Professional Care Networks of Frail Older People: An Explorative Survey Study from the Patient Perspective
Conclusions: Our findings indicate that the elderly often do not experience the integration of multidisciplinary care as such. This is a real opportunity for MTs to improve their care and to make the patients ’ experiences better in line with what they are aiming: allowing patients to live at home as healthy and independently as possible for as long as possible. We showed that informal caregivers often form communication bridges between patients and professionals. Having a better knowledge of the patie nt perspective enables the gaps in professional care networks of frail older people to be filled and facilitates the...
Source: International Journal of Integrated Care - April 2, 2020 Category: Nursing Source Type: research

Perceptions of Care Sport Connectors ’ Tasks for Strengthening the Connection Between Primary Care, Sports and Physical Activity: A Delphi Study
Discussion: Care sport connectors have an important role in strengthening intersectoral collaboration. All the professions acknowledged a task concerning physical activity promotion and accepted a broker role. Thus, a public health mind-set seems to be present to some extent. However, challenges remain, such as the lack of willingness to collaborate among primary care professionals and sports policies not (yet) supporting intersectoral collaboration. Published on 2020-04-01 15:12:46 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - April 2, 2020 Category: Nursing Source Type: research

Comparing International Models of Integrated Care: How Can We Learn Across Borders?
Conclusions and discussion: There is value to using a common template to provide guidance in international comparison of models of integrated care. We discuss the applicability of the approach to support scale and spread of integrated care internationally. Published on 2020-04-01 15:13:44 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - April 2, 2020 Category: Nursing Source Type: research

Inner Fire: Building Competence and Resilience to Enable the Effective Management of Integrated Care Systems
Published on 2020-04-01 15:14:24 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - April 2, 2020 Category: Nursing Source Type: research

Perceptive Dialogue for Linking Stakeholders and Units During Care Transitions – A Qualitative Study of People with Stroke, Significant Others and Healthcare Professionals in Sweden
Conclusion:This study elucidates that a perceptive dialogue with patients/significant others as well as within and across organizations is part of a coordinated and person-centred transition. There is an exten ­sive need for increased involvement of patients and significant others regarding dialogue about health conditions, procedures at the hospital and preparation for self-management after discharge. Published on 2020-03-25 09:28:21 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - March 25, 2020 Category: Nursing Source Type: research

Financial Barriers Decrease Benefits of Interprofessional Collaboration within Integrated Care Programs: Results of a Nationwide Survey
Conclusion: Organisational improvements should be considered a priority when implementing IPC within integrated care initiatives since patient care improvements due to IPC can be expected mainly when organisational aspects are improved. More importantly, the role of financial barriers should be acknowledged, and actions taken to reduce their impact on integrated care. Published on 2020-03-18 11:49:35 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - March 18, 2020 Category: Nursing Source Type: research

Building a People-Centred Integrated Care Model in Urban China: A Qualitative Study of the Health Reform in Luohu
Conclusions and discussion: The establishment of the Luohu Hospital Group transformed the originally  fragmented delivery system into a tightly integrated service delivery networks. Though valuable lessons have been generated, the reform and its impacts require ongoing monitoring. Published on 2020-03-16 09:57:53 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - March 17, 2020 Category: Nursing Source Type: research

Integrating Healthcare Services for Indigenous Australian Students at Boarding Schools: A Mixed-Methods Sequential Explanatory Study
Conclusion: With resourcing, schools could play a greater role in facilitating access to healthcare. Published on 2020-03-09 11:49:34 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - March 9, 2020 Category: Nursing Source Type: research

The Odyssey of Integration: Is Management its Achilles ’ Heel?
Discussion and conclusion: Management for integrated care remains an underdeveloped concept and practice. A first formulation of the competences necessary was achieved, but more work is urgently required to understand how to better prepare and support managers to achieve necessary changes in practice and culture. Published on 2020-02-26 09:53:05 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - February 26, 2020 Category: Nursing Source Type: research

Evidence of Inter-Professional and Multi-Professional Interventions for Geriatric Patients: A Systematic Review
The current demographic shift raises the demand for provision of health care tailored to the complex care needs for older adults. Given the growing number of national care plans and best practice models there is an urgent need to build evidence for inter- and multiprofessional care provision for older people when offered an integrated care approach.The aim of this study was to determine whether an inter-professional or multi-professional care intervention, can improve geriatric patients ’ health determinants.A systematic review was performed according to PRISMA Guidelines. Databases were searched for clinical trials ...
Source: International Journal of Integrated Care - February 24, 2020 Category: Nursing Source Type: research

