delivery are hidden. Comparison of service delivery integration should take into account this heterogeneity.

domaine :

Sciences du Vivant/Santé publique et épidémiologie

langue du texte
intégral :

Anglais

ISSN :

1568-4156

type de publication :

Articles dans des revues avec comité de lecture

journal :

Int J Integr Care

date de publication :

2006

date de publication
électronique :

06/07/2006

volume :

page, identifiant, ... :

e11


inserm-00108381, version 1
http://www.hal.inserm.fr/inserm-00108381
oai:www.hal.inserm.fr:inserm-00108381
Contributeur : Nadine Kaniewski <>
Soumis le : Vendredi 20 Octobre 2006, 15:59:07
Dernière modification le : Lundi 23 Octobre 2006, 10:03:53