Interorganisational collaboration to improve accessibility of diagnostic evaluations for children with a developmental disability.
Introduction: A timely integrated diagnostic and care trajectory for children with a developmental disability may prevent severe problems in later life. In Flanders, Belgium, different types of governmental regulated and subsidised settings offer diagnostic evaluations, as (part of) their mission. H...
| Publicado en: | Health Services Insights pp. 1 - 11 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
2/13/2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=175442807&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 175442807 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11786329 B10H jtl: Health Services Insights issn: 11786329 maglogo: Y pubinfo: dt: 2/13/2024 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 175442807 175442807 175442807 10.1177/11786329241232531 175442807 ppf: 1 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Interorganisational collaboration to improve accessibility of diagnostic evaluations for children with a developmental disability. aug: au: Eva, Cloet Anna, Jansen Mark, Leys affil: Vrije Universiteit Brussel (VUB), Department of Public Health, Research Group Organization, Policy and Inequalities in Health Care (OPIH), Jette, Belgium sug: subj: Collaboration Health Services Accessibility Children with Disabilities Developmental Disabilities Diagnosis Interinstitutional Relations Child Development Disorders Diagnosis Health Care Delivery, Integrated Human Models, Theoretical Focus Groups Thematic Analysis Funding Source Belgium Triangulation Health Services Needs and Demand Qualitative Studies Health Care Costs Waiting Lists Organizational Culture ab: Introduction: A timely integrated diagnostic and care trajectory for children with a developmental disability may prevent severe problems in later life. In Flanders, Belgium, different types of governmental regulated and subsidised settings offer diagnostic evaluations, as (part of) their mission. However, they operate in a non-coordinated way inducing severe accessibility problems for the public. This article studies the factors impacting on interorganisational collaboration and proposes an interorganisational conceptual model improving accessibility. Methods: Focus groups were performed per type of organisation. Qualitative data were categorised thematically in an iterative process of data- and researcher triangulation. A member check validation was organised. Results: Fifty-nine individuals participated in 6 focus groups. Structural and agency-related barriers for interorganisational collaboration were identified at micro, meso and macro level. Participants provided suggestions for better interorganisational collaboration. Discussion: To improve accessibility adapted to patients' needs, a patient-centred, integrated and interorganisational network model grounded in a stepped care logic is proposed to adapt the current organisation-centred model. Conclusion: A timely, integrated, diagnostic and care trajectory for children with a developmental disability preventing severe problems in later life requires an integration of services during the overall care trajectory of children by means of interorganisational collaboration. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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