Does Integrated Care Carry the Gene of Bureaucracy? Lessons from the Case of Qu ébec
Conclusion: Drawing insights from bureaucratic obstacles to integration efforts may improve implementation strategies. This paper highlights important policy and administrative challenges that have to be taken into consideration in improving the implementation of integrated care initiatives in a real-life context. Published on 2021-11-08 11:15:56 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - November 9, 2021 Category: Nursing Source Type: research

Facilitating Integration Through Team-Based Primary Healthcare: A Cross-Case Policy Analysis of Four Canadian Provinces
Conclusion: Heterogeneity of the implementation of PHC teams across Canadian provinces provides an opportunity to learn and improve interprofessional care and integrated health services across jurisdictions. Published on 2021-11-08 11:29:09 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - November 9, 2021 Category: Nursing Source Type: research

Service Use and Resilience among Adolescents Living with HIV in Blantyre, Malawi
Conclusion:Adolescent centred-approaches have the potential to enhance resilience promoting resources and outcomes. A multi-sectoral approach to service use and provision is critical to inform adolescent intervention programs and wellbeing. Published on 2021-11-01 11:11:07 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - November 1, 2021 Category: Nursing Source Type: research

Interventions to Improve Clinical Coordination between Levels: Participatory Experience in a Public Healthcare Network in Xalapa, Mexico
Conclusion: The involvement of professionals in designing the interventions, as well as institutional support and reflexive methods for training, all decisively improved clinical coordination between levels. Published on 2021-11-01 11:16:58 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - November 1, 2021 Category: Nursing Source Type: research

The Value of Merging Medical Data from Ambulance Services and General Practice Cooperatives Using Triple Aim Outcomes
Conclusion:The Triple Aim for acute care can be met using relatively simple interventions, but medical data merging is a prerequisite for achieving more robust results covering on the various aspects of the Triple Aim. These successes should be communicated so that a common language can be developed that will support the successful further implementation of larger scale initiatives. Published on 2021-10-28 12:21:21 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - October 29, 2021 Category: Nursing Source Type: research

Integrated Care in Switzerland: Strengths and Weaknesses of a Federal System
Conclusion: In the future, Switzerland ’s healthcare system will probably navigate between local IC initiatives and centralised, federal support for IC initiatives. This will be the reflection of a very Swiss way forward in a world without clear evidence on whether centralised or decentralised initiatives are more successful at develop ing IC. Published on 2021-10-29 09:06:41 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - October 29, 2021 Category: Nursing Source Type: research

Integrated Health and Social Care in the United States: A Decade of Policy Progress
Conclusion: National policies have catalyzed initiatives to test new integrated health and social care models, with the ultimate goal of improving population health and decreasing costs. Preliminary findings demonstrated the need for validated measures of social risk, engagement across levels of organizational leadership and frontline staff, and greater flexibility from national policymakers in order to align incentives across sectors. Published on 2021-10-29 09:13:17 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - October 29, 2021 Category: Nursing Source Type: research

What Makes Integration of Chronic Care so Difficult? A Macro-Level Analysis of Barriers and Facilitators in Belgium
Discussion: This paper highlights the importance of homogenization of responsibilities of governments regarding integrated care and the interdependency of policy and health care system factors. A whole system change is needed instead of the current Belgian model of prolonged search for common ground between conflicting opinions. Political commitment and citizen participation will be crucial. Published on 2021-10-29 09:28:20 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - October 29, 2021 Category: Nursing Source Type: research

Health and Social Care Reform in Scotland – What Next?
Conclusion: Realising the true value from integration will require a stronger focus on place-based prevention and early intervention to achieve a fairer Scotland where everybody thrives. Solidarity, equity, and human rights must guide the next phase of Scotland ’s story. Published on 2021-10-29 09:46:52 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - October 29, 2021 Category: Nursing Source Type: research

Integrated Health and Social Care in England: Ten Years On
Conclusion:The experience of England suggests that greatest progress is made when integrated care focusses on tangible issues and when there is a clear understanding of how success will be measured. Even with considerable investment and intent progress should be expected to be slow and difficult. Layering of numerous policy initiatives provides confusion and can distract from the important work of relationship building. And ultimately, integrated care cannot by itself address major inadequacies in the underlying resources and structural inequalities. Published on 2021-10-29 09:51:11 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - October 29, 2021 Category: Nursing Source Type: research

Integrated Care in England – what can we Learn from a Decade of National Pilot Programmes?
Conclusion: Pilots in all three national programmes made some headway against their objectives but were limited in their impact on unplanned hospital admissions. Published on 2021-10-29 09:54:21 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - October 29, 2021 Category: Nursing Source Type: research

Psychometric Properties of the German Version of the Perception of Interprofessional Collaboration Model-Questionnaire (PINCOM-Q)
Conclusion:The use of PINCOM-Q (German) can be recommended as a research tool, investigating professional groups working with children and young people with multiple and complex needs. Published on 2021-10-27 08:29:36 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - October 27, 2021 Category: Nursing Source Type: research

Integrated Community Care Delivered by Public Health Care and Social Care Systems: Protocol for a Realist Synthesis
Introduction: Integrated Community Care (ICC) is defined as an interweaving of territory scale and time scale health care and social care interventions implemented in proximity (spatial and relational) in an interdisciplinary and cross-sectoral manner. However, the deployment of in public health and social care networks can be complex owing to their broad mandate and the complexity of their management and accountability. Therefore, we aim to describe integrated community care in order to shed light on how they work, for whom and in what circumstances.Theory and methods:We will conduct a realist synthesis to design a flexib...
Source: International Journal of Integrated Care - October 26, 2021 Category: Nursing Source Type: research

Integrated Care ’s New Protagonist: The Expanding Role of Digital Health
Digital health technologies hold significant promise to advance both functional and normative health and social care integration. The COVID-19 pandemic has created a window of opportunity to rapidly advance the adoption of digital solutions which can improve activities that support integration at clinical, professional, organizational and system levels. Global examples demonstrate how the pandemic has also created opportunities to use technology to address core values of integrated care like person-centredness and coordination. However, rapid and reactive changes could lead to increased fragmentation and exacerbate health ...
Source: International Journal of Integrated Care - October 13, 2021 Category: Nursing Source Type: research

Implementation of Integrated Primary Care for Patients with Diabetes and Hypertension: A Case from Slovenia
Conclusion: Integrated care of the chronic patients in Slovenia is already provided at  high levels, but the area of self-management support could be improved. Published on 2021-09-28 11:04:25 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - September 28, 2021 Category: Nursing Source Type: research