Conducting a Cost-Benefit Analysis of Transitional Care Programmes: The Key Challenges and Recommendations
Transitional care encompasses a range of services designed to promote care integration as patients transfer between different locations or different levels of care. Transitional care programmes have been proven to produce positive outcomes in reducing hospital readmissions and improving patients ’ health outcomes. However, little is known about the benefits of the programmes on healthcare cost and the published results have been inconsistent. With increasing healthcare expenditures and limited public healthcare resources, cost-benefit analyses become paramount in informing healthcare reso urce allocation decisions. T...
Source: International Journal of Integrated Care - February 21, 2020 Category: Nursing Source Type: research

Collaborative Governance for Integrated Care: Insights from a Policy Stakeholder Dialogue
Conclusion: We draw on collaborative governance to generate insights for leaders implementing integrated care and conclude by addressing the importance of maintaining collaborative governance initiatives under circumstances of unstable policy environments. Published on 2020-02-11 10:31:48 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - February 11, 2020 Category: Nursing Source Type: research

Capturing the Role of Context in Complex System Change: An Application of the Canadian Context and Capabilities for Integrating Care (CCIC) Framework to an Integrated Care Organisation in the UK
Conclusions: The CCIC Framework provided a useful tool capturing key elements of complex system change with key domains being transferable across settings, while also finding local variation in the UK. This would encourage its wider application so that further comparisons can be made of the ways in which different contextual and implementation properties impact upon delivery and outcomes. Published on 2020-02-11 10:41:26 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - February 11, 2020 Category: Nursing Source Type: research

Horizontal and Vertical Integration of Health Care Providers: A Framework for Understanding Various Provider Organizational Structures
Conclusions and discussion: Increasingly, U.S. policymakers seek to promote provider integration and coordination. Emerging evidence suggests that organizational structures, composition, and other characteristics  influence cost and quality performance. Given current efforts to reform the U.S. delivery system, future research should seek to systematically examine the role of organizational structure in cost and quality outcomes. Published on 2020-01-20 11:09:36 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - January 21, 2020 Category: Nursing Source Type: research

Suitable Scales; Rethinking Scale for Innovative Integrated Care Governance
For organising person entered care, an important issue is how to deal with scale. This addresses what to organise on what level (in the neighbourhood, local, in the region, or national). With the increasing complexity of organising integrated care in networks, scale issues are an ingredient of integrated care governance. However, there is a lack of empirical studies that treat scale as an object of study in itself. Scale is an outcome of the interplay between many different interests, values and perceptions of people involved in the broader social and political processes. Five factors for suitable scales are discussed, emp...
Source: International Journal of Integrated Care - January 9, 2020 Category: Nursing Source Type: research

Can Organisational Culture of Teams Be a Lever for Integrating Care? An Exploratory Study
Conclusions and discussion: Organisational culture at the level of healthcare teams has significant associations  with patient-perceived integrated care. Our results may be valuable for primary care organisations in their efforts to compose healthcare teams that are predisposed to providing better integrated care. Published on 2019-12-20 07:58:45 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - December 20, 2019 Category: Nursing Source Type: research

Legitimising Inter-Sectoral Public Health Policies: A Challenge for Professional Identities?
Conclusions and discussion: We argue that these findings may be related to the possible risk of identity conflicts, which could potentially pose challenges to collaborations, such as HiAP, and then again challenge the implementation of integrated care. Published on 2019-12-09 10:49:40 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - December 9, 2019 Category: Nursing Source Type: research

Advancing Towards Value-Based Integrated Care for Individuals and Populations
Published on 2019-12-04 11:26:48 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - December 5, 2019 Category: Nursing Source Type: research

Patient Navigation as an Approach to Improve the Integration of Care: The Case of NaviCare/SoinsNavi
Children and youth with complex care needs require more and varied healthcare services than the average population, as well as a high degree of coordinated care. Evidence has shown that these individuals and their families have better outcomes if they have access to integrated care. Patient navigation can serve as a novel approach to improve the integration of care for individuals with complex care needs in an increasingly fragmented system. NaviCare/SoinsNavi is an example of a navigation centre for children and youth with complex care needs, their families, and the care team. This research-based service is aimed at facil...
Source: International Journal of Integrated Care - November 16, 2019 Category: Nursing Source Type: research

