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Henrard JC, Ankri J, Frijters D, et al. Proposal of a service delivery integration index of home care for older persons: application in several European cities. Int J Integr Care. 2006;6:e11doi: 10.5334/ijic.159.
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., Schroll, M., Wagner, C., & Bernabei, R. (2006). Proposal of a service delivery integration index of home care for older persons: application in several European cities. International journal of integrated care, 6e11. https://doi.org/10.5334/ijic.159
Henrard, Jean-Claude, et al. "Proposal of a service delivery integration index of home care for older persons: application in several European cities." International journal of integrated care vol. 6 (2006): e11. doi: https://doi.org/10.5334/ijic.159
Henrard JC, Ankri J, Frijters D, Carpenter I, Topinkova E, Garms-Homolova V, Finne-Soveri H, Sørbye LW, Jónsson PV, Ljunggren G, Schroll M, Wagner C, Bernabei R. Proposal of a service delivery integration index of home care for older persons: application in several European cities. Int J Integr Care. 2006 Jul 06;6:e11. doi: 10.5334/ijic.159. PMID: 17006549; PMCID: PMC1570876.
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Int J Integr Care. 2006 Jul 06;6:e11. doi: 10.5334/ijic.159.

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

International journal of integrated care

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

Affiliations

  1. Versailles-Saint-Quentin-en-Yvelines University, Centre of Gerontology, Sainte Périne Hospital, Paris, France. [email protected]

PMID: 17006549 PMCID: PMC1570876 DOI: 10.5334/ijic.159

Abstract

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.

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