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A Realist Evaluation of Local Networks Designed to Achieve More Integrated Care Cover

A Realist Evaluation of Local Networks Designed to Achieve More Integrated Care

Open Access
|Apr 2019

Figures & Tables

Figure 1

Trajectory of programme theories over the life of the Localities initiative (2012–2016).

Locality OneLocality TwoLocality ThreeLocality Four
PHO ASmall practice
Large practice
PHO BLarge practiceMedium practice
PHO CSmall practiceLarge practice
PHO DIntegrated care team (x2)
PHO ESmall practiceSmall practice
Table 1

General practice survey results when asked about outcomes expected from integrated care.

To what extent do you agree that integrated care has the potential to achieve the following outcomes?
n = 29–31/row percents (%)Strongly agree*Agree*NeutralDisagreeStrongly disagreeNot Relevant
Primary care will become the central focus and coordinating mechanism of healthcare.3235161033
Local needs will be better met.195516630
The patient experience of care will be improved.195216660
Inter-professional communication, satisfaction and relationships are improved.1753173100
Those in the health workforce will work more at the top of their scope of practice.17501310100
Health literacy and patient self-care will improve.1731311470
The health status of prioritised groups will improve at a faster rate.1441241470
Demand for hospital services will be reduced.10391623130
Health disparities for Māori and Pasifika will be reduced.1030377133

[i] * The items are sorted on “Strongly agree” then “Agree”.

Table 2

Local Care Organisation results when asked about outcomes expected from integrated care.

To what extent do you agree that integrated care has the potential to achieve the following outcomes?
n = 43–45/row percents (%)Strongly Agree*AgreeNeutralDisagreeStrongly DisagreeNot Relevant
Local needs will be better met.43459020
Primary care will become the central focus and coordinating mechanism of healthcare.384211720
The health status of prioritised groups (for example those with chronic conditions) will improve at a faster rate.333530020
The patient experience of care will be improved.293831020
Inter-professional communication, satisfaction and relationships are improved.295313022
Health literacy and patient self-care will improve.254130220
Those in the health workforce will work more at the top of their scope of practice.254518552
Demand for hospital services will be reduced.204132520
Health disparities for Māori and Pasifika will be reduced.203634055

[i] * The items are sorted on “Strongly agree”.

DOI: https://doi.org/10.5334/ijic.4183 | Journal eISSN: 1568-4156
Language: English
Submitted on: May 11, 2018
Accepted on: Mar 12, 2019
Published on: Apr 5, 2019
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2019 Lesley Middleton, Harry Rea, Megan Pledger, Jacqueline Cumming, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.