Multiple Perspectives Analysis of the Implementation of an Integrated Care Model for Older Adults in Quebec
Conclusion: Mandated system-wide integration appears to have structural, organizational, functional, and normative transformations, but its clinical changes are more uncertain in view of the observed divergent perspectives of actors. It will be interesting to explore if the systemic changes are precursors of clinical changes or, on the contrary, explains the lack of clinical changes. Published on 2019-11-14 11:21:40 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - November 14, 2019 Category: Nursing Source Type: research

Improving Patient Access and Reducing Costs for Glaucoma with Integrated Hospital and Community Care: A Case Study from Australia
This study aims to determine whether C-EYE-C improves access to care and better utilises reso urces, compared to hospital-based care.Methods: A clinical and financial audit was conducted to compare access to care and health system costs for hospital care and C-EYE-C. Attendance, wait-time, patient outcomes, and the average cost per encounter were calculated. A weighted kappa assessed agreement between the optometrist and ophthalmologist  decisions.Results: There were 503 low-risk referrals, hospital (n = 182) and C-EYE-C (n = 321). C-EYE-C had higher attendance (81.6% vs 68.7%, p = 0.001); and shorter appointment wait...
Source: International Journal of Integrated Care - November 6, 2019 Category: Nursing Source Type: research

Implementing Integrated Community-Based Primary Healthcare: Applying the iCoach-Approach to Case Selection to Denmark
Conclusion: Researchers need to be clearer about the specific purpose of the case selection. This is also highly relevant for practitioners to ensure that insights are applicable in specific local and national contexts. Published on 2019-11-04 11:22:55 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - November 4, 2019 Category: Nursing Source Type: research

Developing Normative Integration among Professionals in an Intersectoral Collaboration: A Multi-Method Investigation of an Integrated Intervention for People on Sick Leave Due to Common Mental Disorders
Conclusion: This study shows how normative integration among health care professionals and employment consultants is feasible in co-located intersectoral teams, with positive implications for the delivery of coherent support. Published on 2019-11-04 12:19:58 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - November 4, 2019 Category: Nursing Source Type: research

Integrating Primary Care Into Community Mental Health Centres in Texas, USA: Results of a Case Study Investigation
Conclusion: Providers and patients perceived improvements through integrated care. However, the majority  of patients were uninsured, and the funding was short term. The long-term viability of integrated care for community mental health centre patients may hinge on adequate, predictable public funding. Published on 2019-10-29 10:53:22 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - October 29, 2019 Category: Nursing Source Type: research

Municipal Acute Units as Part of the Clinical Pathway for Older Patients
Conclusion and discussion: When a new healthcare service such as an MAU becomes a part of the clinical  pathway in a municipality, it is important to invest a considerable effort in measures designed to strengthen relational and structural collaboration to make the clinical pathway smooth. Published on 2019-10-29 11:01:21 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - October 29, 2019 Category: Nursing Source Type: research

Assigning a Prominent Role to “The Patient Experience” in Assessing the Quality of Integrated Care for Populations with Multiple Chronic Conditions
In response to growing populations of citizens with multiple chronic conditions, integrated care models are being implemented in many countries. Based on our experiences from three EU co-funded actions (ICARE4EU,  SUSTAIN, JA-CHRODIS), we notice that users’ experiences are not always taken into account when assessing the quality of integrated care, whereas research shows that it is in this particular domain that quality improvement is most evident.The greatest value of integrated care for people with multiple chronic conditions may not lie in its potential to improve their health or reduce their use of services,...
Source: International Journal of Integrated Care - September 26, 2019 Category: Nursing Source Type: research

The Information Flow in a Healthcare Organisation with Integrated Units
This study aimed to explore information pathways within an integrated healthcare and social care organisation and describe how information continuity was delivered for an older patient w ith complex care needs.Methods: An explorative single-case study conducted in a Swedish healthcare organization where municipality  and the county council have integrated their services. One focus group discussion and six individual interviews were conducted.Results: Information flow to partners in care was obstructed, with compensatory double documentation,  complementary information channels, and information loss. A heavy burde...
Source: International Journal of Integrated Care - September 26, 2019 Category: Nursing Source Type: research

