Scope of care |
Person-focused care |
1. Centrality of client needs |
Population based care |
2. Centrality of population needs |
Dimensions and level of system |
Clinical integration (micro) |
3. Case management |
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4. Continuity |
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5. Interaction between professional and client |
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6. Individual multidisciplinary care plan |
Service/Professional integration (meso) |
7. Inter-professional education |
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8. Agreements on interdisciplinary collaboration |
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9. Value creation for the professional |
Organisational integration (meso) |
10. Inter-organisational governance |
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11. Inter-organisational strategy |
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12. Trust |
System integration (macro) |
13. Alignment of regulatory frameworks |
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14. Environmental climate |
Enablers of integration |
Functional integration |
15. Learning organisations |
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16. Information management |
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17. Regular feedback of performance indicators |
Normative integration |
18. Shared vision |
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19. Reliable behaviour |
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20. Visionary leadership |
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21. Linking cultures |