Mapping for Conceptual Clarity: Exploring Implementation of Integrated Community-Based Primary Health Care from a Whole Systems Perspective

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dc.citation.issue1
dc.citation.volume18
dc.contributor.authorSteele Gray C
dc.contributor.authorWodchis WP
dc.contributor.authorBaker GR
dc.contributor.authorCarswell P
dc.contributor.authorKenealy T
dc.contributor.authorMcKillop A
dc.contributor.authorBreton M
dc.contributor.authorParsons J
dc.contributor.authorSheridan N
dc.coverage.spatialEngland
dc.date.available2018-03-21
dc.date.issued2018-03-21
dc.descriptionPublished source must be acknowledged with citation
dc.description.abstractIntroduction: Studying implementation of integrated models of community-based primary health care requires a "whole systems" multidisciplinary approach to capture micro, meso and macro factors. However, there is, as yet, no clear operationalization of a "whole systems" approach to guide multidisciplinary research programs. Theoretical frameworks and approaches from diverse academic traditions specify different aspects of the health system in more depth. Enabling analysis across the system, when data and ideas are captured using different taxonomies, requires that we map terms and constructs across the models. Theory and methods: This paper uses concept mapping techniques to compare and contrast the theoretical frameworks and approaches used in the iCOACH project including: Ham's Ten Characteristics of the High-Performing Chronic Care System (capturing patient/carer and provider perspectives), the Organizational Context and Capabilities for Integrating Care framework (capturing the organizational perspective), and the Health Policy Monitor framework (capturing the policy system perspective). The aim of the paper is to link concepts across different theoretical framework to guide the iCOACH study. Results: A concept map was developed that identifies 8 overarching concepts across the heuristic models. A preliminary analysis of one of these overarching concepts, care coordination, demonstrates how different perspectives will assign different meanings, values, and drivers of seemingly similar ideas. For patients and carers care coordination is about having a responsive team of health care providers. Building relationships in teams that exist within and across different organizations is essential for providers to achieve care coordination, where managers and policy makers see care coordination as being more about creating linkages and addressing systems gaps. Discussion and conclusion: This work represents a first step towards development of a fully formed conceptual framework that includes key domains, concepts, and mechanisms of implementing integrated community-based primary health care.
dc.description.publication-statusPublished online
dc.format.extent14 - ?
dc.identifierhttps://www.ncbi.nlm.nih.gov/pubmed/30127683
dc.identifier.citationInt J Integr Care, 2018, 18 (1), pp. 14 - ?
dc.identifier.doi10.5334/ijic.3082
dc.identifier.elements-id405029
dc.identifier.harvestedMassey_Dark
dc.identifier.issn1568-4156
dc.languageeng
dc.publisherUbiquity Press
dc.relation.isPartOfInt J Integr Care
dc.rightsCC BY
dc.subjectConcept map
dc.subjectcomplex care needs
dc.subjectintegrated care
dc.subjectmethods
dc.subjectprimary health care
dc.subjectwhole systems
dc.subject.anzsrc1110 Nursing
dc.subject.anzsrc1117 Public Health and Health Services
dc.titleMapping for Conceptual Clarity: Exploring Implementation of Integrated Community-Based Primary Health Care from a Whole Systems Perspective
dc.typeJournal article
pubs.notesNot known
pubs.organisational-group/Massey University
pubs.organisational-group/Massey University/College of Health
pubs.organisational-group/Massey University/College of Health/PVC's Office - College of Health
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