Shared Care for Patients with Diabetes at Risk of Retinopathy: A Feasibility Trial
Conclusions: Our feasibility trial showed that patients with diabetes with no or stable DR receive similar clinical care and management at a lower-cost PEC setting, are equally satisfied with the service compared to tertiary eye care. A follow-up study is necessary to validate these findings. Managing patients with diabetes at risk of DR at a PEC may be a safe and effective shared care model to improve accessibility for patients while enhancing professional collaboration between hospital and community settings. Published on 2019-09-18 10:01:19 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - September 18, 2019 Category: Nursing Source Type: research

Methodological Quality of Economic Evaluations in Integrated Care: Evidence from a Systematic Review
Conclusion: It is essential for evaluators to use best-practice standards when planning and conducting economic evaluations, in order to build a reliable evidence base for decision-making in integrated care. Published on 2019-09-09 09:41:27 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - September 9, 2019 Category: Nursing Source Type: research

Integrated Care for Frail Elderly: A Qualitative Study of a Promising Approach in The Netherlands
Conclusion: The CCFE is an exemplary initiative to integrate care for the frailest elderly living at home. Its innovative components and critical success factors are likely to be transferable to other settings when providers can take on similar roles and work closely with payers who provide integrated funding. Published on 2019-09-03 10:33:58 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - September 3, 2019 Category: Nursing Source Type: research

Formative Evaluation of the Central Coast Integrated Care Program (CCICP), NSW Australia
Introduction: Integrated care has been posited as an important strategy for overcoming service fragmentation problems and achieving the Quadruple Aim of health care. This paper describes the Central Coast Integrative Care Program (CCICP) a complex, multi-component intervention addressing 3 target populations and more than 40 sub-projects of different scale, priority and maturity. Details are provided of the implementation including activities undertaken for each target population, in the context of the Central Coast Local Health District (CCLHD) strategies and priorities. Key lessons are drawn from the formative evaluation...
Source: International Journal of Integrated Care - August 27, 2019 Category: Nursing Source Type: research

Integrated Care: Better and Cheaper
Schrijvers, G. (2017). Amsterdam: Reed Business Information Published on 2019-08-22 09:54:47 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - August 23, 2019 Category: Nursing Source Type: research

3 Dimenions for Long Term Conditions - creating a sustainable bio-psycho-social approach to healthcare
Conclusions: 3DLC developed good working relationships with medical teams, significantly raised awareness of mental health issues and changed the delivery of care to being more patient-cantered. Both staff and patients have benefited from this integrated model although the rate of adoption varies. Some have become champions for integrated care.Discussions: Generalisable effective components of integrated care includes joint working, co-location, routine screening, and shared learning plugged into existing routines. Adaptations were needed based on nature of disease and each team ’s readiness for change, subculture, a...
Source: International Journal of Integrated Care - August 10, 2019 Category: Nursing Source Type: research

Erlauntza: relaciones de alta confianza mutua
Donostia Lagunkoia/ Plan de Ciudad Amigable con las Personas Mayores es Plan de Ciudad que, promovido por el Ayuntamiento de Donostia-San Sebasti án, pone el foco en los retos que plantea a la ciudad el envejecimiento de la población, en todos los ámbitos de la vida urbana. Después de unos años de trabajo intenso en el plan, se identifica como indispensable que las y los profesionales que desde los barrios están ofreciendo servicios div ersos -públicos y privados- a las personas mayores, trabajen en clave de confianza.Son muchas las personas profesionales que desde su d &iac...
Source: International Journal of Integrated Care - August 10, 2019 Category: Nursing Source Type: research

Evaluating data across care boundaries: integrated care in the context of multi-morbidity
Introduction: Effective discharge of patients from hospital represents a key step in provision of effective integrated care. The discharge process is rarely evaluated, from an informatics perspective, due to data acquisition challenges. A particular challenge is the increasing prevalence of patients with multiple interacting medical conditions ( “multi-morbidity”). This requires management by multiple care teams, often including those not directly involved with the main cause for admission. An important example of this is patients with diabetes admitted under surgery, who may require medical and specialist soci...
Source: International Journal of Integrated Care - August 8, 2019 Category: Nursing Source Type: research

