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Positive Health beyond boundaries in community care


- candidate number27352
- NTR NumberNTR6543
- ISRCTNISRCTN no longer applicable
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR8-jun-2017
- Secondary IDs50 53110 98 036 ZonMw
- Public TitlePositive Health beyond boundaries in community care
- Scientific TitlePositive Health beyond boundaries in community care; A Prospective study on the effects and implementation of an Integrated Community Approach
- ACRONYM
- hypothesis
- Healt Condition(s) or Problem(s) studiedPopulation health, Socioeconomic status
- Inclusion criteriaCitizens (¡Ý18 years) living in 4 low SES neighbourhoods in Maastricht (south of Limburg) where an integrated community approach (ICA) will take place.
- Exclusion criteriaCitizens who don't live in one of the targeted or control neighbourhoods.
- mec approval receivedyes
- multicenter trialno
- randomisedno
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 1-dec-2016
- planned closingdate1-dec-2020
- Target number of participants2000
- InterventionsThe intervention group will be exposed to the ICA based on the working principles of positive health. Positive health is a concept that looks beyond disease and disability and aims to find peoples strengths. There is no fixed intervention scheme, but the community approach aims to create a movement among citizens, professionals and governance targeting; self-efficacy of citizens, support of professional freedom (instead of organisational or financial barriers) and removing financial obstacles by virtually combining budgets of the social and public health domain and health insurance domain. In the control neighbourhoods, the ICA will not be implemented.
- Primary outcomeThe primary objective is to measure the effects of the ICA on triple aim outcomes (perceived patients¡¯ health status, experienced quality of care and healthcare costs).
- Secondary outcomeThe secondary objective is to observe the implementation process of the ICA on governance, professional and citizen level
- TimepointsThe ICA is implemented between 2017 and 2020 and research activities will be conducted parallel to the implementation process. A mixed-method approach, combining both quantitative and qualitative research methods, will be applied to yield an enriched understanding of the various processes that will take place in the neighbourhoods. Quantitative and qualitative data will be collected concurrently and both are of equal importance in evaluating the added value of the integrated community approach for improving population¡¯s health, improving the experienced quality of care, and reducing per capita costs (Triple Aim).
- Trial web site
- statusplanned
- CONTACT FOR PUBLIC QUERIESDrs. Sanneke J.M. Grootjans
- CONTACT for SCIENTIFIC QUERIESDrs. Sanneke J.M. Grootjans
- Sponsor/Initiator Maastricht University
- Funding
(Source(s) of Monetary or Material Support)
ZonMw
- Publications
- Brief summaryRationale: High healthcare expenditures due to population ageing and chronic complex health complaints are a challenge in the Netherlands. To improve the quality of the healthcare and reduce the healthcare costs the Dutch ministry of health designated nine pioneer site regions across the Netherlands (April 2013). At the pioneer site ‘Blue Care’ of Maastricht – Heuvelland an integrated community approach (ICA) addressing Berwicks triple aim will take place in four low socio – economic status (SES) neighborhoods in Maastricht.
Objective: The primary objective is to measure the effects of the ICA on triple aim outcomes (patients health status, quality of care and healthcare costs). The secondary objective is to observe the implementation process of the ICA on governance, professional and citizen level. Study design: A prospective, quasi – experimental study within a natural experiment. Study population: Citizens (>18 years) geographically located in the four targeted neighbourhoods of the integrated community approach (Wittevrouwenveld/Wyckerpoort, Limmel/Nazareth) for intervention. Three neighbourhoods (Malberg, Pottenberg and Mariaberg) will be targeted for comparison.
Intervention: The intervention group will be exposed the ICA based on the working principles of positive health. Positive health is a concept that looks beyond disease and disability and aims to find peoples strengths. There is no fixed intervention scheme, but the community approach aims to create a movement among citizens, professionals and governance targeting; - self-efficacy of citizens, - support of professional freedom (instead of organisational or financial barriers) and removing financial obstacles by virtually combining budgets of the social and public health domain and health insurance domain. In the control neighbourhoods, the ICA will not be implemented. Design: The research is designed as a prospective, quasi experimental study within a natural experiment and is aiming to demonstrate the impact of the ICA in a ‘natural’ setting. The intervention (ICA) neighbourhoods are compared to control neighbourhoods (usual care/ no difference from the care they are already receiving) and therefor allocation is geographically decided and not by means of randomization.
- Main changes (audit trail)
- RECORD8-jun-2017 - 26-aug-2017


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