Dimension |
Responses agreeing with statement of best practice |
Strongly agreed/agreed |
Neither agreed or disagreed |
Disagreed/strongly disagreed |
Summary analysis of free text |
|
Patient-centred care |
CCICP contributed to improved achievement in patient-centred care |
82% |
19% |
|
Uncertainty about achievements
Limited improvements
Policy intent not always translated into practice
-
Much more needs to be done
(n = 13)
|
Health literacy promotion |
70% |
26% |
4% |
Decision making shared with service user |
59% |
33% |
7% |
Self-care empowerment |
52% |
44% |
4% |
Carer support |
44% |
56% |
|
Service user feedback on service |
44% |
37% |
19% |
Holistic care planning shared with service user |
41% |
48% |
11% |
Access to own care record |
41% |
37% |
22% |
Clinical integration |
CCICP contributed to improved achievement in clinical integration |
82% |
7% |
11% |
|
Multidisciplinary assessment and care planning |
78% |
7% |
15% |
Coordinators ensure care continuity |
59% |
37% |
4% |
Case management of defined user groups |
59% |
37% |
4% |
Single entry point for multiple services |
59% |
15% |
26% |
Care transition management |
37% |
52% |
11% |
Defined pathways of care |
30% |
59% |
11% |
Volunteers/community actively involved in coordinating care |
15% |
67% |
19% |
Professional integration |
CCICP contributed to improved achievement in professional integration |
74% |
11% |
15% |
Primary health care often omitted from teams
Little evidence of multi-professional education
Ideological rather than actual commitment
Lack of perceived change
-
Much more needs to be done
(n = 13)
|
Shared professional responsibility and accountability |
70% |
26% |
4% |
Multi-disciplinary teams with agreed roles and responsibilities |
67% |
26% |
7% |
Professional commitment to integrated care |
63% |
11% |
15% |
Formal agreements support professional collaboration |
56% |
41% |
4% |
Continuous multi- and inter-professional education |
37% |
56% |
7% |
Organisational integration |
CCICP contributed to improved achievement in organisational integration |
74% |
15% |
11% |
|
Shared performance and outcome measurement |
56% |
33% |
11% |
Collective incentives |
56% |
37% |
7% |
Shared strategic objectives, policies and procedures |
52% |
33% |
15% |
Shared governance and accountability mechanisms |
41% |
56% |
4% |
Systemic integration |
CCICP contributed to improved achievement in systemic integration |
67% |
26% |
7% |
Lack of perceived change
Uncertainty about achievements
Gap in workforce numbers, skills and competencies
Lack of authorization to express ideas
Lack of perceived change
State and national policy constraints
-
Much more needs to be done
(n = 11)
|
Involvement of all stakeholders in design, implementation and evaluation of programs and policies |
44% |
26% |
30% |
Supportive national/regional policies |
37% |
37% |
26% |
Compatible regulatory framework |
33% |
44% |
22% |
Financing and incentives promote integrated care |
33% |
48% |
19% |
System-wide outcome and performance measurement |
30% |
52% |
19% |
Investment in an adequate workforce |
19% |
33% |
48% |
Functional integration |
CCICP contributed to improved achievement in functional integration |
44% |
44% |
11% |
Lack of perceived change
Uncertainty about achievements
Poor communication
Lack of electronic systems for sharing data, sharing care planning and making referrals to all partners
-
Much more needs to be done
(n = 13)
|
Uniform service user identifier |
37% |
26% |
37% |
Support systems for shared decision making |
26% |
41% |
33% |
Effective communication between professionals and service users |
19% |
52% |
30% |
Single care record that can be shared for all care purposes |
15% |
33% |
52% |