Change Management and Staff engagement processes. Lessons learned at ACT@Scale Project
Increased life expectancy and longevity, and declining birth rate, have led to an ageing Europe.The challenge is how to adapt the growing demand in health services and its sustainability. The main objectives are to gather iterative information from change management and staff engagement processes and to identify good practices in the ACT@Scale programs and regions.Online questionnaires were addressed to program managers and frontline clinical staff.The questionnaires were composed by seven domain: leadership, awareness, motivation, workforce development, psychological ownership and organizational change.   Data collec...
Source: International Journal of Integrated Care - August 8, 2019 Category: Nursing Source Type: research

An integrated group parenting model for mums with mental health issues and their babies: Findings from a participatory action research evaluation of the South Australian ACORN Program
There are established causal links both between parental mental health and the wellbeing of infants and children as they grow older (Stein et al, 2014; Goodman& Gotlib, 2002) and early parenting practice and subsequent child wellbeing (Green et al 2018).   Interventions designed to improve the mother-infant relationship may have benefits both for the mental health of the mother and development of the child (Cohen et al, 2002). Improving social connectedness can also alleviate psychological ill health (Saeri, A.K. 2018).  AnglicareSA's ACORN program is a 15 week group based program funded through the Hopw...
Source: International Journal of Integrated Care - August 8, 2019 Category: Nursing Source Type: research

Multi-level strategy to promote equity through empowerment and participation
Conclusions: The SDG ’s commitment to leave no one behind requires exploring how to effectively respond to this challenge. We proposed a multi-level strategy to support health equity deployment, an strategy that feeds off the lessons learned from experiences that have been shown to be effective in improving health equ ity through empowerment and participation. The overall aims of this strategy are to support decision-makers by providing available evidence on best practices at different levels, to advance knowledge of integrated equitable policies, and to facilitate their implementation. Published on 2019-08-09 00:00:...
Source: International Journal of Integrated Care - August 8, 2019 Category: Nursing Source Type: research

Analysis of a scoreboard of quantitative indicators to assess the performance on integrated care in the Basque Health System
Conclusions: In those groups of patients where integration initiatives have particularly focused, such as pluripathological patients, positive trends can already be identified in process and intermediary results ’ indicators.Improvements in comprehensive indicators are more difficult to identify in most organisations.Lessons learned: It is useful to combine indicators more closely related to implemented interventions and targeted patients ’ groups, with more comprehensive indicators that allow assessing their relative impact at system-level.Limitations: In most cases, identified trends cannot be unequivocally a...
Source: International Journal of Integrated Care - August 8, 2019 Category: Nursing Source Type: research

Carpeta de salud electr ónica vasca: camino hacia una sanidad sostenible, participativa y moderna
En plena era tecnol ógica, la inversión de la pirámide poblacional y, por tanto, el incremento de enfermedades crónicas demandan un cambio en el modelo sanitario más centrado en el empoderamiento del paciente como mecanismo de contención del gasto sanitario. En este sentido, una de las herramientas más prometedo ras para fomentar la accesibilidad al sistema sanitario y potenciar la figura del paciente es el incremento de los registros personales de salud. Estos están diseñados para ayudar a los pacientes a administrar su información de salud y guiarlos p...
Source: International Journal of Integrated Care - August 8, 2019 Category: Nursing Source Type: research

Early-career researchers in integrated care: speed networking
Background: Social capital is defined by Putnam and others (Krueter& Lezin 2002) as enabling people to act together to reach shared objectives through membership in networks of informal shared norms and values. With regards to early researchers in integrated care, providing access to meeting other people within the field and to networks in the field can lead to an increase in social capital or in a practical sense career, research, and collaboration opportunities.Aims and Objectives: The aims of this interactive activity are for participants to:- meet other early career researchers in integrated care- meet professional...
Source: International Journal of Integrated Care - August 8, 2019 Category: Nursing Source Type: research

Towards integrated care for older people: experiences from two local initiatives in Catalonia (within the SUSTAIN project)
Background: Two local initiatives (North Sabadell and Osona) within the SUSTAIN European research project have developed improvement projects aiming to better implement person-centred integrated care for older people living at home. However, continuity, transferability and scalability of such projects to other contexts is still limited and uncertain. The evaluation of these two improvement projects, through a set of specific monitoring measures and tools, and the lessons learned from the professionals involved will shed light on successful and less successful implementation aspects, identifying barriers and facilitators. R...
Source: International Journal of Integrated Care - August 8, 2019 Category: Nursing Source Type: research

