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International Journal of Integrated Care

Ankie C M Hazen, Antoinette A de Bont, Anne J Leendertse, Dorien L M Zwart, Niek J de Wit, Johan J de Gier, Marcel L Bouvy
Background: Data on medication-related hospital admissions suggest that there is an opportunity for improved pharmaceutical care. Hence, concerns about medication-related hospital admissions is a driver to extend and integrate the role of community pharmacists in general practice. Aim: The aim of this paper is to give a systematic description of 1) what integrating a non-dispensing pharmacist (NDP) in general practice entails and 2) how this integrated care model is expected to contribute to patients' medication therapy management...
January 2, 2019: International Journal of Integrated Care
Mark V Rietbroek, Annelies M Slats, Philippine Kiès, Greetje J de Grooth, Niels H Chavannes, Christian Taube, Tobias N Bonten
Introduction: Dyspnea is a common complaint and in 70 to 90% the origin is pulmonary or cardiovascular. However, referral to the "wrong" specialism could result in diagnostic- and treatment delay. Integrated care by a cardiologist and a pulmonologist could improve this. The aim of the present study was to evaluate whether integrated care for patients with dyspnea is more efficient and effective than regular care. Methods: Consecutive patients (n = 235) seen at our dyspnea clinic after June 2014 were included...
December 31, 2018: International Journal of Integrated Care
Nick Goodwin
No abstract text is available yet for this article.
December 27, 2018: International Journal of Integrated Care
Chiara Pomare, Louise A Ellis, Kate Churruca, Janet C Long, Jeffrey Braithwaite
Introduction: Uncertainty is a common experience in the complex adaptive health system, particularly amongst mental health professionals structured for the delivery of integrated care. Increased understanding of uncertainty will not necessarily make things more certain, but can act to sensitize professionals to the challenges they face. The aim of this study is to examine the types and situations of uncertainty experienced by professionals working in a mental health setting based on an integrated care model...
December 19, 2018: International Journal of Integrated Care
Jerôme Jean Jacques van Dongen, Marloes Amantia van Bokhoven, Wilhelmus Nicolaas Marie Goossens, Ramon Daniëls, Trudy van der Weijden, Anna Beurskens
Introduction: Primary care is increasingly being confronted with complex health care demands stemming from both biomedical and psychosocial problems of people with chronic diseases. Interprofessional collaboration is needed to enhance person-centredness and coordinate care provision in an efficient manner, which should eventually result in high-quality and integrated care. In primary care, collaboration often occurs through periodic interprofessional team (IPT) meetings. We have developed a multifaceted programme (including a reflection framework, training activities and a toolbox) to enhance team functioning in terms of improved person-centredness and efficiency of meetings...
December 13, 2018: International Journal of Integrated Care
Magnus Bergmark, Ulrika Bejerholm, Bengt Svensson, Urban Markström
Introduction: There is increasing interest in implementing evidence-based integrated models of care in community-based mental health service systems. Assertive Community Treatment (ACT) is seen as an attractive, and at the same time challenging, model to implement in sectored service settings. This study investigates the implementation process of such an initiative. Methods: Interviews were conducted with ACT team members, the process leader, steering group members, and collaboration partners...
December 6, 2018: International Journal of Integrated Care
Tanya Halsall, Ian Manion, Joanna Henderson
Integrated youth service (IYS) is a collaborative approach that brings practitioners together from across disciplines to provide comprehensive services including mental health care for youth and their families. IYS models serve as an advancement in practice as they go beyond the capacity of individual programs and services to reduce the fragmentation of care. Yet, there continue to be opportunities to expand on this perspective and promote health beyond the scope of formalized services. The bioecological model is a theoretical model that examines individual development within multiple systems of influence as well as through interactional processes between the individual and their environment...
November 30, 2018: International Journal of Integrated Care
Nick Zonneveld, Naomi Driessen, René A J Stüssgen, Mirella M N Minkman
Introduction: Although substantial generic knowledge about integrated care has been developed, better understanding of the factors that drive behaviour, decision-making, collaboration and governance processes in integrated care networks is needed to take integrated care forward. To gain more insight into these topics and to understand integrated care in more depth, a set of underlying values of integrated care has been developed and defined in this study. Theory and methods: A systematic literature review was conducted to identify the underlying values of integrated care...
November 15, 2018: International Journal of Integrated Care
Liza Yurie Teruya Uchimura, Andréa Tenório Correia da Silva, Ana Luiza d'Ávila Viana
Introduction: Characteristics of primary health care and emergency services may hamper their integration and, therefore, reduce the quality of care and the effectiveness of health systems. This study aims to identify and analyse policy, structural and organizational aspects of healthcare services that may affect the integration between primary health and emergency care networks. Theory and Methods: We conducted a qualitative research study based on grounded theory that included: (1) interviews with 30 health care leaders; and (2) documental analysis of the summaries of Regional Interagency Committee meetings from two regions in the state of Sao Paulo, Brazil...
November 15, 2018: International Journal of Integrated Care
Francesca Bravi, Eugenio Di Ruscio, Antonio Frassoldati, Giorgio Narciso Cavallesco, Giorgia Valpiani, Anna Ferrozzi, Ulrich Wienand, Tiziano Carradori
Introduction: The purpose of this study was to evaluate the perception of the quality of care, considering both patient experience and health care professionals' perceptions as well as patient outcome measures of an integrated lung cancer pathway. Methods: A cross-sectional study was conducted in 2016 at Ferrara University Hospital, Italy. OPportunity for Treatment In ONcology (OPTION) questionnaires were administered to 77 patients, and the Care Process Self-Evaluation Tool (CPSET) questionnaires were given to 38 health care professionals...
