Table 1
Characteristics of the respondents of the general practice questionnaire.
| CHARACTERISTIC | N (%) |
|---|---|
| Gender | |
| Male | 20 (28%) |
| Female | 52 (72%) |
| Function | |
| General practitioner | 53 (74%) |
| Somatic nurse practitioner | 16 (22%) |
| Mental health nurse practitioner | 0 (0%) |
| Other | 3 (4%) |
| Working experience | |
| 0–5 years | 5 (7%) |
| 5–10 years | 9 (13%) |
| 10–15 years | 12 (17%) |
| 15–20 years | 18 (26%) |
| More than 20 years | 26 (37%) |
Table 2
Answers to four questions within both questionnaires that specifically focussed on the ability to deliver (integrated) care and the degree to which bundled care programs amongst care groups might have promoted this.
| QUESTION (WITHIN QUESTIONNAIRE FOR GENERAL PRACTICES/CARE GROUPS) | N (PERCENTAGE OF TOTAL) |
|---|---|
| How satisfied are you with the ability of the Dutch healthcare system to provide care to patients with complex health problems (general practices)? | 72 (100%) |
| Very satisfied | 2 (3%) |
| Satisfied | 18 (25%) |
| Neutral | 21 (29%) |
| Dissatisfied | 24 (33%) |
| Very dissatisfied | 7 (10%) |
| I feel capable of delivering integrated care to patients with complex care patterns (general practices) | 67 (100%) |
| Strongly agree | 3 (4%) |
| Agree | 26 (39%) |
| Not agree/nor disagree | 26 (39%) |
| Disagree | 11 (16%) |
| Strongly disagree | 1 (1%) |
| The national implementation of the general concept of bundled payments for specific conditions encourages integrated care for patients with multimorbidity | 38 (100%) |
| Strongly agree | 8 (21%) |
| Agree | 12 (32%) |
| Not agree/nor disagree | 5 (13%) |
| Disagree | 11 (29%) |
| Strongly disagree | 2 (5%) |
| The general concept of bundled payments for specific conditions is sufficient for providing care to patients with chronic conditions – in terms of content (care groups) | 38 (100%) |
| Strongly agree | 6 (16%) |
| Agree | 19 (50%) |
| Not agree/nor disagree | 7 (18%) |
| Disagree | 4 (11%) |
| Strongly disagree | 2 (5%) |
Figure 1
A weighted ranking of barriers in providing integrated care to patients with multimorbidity, as experienced by healthcare providers within general practices. Weighted percentages of barriers were calculated by assigning points (5 until 1) to barriers according to their ranking amongst an individual’s top five and subsequently dividing the total number of points assigned per barrier by total sum score of points across all barriers.
Figure 2
A weighted ranking of barriers in providing integrated care to patients with multimorbidity, as experienced by care groups. Weighted percentages of barriers were calculated by assigning points (5 until 1) to barriers according to their ranking amongst an individual’s top five and subsequently dividing the total number of points assigned per barrier by total sum score of points across all barriers.
Figure 3
A weighted ranking of facilitating factors in providing integrated care to patients with multimorbidity, as experienced by healthcare providers within general practices. Weighted percentages of facilitators were calculated by assigning points (5 until 1) to facilitators according to their ranking amongst an individual’s top five and subsequently dividing the total number of points assigned per facilitator by total sum score of points across all facilitators.
Figure 4
A weighted ranking of facilitating factors in providing integrated care to patients with multimorbidity, as experienced by care groups. Weighted percentages of facilitators were calculated by assigning points (5 until 1) to facilitators according to their ranking amongst an individual’s top five and subsequently dividing the total number of points assigned per facilitator by total sum score of points across all facilitators. Abbreviations: GP: general practitioner; NP: nurse practitioner.