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Table 3 Delphi study results

From: Towards a values framework for integrated health services: an international Delphi study

#Value labelDescription
1Co-ordinatedConnection and alignment between users, informal carers, professionals and organizations in the care chain, in order to reach a common focus matching the needs of the unique person.
2TrustfulEnabling mutual trusting between users, informal carers, communities, professionals and organizations, in and across teams.
3Shared responsibility and accountabilityThe acknowledgment that multiple actors are responsible and accountable for the quality and outcomes of care, based on collective ownership of actions, goals and objectives, between users, informal carers, professionals and providers.
4HolisticPutting users and informal carers in the centre of a service that is ‘whole person’ focused in terms of their physical, social, socio-economical, biomedical, psychological, spiritual and emotional needs.
5Co-producedEngaging users, informal carers and communities in the design, implementation and improvement of services, through partnerships, in collaboration with professionals and providers.
6ContinuousServices that are consistent, coherent and connected, that address user’s needs across their life course.
7FlexibleCare that is able to change quickly and effectively, to respond to the unique, evolving needs of users and informal carers, both in professional teams and organizations.
8EmpoweringSupporting people’s ability and responsibility to build on their strengths, make their own decisions and manage their own health, depending on their needs and capacities.
9Person-centeredaValuing people through establishing and maintaining personal contact and relationships, to ensure that services and communication are based on the unique situations of users and informal carers.
10RespectfulTreating people with respect and dignity, being aware of their experiences, feelings, perceptions, culture and social circumstances.
11Led by whole-systems thinkingTaking interrelatedness and interconnectedness into account, realizing changes in one part of the system can affect other parts.
12ComprehensiveUsers and informal carers are provided with a full range of care services and resources designed to meet their evolving needs and preferences.
13CollaborativeEstablishing and maintaining good (working) relationships between users, informal carers, professionals and organizations – by working together across sectors, and in networks, teams and communities.
14PreventativeThere is an emphasis on promoting health and wellbeing and avoiding crises with timely detection and action by and with users, informal carers and communities.
15EfficientbUsing resources as wisely as possible and avoiding duplication.
16ReciprocalCare is based on interdependent relationships between users, informal carers, professionals and providers, and facilitates cooperative, mutual exchange of knowledge, information and other resources.
17Transparently sharedaTransparently sharing of information, decisions, consequences and results, between users, informal carers, professionals, providers, commissioners, funders, policy-makers and the public.
18EffectivebEnsuring that care is designed in such a way that outcomes serve health outcomes, costs, user experience and professional experience.
  1. a = value label has been reformulated
  2. b = value has been newly suggested in the Delphi study