October 31, 2018: International Journal of Integrated Care
Martin Sandberg Buch, Jakob Kjellberg, Christina Holm-Petersen
Introduction: Creating coordination and concerted action between sectors of modern healthcare is an inherent challenge, and decision makers in search for solutions tend replicate new models across countries and settings. An example of this is the translation of the North West London integrated care pilot into a large-scale trial that took place in the Danish Municipality of Odense from 2013-2016. This article highlights the findings from our evaluation of the ill-fated project and discusses lessons learned...
October 29, 2018: International Journal of Integrated Care
Makeba Shiroya-Wandabwa, Mark Kabue, Dyness Kasungami, Jonesmus Wambua, Dan Otieno, Charles Waka, Augustine Ngindu, Christine Ayuyo, Sanyu Kigondu, Julius Oliech, Isaac Malonza
Background: Shortages of healthcare workers is detrimental to the health of communities, especially children. This paper describes the process of capacity building Community Health Volunteers (CHVs) to deliver integrated preventive and curative package of care of services to manage common childhood illness in hard-to-reach communities in Bondo Subcounty, Kenya. Methods: A pre-test/post-test single-group design was used to assess changes in knowledge and skills related to integrated community case management (iCCM) among 58 Community Health Volunteers who received a six-day iCCM clinical training and an additional 3-week clinical coaching at health facilities...
October 24, 2018: International Journal of Integrated Care
Milawaty Nurjono, Joanne Yoong, Philip Yap, Shou Liang Wee, Hubertus Johannes Maria Vrijhoef
Background: Integrated care that focuses on organising healthcare services around people and their communities rather than their diseases is promoted as the strategy to overcome the challenges associated with growing complexity in healthcare needs, demand for healthcare services and inadequate supply of services due to fragmentation in the provision of services. While conceptually appears to be simple, integrated care is made up of multicomponent delivery strategies targeting various levels of the healthcare system while engaging various stakeholders in their execution...
October 16, 2018: International Journal of Integrated Care
Jodeme Goldhar
No abstract text is available yet for this article.
October 15, 2018: International Journal of Integrated Care
Xin Wang, Xizhuo Sun, Fangfang Gong, Yixiang Huang, Lijin Chen, Yong Zhang, Stephen Birch
Introduction: Emerging from the epidemiological transition and accelerated aging process, China's fragmentated healthcare systems struggle to meet the demands of the population. On Sept 1st 2017, China's National Health and Family Planning Commission encouraged all cities to learn from the Luohu model of integration adopted in Luohu as an approach to meeting these challenges. In this paper, we study the integration process, analyze the core mechanisms, and conduct preliminary evaluations of integrated policy development in the Luohu model...
October 12, 2018: International Journal of Integrated Care
Yan Zhao, Alison Brettle, Ling Qiu
Objectives: To determine whether the shared care model during the follow-up of cancer survivors is effective in terms of patient-reported outcomes, clinical outcomes, and continuity of care. Methods: Using systematic review methods, studies were searched from six electronic databases-MEDLINE (n = 474), British Nursing Index (n = 320), CINAHL (n = 437), Cochrane Library (n = 370), HMIC (n = 77), and Social Care Online (n = 210). The review considered all health-related outcomes that evaluated the effectiveness of shared care for cancer survivors...
October 12, 2018: International Journal of Integrated Care
Heithem Joober, Maud-Christine Chouinard, Jenny King, Mireille Lambert, Émilie Hudon, Catherine Hudon
Introduction: Valid and comprehensive instruments to measure integrated care are required to capture patient experience and improve quality of patient care. This study aimed to validate the Patient Experience of Integrated Care Scale (PEICS), among patients with chronic conditions seen in primary care. Methods: One hundred and fifty-nine (159) French-speaking adults with at least one chronic condition were recruited in two family medicine clinics in Quebec (Canada) and completed the 17-item PEICS (T1)...
October 12, 2018: International Journal of Integrated Care
Marjoleine J C Pieper, Wilco P Achterberg, Jenny T van der Steen, Anneke L Francke
Background: A stepwise, multidisciplinary and multicomponent intervention (called STA OP!) was implemented in Dutch nursing home units, which included a comprehensive multidisciplinary team training. A cluster-randomised controlled trial showed that the intervention reduced symptoms of pain and challenging behaviour. Objectives: To describe the experiences around the implementation of the intervention; to examine the extent to which the STA OP! intervention was delivered and implemented as intended (at the level of the team, and the individual resident/professional); and to understand factors influencing the implementation process...
September 7, 2018: International Journal of Integrated Care
Lisa Altman, Christie Breen, Joanne Ging, Sara Burrett, Tim Hoffmann, Emma Dickins, Kristen Brown, Yvonne Zurynski, Susan Woolfenden
Introduction: Children with medical complexity (CMC) require highly specialised care, often from multiple providers and over many years. This paper describes the first 18 months of development of the Kids Guided Personalised Services (GPS) Integrated Care Program (the Program). This Program aims to improve health care experience; communication and to streamline provision of care. Discussion: Key enablers across the Program were put in place and 5 individual project streams were used to implement change...
September 5, 2018: International Journal of Integrated Care
Monica Sørensen, Una Stenberg, Lisa Garnweidner-Holme
Introduction: Multi-professional collaboration (MPC) is essential for the delivery of effective and comprehensive care services. As in other European countries, primary care in Norway is challenged by altered patient values and the increased expectations of health administrations to participate in team-based care. This scoping review reports on the organisational, processual, relational and contextual facilitators of collaboration between general practitioners (GP) and other healthcare professionals (HCPs) in primary care...
August 30, 2018: International Journal of Integrated Care
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