Intensive | Linkage | Nivel | ||
---|---|---|---|---|
Characteristics of case management | ||||
Facilitating | Using existing non-dementia case management models as example | + | ||
Impeding | Disagreement about content of case manager tasks | - | - | |
Partners do not see the added value of a case manager who only mediates | - | |||
Speed of implementation depends on mentality and cultural values of the region | - | |||
Time and other operational preconditions | ||||
Facilitating | Sufficient time to set up an organizational structure | + | + | |
Impeding | Professionals don't have innovation time; consensus among many collaboration partners takes time | - | ||
No clear guidelines for implementation | - | - | ||
Human and financial resources | ||||
Facilitating | Retraining district nurses to become case managers facilitates collaboration with the GP as they have pre-existing partnerships | + | ||
Presence of a clear initiator of the implementation | + | |||
Impeding | Proliferation of different types of case managers created friction among providers | - | - | |
Lack of clarity about the role of the project leader (not knowing who is their superior) | - | |||
Organizational conditions | ||||
Facilitating | Embedding case management in Mental Health Care promotes collaboration | + | ||
Embedding the multidisciplinary expert team in case management organization | + | |||
Good collaboration between case managers from competitive providers provides the opportunity to learn from each other | + | + | ||
Case managers from one provider all working in the same room enhances sparring and consultation | + | |||
Presence of a Board of Representatives to guide the dementia care network. | + | + | ||
Presence of fixed stakeholders at partners in the dementia care network whom case managers can contact | + | + | ||
Impeding | Presence of competitive providers of case management within the dementia care network | - | - | |
Different interests of the Board of Representatives; incomplete attendance during meetings; members without mandate to make decisions. | - | |||
Expert team doe not function properly; difficult to reach clinicians as members participate only a few hours per week. | - | |||
Lack of clarity about who is responsible for what aspects of implementation and collaboration | - | |||
Only incorporating dementia care partners with the strongest pre-existing relationships at the start | - |