COMIC Model Context, Outcomes and Mechanisms of Integrated Care

Dr. Loraine Busetto, 8-10 May 2017, Dublin International Conference on Integrated Care

• Background

• COMIC Model

• Future developments

OUTLINE

Busetto, L., Luijkx, K.G., Vrijhoef, H.J.M., COMIC Model, 8-10 May 2017, ICIC17, Dublin

@LoraineBusetto @FAST_Heidelberg

• GREAT EXPECTATIONS: The implementation of integrated

care and its contribution to improved outcomes for people with chronic conditions

• Feb 2013 – Apr 2016 • Project Integrate

PHD RESEARCH

Busetto, L., Luijkx, K.G., Vrijhoef, H.J.M., COMIC Model, 8-10 May 2017, ICIC17, Dublin

• Systematic • Comprehensive • Comparisons • Improvements

• Context

• Realist Evaluation • Context – Mechanism – Outcomes Model

• Definition + Operationalisation

Evaluation Model

Busetto, L., Luijkx, K.G., Vrijhoef, H.J.M., COMIC Model, 8-10 May 2017, ICIC17, Dublin

Developing an evaluation model

COMIC Model

Busetto, L., Luijkx, K.G., Vrijhoef, H.J.M., COMIC Model, 8-10 May 2017, ICIC17, Dublin

COMIC Model

Busetto, L., Luijkx, K.G., Vrijhoef, H.J.M., COMIC Model, 8-10 May 2017, ICIC17, Dublin

Busetto, L., Luijkx, K.G., Vrijhoef, H.J.M., COMIC Model, 8-10 May 2017, ICIC17, Dublin

Example: Dutch case study

Example: Dutch case study

Busetto, L., Luijkx, K.G., Vrijhoef, H.J.M., COMIC Model, 8-12 May 2017, IJIC17, Dublin

COMIC Model

Busetto, L., Luijkx, K.G., Vrijhoef, H.J.M., COMIC Model, 8-10 May 2017, ICIC17, Dublin

• Systematic • Comprehensive • Comparisons • Improvements • But…

Conclusion

Busetto, L., Luijkx, K.G., Vrijhoef, H.J.M., COMIC Model, 8-10 May 2017, ICIC17, Dublin

Future: Germany

Stroke Consortium Rhine-Neckar (FAST)

Busetto, L., Luijkx, K.G., Vrijhoef, H.J.M., COMIC Model, 8-10 May 2017, ICIC17, Dublin

• Scientific COMIC Model –> practice instrument

• 2017-18 Postdoc project at Tilburg University

• Prof. dr. Bert Vrijhoef • Special Issue: Realist Evaluation (2018)

Future

Busetto, L., Luijkx, K.G., Vrijhoef, H.J.M., COMIC Model, 8-10 May 2017, ICIC17, Dublin

QUESTIONS loraine.busetto@med-uni-heidelberg.de @LoraineBusetto @FAST_Heidelberg LinkedIn ResearchGate

Publications • Busetto, L., Luijkx, K.G. and Vrijhoef, H.J.M. (2017). Advancing integrated care and its evaluation by means of a universal typology. International

Journal of Care Coordination. Online First. • Busetto, L., Kiselev, J., Luijkx, K.G., Steinhagen-Thiessen, E. and Vrijhoef, H.J.M. (2017). Implementation of integrated geriatric care at a German

hospital: a case study to understand when and why beneficial outcomes can be achieved. BMC Health Services Research 17:(180). • Busetto, L., Luijkx, K.G., Calciolari, S., González Ortiz, L.G. and Vrijhoef, H.J.M. (2017). Exploration of workforce changes in integrated chronic

care: findings from an interactive and emergent research design. International journal of integrated care 17(1):1-11. • Busetto, L., Luijkx, K.G., Calciolari, S., González Ortiz, L.G. and Vrijhoef, H.J.M. (2017). Outcomes of integrated chronic care interventions including

workforce changes: an expert questionnaire and literature review. European Journal for Person Centered Healthcare. Accepted for publication. (Accepted for publication).

• Busetto, L. (2016). Great expectations: The implementation of integrated care and its contribution to improved outcomes for people with chronic conditions. ISBN: 978-94-028-0246-7. Dissertation.

• Busetto, L., Luijkx, K.G. and Vrijhoef, H.J.M. (2016). Development of the COMIC Model for the comprehensive evaluation of integrated care interventions. International Journal of Care Coordination.

• Busetto, L., Luijkx, K. G., Elissen, A.M.J. and Vrijhoef, H.J.M. (2016). Context, mechanisms and outcomes of integrated care for diabetes mellitus type 2: a systematic review. BMC Health Services Research. 16:18. DOI 10.1186/s12913-015-1231-3.

• Busetto, L., Luijkx, K. G., Elissen, A.M.J. and Vrijhoef, H.J.M. (2015). Intervention types and outcomes of integrated care for diabetes mellitus type 2: a systematic review. Journal of Evaluation in Clinical Practice. DOI 10.1111/jep.12478

• Busetto, L., Luijkx, K.G., Huizing, A. and Vrijhoef, H.J.M. (2015). Implementation of integrated care for diabetes mellitus type 2 by two Dutch care groups: a case study. BMC Family Practice. 16:105.

• Busetto, L., Luijkx, K.G. and Vrijhoef, H.J.M. (2014). Implementation of Integrated Care for Type 2 Diabetes: A Protocol for Mixed Methods Research. International Journal of Integrated Care. 14 (Oct-Dec), e033.