Table 5 Final taxonomy of key features
From: Towards an international taxonomy of integrated primary care: a Delphi consensus approach
Main categories and domains | Description |
|---|---|
Scope of integrated care | Â |
Person-focused care | Â |
 Centrality of client needs | The principle of integrated service delivery is to address the needs of individual clients in terms of medical, psychological and social aspects of health |
Population based care | Â |
 Centrality of population needs b | The principle of integrated service delivery is to address the dominant needs of well-defined populations |
Type of integration processes | Â |
Clinical integration | Â |
 Case management | Coordination of care for clients with a high risk profile (e.g. identifying risks, developing policies and guidance) |
 Continuity | Integrated service delivery aims to provide fluid the processes of care delivery for an individual client |
 Interaction between professional and client | Attitude and behavioural characteristics between professional and client regarding all health needs of the client |
 Individual multidisciplinary care plan | Implementation and application of a multidisciplinary care plan at the individual client level |
Professional integration | Â |
 Inter-professional education | Inter-professional education for professionals focused on interdisciplinary service delivery and collaboration |
 Agreements on interdisciplinary collaboration | Agreements on the establishment of interdisciplinary service delivery and collaboration between the professionals |
 Value creation for the professional | The value added by the integrated service delivery approach for the individual professional |
Organisational integration | Â |
 Inter-organisational governance b | The governance of the integrated service model is focused on openness, integrity and accountability between the involved organisations and professionals (e.g. joint accountability, appeal on pursued policies and responsibilities) |
 Inter-organisational strategy | Collective elaborated strategy between the organisations involved in the integrated service model |
 Trust | The extent to which those involved in the integrated service model trust each other |
System integration | Â |
 Alignment of regulatory frameworks a | Alignment of regulatory frameworks for teamwork, coordination and continuity of care |
 Environmental climate a | Political, economic and social climate in the environment of the integrated service model (e.g. market characteristics, regulatory framework, and competition) |
Enablers for integration | Â |
Functional integration | Â |
 Learning organisations | Collective learning power between the organisations involved in the integrated service model (e.g. joint research and development programs) |
 Information management | Aligned information management systems within the integrated service model (e.g. monitoring and benchmarking systems) |
 Regular feedback of performance indicators | Regular feedback of performance indicators for quality improvement and self-reflection |
Normative integration | Â |
 Shared vision b | Collectively shared long-term vision among the people who are involved in the integrated service model |
 Reliable behaviour | The extent to which the agreements and promises within the integrated service model are fulfilled |
 Visionary leadership | Leadership based on a vision that inspires and mobilizes people within the integrated service model |
 Linking cultures | Linking cultures (e.g. values and norms) with different ideological values within the integrated service model |