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Table 4 Summary of integrated action findings

From: How can collaboration be strengthened between public health and primary care? A Dutch multiple case study in seven neighbourhoods

Neighbour-hood

Gemert

Achtse Barrier

Heeswijk-Dinther and Loosbroek

Boxtel-Oost

Gesworen Hoek and Huibeven

Banakkers

Terheijden

Integrated district plans, activities or collaboration

Content (agreement on themes)

Municipality and neighbourhood organisations to consider what themes can be included in quality of life agendas (e.g., loneliness, poverty, obesity, illiteracy)

More attention for integration of activities on the theme of loneliness

Workgroup to focus on promoting social cohesion, with integration with exercise and nutrition and interaction between various groups.

Welfare team to look more closely at loneliness /social cohesion amongst local residents, neighbourhood body to put question on digital forum

Poverty: Municipality to organise information meeting about schemes for residents

Exercise: Walking club to collaborate with GP.

Obesity: GPs to work with physiotherapists and regional public health service to approach parents about an exercise programme and fruit at school

Neighbourhood teams to include themes in approach plan

The elderly people’s association has already started forging ties between programmes for the elderly and for young people

Obesity: Regional Public Health Service to initiate coordination of existing initiatives and neighbourhood campaign with local people/sports clubs/private partners.

Social cohesion: activities in Mindfulness Week

Social cohesion and loneliness: meetings to be organised and a practical project ‘samen is leuker’ (‘it's more fun together’) with the aim of highlighting willingness to do volunteer work

Municipality to agenda report with recommendations in Social Support Act Implementation Core Team

Social cohesion: municipality, Regional Public Health Service and social workers to involve residents in neighbourhood and problems via neighbourhood lunches

People moving into the neighbourhood to be welcomed and contacted about life events (e.g., births and deaths)

 

Approach for younger target group to be developed (involving young people, youth health care and other relevant organisations)

Process (agreement on colla-boration)

Meeting: municipality to organise follow-up meeting after six months

Meeting: workgroup to organise meeting of care professionals, welfare and informal care

Ties: workgroup to seek ways to realise positive health through practical activities

Ties: workgroup to seek ties with existing activities and ongoing projects in the neighbourhood (social neighbourhood team, catering point, living room project, generation garden)

Ties: municipality to investigate possibility of subsidisation

Ties: social neighbourhood team, neighbourhood association and GPs to get to know each other better

Meeting: follow-up meeting to be organised, to which each professional brings a Terheijden resident; continuation of activities related to the themes of obesity and social cohesion

Regional Public Health Service to offer support to neighbourhood teams and municipality

Core team placed item in local paper inviting local residents to provide input and assistance, yielding a number of responses

Communication: workgroup to inform residents about activities at Boxtel-Oost day and to ask for questions using flyers

Regional Public Health Service wishes to affiliate to ‘Young people on healthy weight/JOGG’ Tilburg and involve local residents more

Working visits to exemplary sites

Robuust and municipality to discuss result in Short Lines workgroup and to put integration of primary care with social domain on agenda

Social map to be produced, insight into activities in the neighbourhood

Municipality to support communication

Meeting: municipality to organise follow-up meetings between public health and primary care

Social map: Neighbourhood map to be developed with input from all stakeholders

Social map: Municipality to produce a digital social map

Joint website for the neighbourhood, initiative by health centre

Social map: Municipality to develop social map