Country-Specific Roadmaps for Scaling Up Integrated Care in Belgium, Slovenia, and Cambodia – Lessons Learned from the SCUBY Project
Introduction: The SCUBY project aimed to provide knowledge on the scaling-up of an Integrated Care Package (ICP) for type 2 diabetes and hypertension across three distinct health systems (Cambodia, Slovenia, and Belgium). Here, we analyse the different elements of the country-specific scale-up roadm...
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Ubiquity Press
2024-12-01
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| Series: | International Journal of Integrated Care |
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| Online Access: | https://account.ijic.org/index.php/up-j-ijic/article/view/8618 |
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| author | Martin Heine Monika Martens Daniel Boateng Grace Marie Ku Roy Remmen Edwin Wouters Srean Chhim Por Ir Antonjia Poplas Susič Wim van Damme Josefien van Olmen Kerstin Klipstein-Grobusch on behalf of the SCUBY consortium |
| author_facet | Martin Heine Monika Martens Daniel Boateng Grace Marie Ku Roy Remmen Edwin Wouters Srean Chhim Por Ir Antonjia Poplas Susič Wim van Damme Josefien van Olmen Kerstin Klipstein-Grobusch on behalf of the SCUBY consortium |
| author_sort | Martin Heine |
| collection | DOAJ |
| description | Introduction: The SCUBY project aimed to provide knowledge on the scaling-up of an Integrated Care Package (ICP) for type 2 diabetes and hypertension across three distinct health systems (Cambodia, Slovenia, and Belgium). Here, we analyse the different elements of the country-specific scale-up roadmaps to identify similarities and differences, and share lessons learned. Methods: Thematic analysis was used to derive crucial roadmap elements from key SCUBY documents (n = 20), including policy briefs, interim reports, research outputs, and consortium meeting notes. Results: Roadmap elements differed according to priority needs, features of the (health) systems, and partly reflected the position of the SCUBY research team within each country. Common cross-country elements were: task-shifting to patients themselves, nurses and community health workers; strengthening monitoring and evaluation; and creating an enabling environment for ICP implementation. Discussion: Scale-up of complex interventions requires continuous engagement of multiple stakeholders and contextualization of action plans. The linkage of research teams with key implementation stakeholders and policy makers creates change-teams, allowing advancement from formative research to implementation of roadmap strategies and full scale-up in due time. Conclusion: The development processes and contents of the roadmaps provided essential and reciprocal learnings. These learnings help shape future policy dialogues and best practices to tackle chronic disease in each participating country. |
| format | Article |
| id | doaj-art-20dcec6248dd4f2da4a88c031522f8bd |
| institution | Kabale University |
| issn | 1568-4156 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj-art-20dcec6248dd4f2da4a88c031522f8bd2025-01-08T07:57:30ZengUbiquity PressInternational Journal of Integrated Care1568-41562024-12-0124171710.5334/ijic.86188514Country-Specific Roadmaps for Scaling Up Integrated Care in Belgium, Slovenia, and Cambodia – Lessons Learned from the SCUBY ProjectMartin Heine0https://orcid.org/0000-0003-4131-2863Monika Martens1https://orcid.org/0000-0002-1432-0684Daniel Boateng2https://orcid.org/0000-0001-7568-7298Grace Marie Ku3https://orcid.org/0000-0002-4276-9104Roy Remmen4https://orcid.org/0000-0002-6509-9561Edwin Wouters5https://orcid.org/0000-0003-2268-3829Srean Chhim6https://orcid.org/0000-0003-1558-1875Por Ir7https://orcid.org/0000-0003-3493-2749Antonjia Poplas Susič8https://orcid.org/0000-0002-4328-3333Wim van Damme9https://orcid.org/0000-0002-6344-3007Josefien van Olmen10https://orcid.org/0000-0001-9724-1887Kerstin Klipstein-Grobusch11https://orcid.org/0000-0002-5462-9889on behalf of the SCUBY consortiumJulius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, NL; Institute of Sport and Exercise Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape TownDepartment of Public Health, Institute of Tropical Medicine, Antwerp; Department of Family Medicine and Population Health (FAMPOP), Faculty of Medicine and Health Sciences, University of AntwerpJulius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, NL; Department