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Integrated primary care for community-dwelling frail older persons

Lotte Vestjens

Traditional primary care in the Netherlands is ill equipped to meet the complex (healthcare) needs of frail older persons who live independently at home. Integrated care is advocated to improve the quality of care and patient outcomes. However, the added value of integrated primary care for community-dwelling frail older persons remains inconclusive, and important underlying mechanisms that drive (a lack of) effectiveness are often ignored. This thesis reports on a theory-guided evaluation of a proactive, integrated primary care approach for community-dwelling frail older persons in the Dutch primary care setting; the Finding and Follow-up of Frail older persons (FFF) approach. In this thesis, (elements of) a newly developed theoretical model were used to evaluate the added value of the FFF approach in terms of care quality, cognitive and behavioral abilities of healthcare professionals and frail older persons, and (cost-)effectiveness.


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