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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