of Epidemiology and Biostatistics, Kwame Nkrumah University of Science and Technology, KumasiDepartment of Public Health, Institute of Tropical Medicine, AntwerpDepartment of Family Medicine and Population Health (FAMPOP), Faculty of Medicine and Health Sciences, University of AntwerpCentre for Population, Family & Health, Department of Social Sciences, University of Antwerp, Antwerp, BE; Centre for Health Systems Research & Development, University of the Free State, BloemfonteinNational Institute of Public Health, Phnom PenhNational Institute of Public Health, Phnom PenhLjubljana Community Health Centre, Ljubljana; Department of Family Medicine, Faculty of Medicine, University of Ljubljana, LjubljanaDepartment of Public Health, Institute of Tropical Medicine, AntwerpDepartment of Family Medicine and Population Health (FAMPOP), Faculty of Medicine and Health Sciences, University of AntwerpJulius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, NL; Division of Epidemiology and Biostatistics, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, JohannesburgIntroduction: The SCUBY project aimed to provide knowledge on the scaling-up of an Integrated Care Package (ICP) for type 2 diabetes and hypertension across three distinct health systems (Cambodia, Slovenia, and Belgium). Here, we analyse the different elements of the country-specific scale-up roadmaps to identify similarities and differences, and share lessons learned. Methods: Thematic analysis was used to derive crucial roadmap elements from key SCUBY documents (n = 20), including policy briefs, interim reports, research outputs, and consortium meeting notes. Results: Roadmap elements differed according to priority needs, features of the (health) systems, and partly reflected the position of the SCUBY research team within each country. Common cross-country elements were: task-shifting to patients themselves, nurses and community health workers; strengthening monitoring and evaluation; and creating an enabling environment for ICP implementation. Discussion: Scale-up of complex interventions requires continuous engagement of multiple stakeholders and contextualization of action plans. The linkage of research teams with key implementation stakeholders and policy makers creates change-teams, allowing advancement from formative research to implementation of roadmap strategies and full scale-up in due time. Conclusion: The development processes and contents of the roadmaps provided essential and reciprocal learnings. These learnings help shape future policy dialogues and best practices to tackle chronic disease in each participating country.https://account.ijic.org/index.php/up-j-ijic/article/view/8618integrated health care systemsdiabeteshypertensionscale-upreciprocal learning |
| spellingShingle | Martin Heine Monika Martens Daniel Boateng Grace Marie Ku Roy Remmen Edwin Wouters Srean Chhim Por Ir Antonjia Poplas Susič Wim van Damme Josefien van Olmen Kerstin Klipstein-Grobusch on behalf of the SCUBY consortium Country-Specific Roadmaps for Scaling Up Integrated Care in Belgium, Slovenia, and Cambodia – Lessons Learned from the SCUBY Project International Journal of Integrated Care integrated health care systems diabetes hypertension scale-up reciprocal learning |
| title | Country-Specific Roadmaps for Scaling Up Integrated Care in Belgium, Slovenia, and Cambodia – Lessons Learned from the SCUBY Project |
| title_full | Country-Specific Roadmaps for Scaling Up Integrated Care in Belgium, Slovenia, and Cambodia – Lessons Learned from the SCUBY Project |
| title_fullStr | Country-Specific Roadmaps for Scaling Up Integrated Care in Belgium, Slovenia, and Cambodia – Lessons Learned from the SCUBY Project |
| title_full_unstemmed | Country-Specific Roadmaps for Scaling Up Integrated Care in Belgium, Slovenia, and Cambodia – Lessons Learned from the SCUBY Project |
| title_short | Country-Specific Roadmaps for Scaling Up Integrated Care in Belgium, Slovenia, and Cambodia – Lessons Learned from the SCUBY Project |
| title_sort | country specific roadmaps for scaling up integrated care in belgium slovenia and cambodia lessons learned from the scuby project |
| topic | integrated health care systems diabetes hypertension scale-up reciprocal learning |
| url | https://account.ijic.org/index.php/up-j-ijic/article/view/8618 |
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