# Inside the Black Box: Examining the Interconnectivity of Components of Integrated Person-Centred Care for Vulnerable Groups Through a Realist Lens

## TL;DR

This study explores how different factors in person-centred care for vulnerable groups interact, showing that effectiveness depends on complex relationships rather than simple causes.

## Contribution

The study introduces a realist approach to uncover how context and mechanisms interact in integrated person-centred care for vulnerable groups.

## Key findings

- IPCC effectiveness is influenced by the interplay of context and mechanisms.
- Outcomes depend on how components of IPCC interact within specific settings.
- A holistic understanding of interconnected systems is crucial for successful IPCC.

## Abstract

Integrated person-centred care (IPCC) for vulnerable groups is complex and multifaceted and cannot be reduced to simple cause-and-effect relationships. The effectiveness varies across settings due to differing contexts and mechanisms. By applying realist research, this dissertation examines the relationships between the context in which IPCC for vulnerable groups in the Netherlands is applied, the mechanisms by which IPCC (does not) work(s), and the outcomes resulting from this interaction. The findings provide deeper insights into interrelatedness of items that influence effectiveness of IPCC, emphasizing the significance of understanding their interplay and recognizing that they form a larger interconnected system rather than acting independently.