Enabling transformation of health and social care integration
Background: The role of the Health and Social Care Academy (the Academy), a programme of the Health and Social Care Alliance Scotland, is to drive transformational change in Scotland ’s health and social care system, led by people living with long term conditions, disabled people and unpaid carers.The Academy co-created ‘Five Provocations for the Future of Health and Social Care’ (‘courageous leadership’, ‘nurturing transformation’, ‘emphasising humanity’, ‘target culture’ and ‘ceding power’) through a Think Tank that brought together a cross sec...
Source: International Journal of Integrated Care - August 8, 2019 Category: Nursing Source Type: research

Evaluating Triple Aim in integrated care through claims data
Conclusions: Triple Aim can partially be measured through claims data, although not all dimensions to the same extent, especially the patient experience of care. Cost is the most easy to track.Lessons learned: New data collections are not always necessary. Making good use of already available data can create important efficiency gains.Limitations: This research is limited to the Belgian IMA-database.Suggestions for future research: Checking the TACI-list against claims data in other countries. Checking the list of Triple Aim measures with other (routine) databases. Published on 2020-08-08 00:00:00 (Source: Internation...
Source: International Journal of Integrated Care - August 8, 2019 Category: Nursing Source Type: research

Facing Frailty: Exploring the Effectiveness of Integrated Care for Frail Older People
Erasmus School of Health Policy& Management, Erasmus University, 2018, ISBN 978-94-6361-178-7 This thesis aimed to explore the (cost-)effectiveness of preventive, integrated care for community-dwelling frail older people. The first part of this thesis focused on the effectiveness and cost-effectiveness of a specific preventive integrated care intervention, the Walcheren Integrated Care Model (WICM). The second part of this thesis critically reflected on the concepts and methodologies used to explore the (cost-)effectiveness of integrated care for frail older people. This second part included a systematic review an...
Source: International Journal of Integrated Care - August 1, 2019 Category: Nursing Source Type: research

Building enabled communities in Singapore
Discussion& lessons learnt:From information gathered, organisations have had to re-align functions and re-define roles in the building of enabled communities. The operating model for enabled communities was decentralised, dis-intermediated and democratised. These organisations also regarded community-dwelling seniors as co-designers in an enabled community. The interview respondents further underscored the value of internal communications.By documenting the key steps to an alternative sustainable strategy to community building, our goal is to encourage a community of learning amongst more like-minded organisations to d...
Source: International Journal of Integrated Care - July 30, 2019 Category: Nursing Source Type: research

Multidisciplinary team meetings in cancer care: is there a psychologist in the house?
This study shows a worryingly low awareness of the true character of multidisciplinarity, particularly among medical disciplines in oncology care. Efforts should be made to change the working culture towards a truly integrated care approach among professionals in oncology.Limitations: The purposive sampling of inpatient medical oncology departments within two academic hospitals and three non-academic hospitals in one country, limits the generalizability of the results for broader organizational contexts and health systems.Suggestions for future research: More empirical studies are needed to reveal the reasons why MDTMs fai...
Source: International Journal of Integrated Care - July 28, 2019 Category: Nursing Source Type: research

Making a realist turn: Applying a Critical Realist Translational Social Epidemiology methodology to the design and evaluation of complex integrated care interventions
Published on 2019-07-25 10:15:19 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - July 25, 2019 Category: Nursing Source Type: research

A Critical Realist Translational Social Epidemiology Protocol for Concretising and Contextualising a “Theory of Neighbourhood Context, Stress, Depression, and the Developmental Origins of Health and Disease (DOHaD)”, Sydney Australia
Discussion: The proposed programme of research will assist in translating empirical explanatory theory building to theory driven interventions. The research will be situated in socially disadvantaged regions of Sydney where the local child and family inter-agencies will collaborate to design and implement new initiatives that address significant disparities in childhood development and adolescent outcomes attributed to neighbourhood circumstances, family stress and intergenerational cycles of disadvantage and poor mental health. Published on 2019-07-25 10:36:57 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - July 25, 2019 Category: Nursing Source Type: research