Striving for integrated services, a Dutch experience

Olivier van Noort, Fredo Schotanus

Research output: Contribution to journalArticleAcademicpeer-review

1 Citation (Scopus)

Abstract

Purpose – In an urban environment in The Netherlands, a municipality, a health insurance company and nine health care organisations try to integrate health care services and social services by means of a global, population-based budget for three areas with above the average costs. Against a background of changing circumstances and bureaucratic impediments, they try to reach an agreement on the contractual provisions before starting cooperation in everyday practice. The purpose of this paper is to describe and evaluate the cooperative process. Design/methodology/approach – The paper reflects the authors’ personal experiences and interpretation of the cooperative process. Findings – The participants experience was that the ideals they had started with faded when financial and juridical procedures dominated the discussions. In contrast with that, focusing on the population involved created positive energy and motivation. Practical implications – Uncertainties are part of social innovation and therefore, formal contracts will be incomplete. Trust building techniques and creating common values and culture are necessary ingredients for developing confidence that the cooperating parties will be able to cope with unforeseen developments or outcomes. Originality/value – The paper may contribute to the successful development of innovative agreements between purchasers and providers of health care and social care in order to achieve better integrated services without rising costs.
Original languageEnglish
Pages (from-to)327-335
JournalJournal of integrated care
Volume23
Issue number6
DOIs
Publication statusPublished - 2015

Fingerprint

health care
Delivery of Health Care
Costs and Cost Analysis
insurance company
Budgets
Health Insurance
health care services
Contracts
costs
Social Work
health insurance
Health Personnel
Netherlands
mobile social services
Population
Uncertainty
Health Services
municipality
Values
experience

Keywords

  • METIS-313478
  • IR-98349

Cite this

van Noort, Olivier ; Schotanus, Fredo. / Striving for integrated services, a Dutch experience. In: Journal of integrated care. 2015 ; Vol. 23, No. 6. pp. 327-335.
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Striving for integrated services, a Dutch experience. / van Noort, Olivier; Schotanus, Fredo.

In: Journal of integrated care, Vol. 23, No. 6, 2015, p. 327-335.

Research output: Contribution to journalArticleAcademicpeer-review

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AB - Purpose – In an urban environment in The Netherlands, a municipality, a health insurance company and nine health care organisations try to integrate health care services and social services by means of a global, population-based budget for three areas with above the average costs. Against a background of changing circumstances and bureaucratic impediments, they try to reach an agreement on the contractual provisions before starting cooperation in everyday practice. The purpose of this paper is to describe and evaluate the cooperative process. Design/methodology/approach – The paper reflects the authors’ personal experiences and interpretation of the cooperative process. Findings – The participants experience was that the ideals they had started with faded when financial and juridical procedures dominated the discussions. In contrast with that, focusing on the population involved created positive energy and motivation. Practical implications – Uncertainties are part of social innovation and therefore, formal contracts will be incomplete. Trust building techniques and creating common values and culture are necessary ingredients for developing confidence that the cooperating parties will be able to cope with unforeseen developments or outcomes. Originality/value – The paper may contribute to the successful development of innovative agreements between purchasers and providers of health care and social care in order to achieve better integrated services without rising costs.

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