Balancing Pragmatism and Sustainability: A Case Study of an Interorganisational Network to Improve Integrated Care for the Elderly
Conclusion: Network governance is instrumental to success, and should be carefully  considered when initiating interorganisational network initiatives for integrated care. Published on 2021-09-27 11:49:30 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - September 27, 2021 Category: Nursing Source Type: research

Optimising Integrated Stroke Care in Regional Networks: A Nationwide Self-Assessment Study in 2012, 2015 and 2019
Conclusion: This long-term analyses of stroke service development in the Netherlands,  showed that between 2012 and 2019, integrated care activities within the regional stroke networks increased. Experience in collaboration between organisations within a network benefits the uptake of integrated care activities. Published on 2021-09-20 09:42:19 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - September 21, 2021 Category: Nursing Source Type: research

Integrated Care – Defining for the Future through the Eye of the Beholder
Published on 2021-09-20 09:46:01 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - September 21, 2021 Category: Nursing Source Type: research

Shifting from Fragmentation to Integration: A Systematic Analysis of Long-Term Care Insurance Policies in China
This study aims to investigate the principles and characteristics of long-term care insurance policies across all pilot authorities. It seeks to examine the design of local long-term care insurance systems and their current status.Methodology: Based on the 2016 guidance, a systematic search for local policy documents on long-term care insurance across the 15 authorities was undertaken, followed by critical analysis to extract policy value and distinctive features in the delivery of long-term care.Results: The results found that there were many inconsistencies in long-term care policies across local areas, leading to substa...
Source: International Journal of Integrated Care - September 17, 2021 Category: Nursing Source Type: research

The Cost Consequences of the Gold Coast Integrated Care Programme
Conclusion: The GCIC programme did not show value for money, incurring additional  costs to the health system and demonstrating no significant improvements in health-related quality of life. Because patient recruitment was gradual throughout the trial, we had only one year of complete data for analysis which may be too short a period to determine the true cost-consequences of th e program. Published on 2021-09-15 11:22:50 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - September 15, 2021 Category: Nursing Source Type: research

Needs Assessment Towards Development of an Integrated Diabetes-Oral Health Nutrition Education Module: A Qualitative Study
Conclusions: Cost-effective efforts must be focused on overcoming these issues besides emphasizing the needs on developing an integrated module to achieve better  management outcomes. Published on 2021-09-15 11:28:32 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - September 15, 2021 Category: Nursing Source Type: research

Call for Emergency Action to Limit Global Temperature Increases, Restore Biodiversity, and Protect Health: Wealthy Nations Must do Much More, Much Faster
Joint editorial calling for emergency action to limit global temperature increases, restore biodiversity, and protect health. Published on 2021-09-06 11:00:55 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - September 6, 2021 Category: Nursing Source Type: research

Analysis of initial barriers and facilitators to the implementation of a county wide integrated care project in Estonia: experience from the PAIK service
ConclusionsIn the focus group discussions we identified 3 critical barriers and 3 critical facilitators to integrated care provision in Estonia. These included the need to change the payment system, change to doctor attitudes towards the social care system and its capacity. The key facilitators included highly motivated local leadership, decision maker support and the nurses willingness and motivation to change their roles in the healthcare system.LimitationsOur results are most likely context specific and limited to the experience and opinions of the region. However, we expect similar barriers to be encountered by other p...
Source: International Journal of Integrated Care - September 2, 2021 Category: Nursing Source Type: research

An Integrated Model of Environmental Care for a Patient Discharged from the Emergency Department - A Comparative Analysis of Meeting the Needs of Emergency Department Patients and General Practice Patients
ConclusionsA comprehensive model of environmental care for patients discharged from the ED should include: their sociodemographic factors, health profile, level of health behaviours, generalized self-efficacy and quality indicators of health care provided by GP and primary care nurses.  Lessons learned. ED ’s nurses should conduct a screening based on the examination of the level of satisfying the needs of the patients being discharged. The results should be passed on to the primary care physician and social welfare units.LimitationsThis research was conducted on a small research sample and only in one ED.Suggestions fo...
Source: International Journal of Integrated Care - September 2, 2021 Category: Nursing Source Type: research

An eHealth application to support vulnerable mother and child dyads: design of a randomized controlled trial
ConclusionsWe expect that this study shows a reduced low empowerment and provides more information for effective eHealth integration in care for vulnerable populations.    Published on 2021-09-01 00:00:00 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - September 2, 2021 Category: Nursing Source Type: research

AgeWell: A Unique Care Model for Older People in Ireland combining peer-based social engagement and mobile technology to improve health outcomes and well-being among older people.
Long term population projections paint a clear picture in terms of the growth of demand for effective supports for our older people.   The over-60s population is expected to grow to over 1.3M by 2031 and 1.8M by 2046 with the most rapid growth segment being the over 85’s. There is a necessity to invest in innovative solutions that will address the care needs of a growing older population, that will provide a more effective sup port service to enable older people to remain in their own homes longer. AgeWell is one such innovation, using a pioneering and cost-effective health monitoring system that aids older people to st...
Source: International Journal of Integrated Care - September 2, 2021 Category: Nursing Source Type: research

Attitudes and knowledge about palliative care among citizens of Croatia: a case study of two cities with and without established palliative care service
ConclusionsBrief behavioral treatment can be delivered by non-behavioral health professionals within the context of a primary care visit. Trained providers report they are comfortable implementing this protocol and that it is feasible. Integrated psychologists have the ability to provide valuable resources to medical teams to facilitate evidence-based treatment of depression among adolescent patients. DiscussionThe project filled a critical service gap and improved the standard of patient care through the efficient allocation of scarce resources and collaboration through integrated care.Lessons Learned:   Provider questi...
Source: International Journal of Integrated Care - September 2, 2021 Category: Nursing Source Type: research

Action Research Investigating the potential in adhering to the development and design of a new model for LTC based on innovative financing, in the context of countries facing budget cuts in social care.
ConclusionsThe innovative character of the model was its main limitation. The modernization gap in policies and social care models was the reason that kept back some municipalities from expressing interest. The municipality of Trikala is one of the 20 most innovative cities in Europe, awarded by the European Commission DG Connect.The mayor is an innovative policy decision maker. He foresaw the needs to adopt innovation, along with the necessary technical, administrative and institutional reforms, in adhering to the model.Working with pioneers, intense awareness and consensus towards cooperation in implementation prove to b...
Source: International Journal of Integrated Care - September 2, 2021 Category: Nursing Source Type: research

A Practice-proven, Collaborative, Purely Meta-model-based Adaptive Case Management Approach for Integrated Care
Background:Demographic changes are leading to population ageing in Europe. Elderly patients, aged 65 years or older, are frequently affected by multiple chronic diseases. Simultaneously, insufficiently coordinated treatments can cause undesired side effects. Traditionally, such patients consume a disproportionally high share of health-care resources. Integrated care is widely acknowledged to be a promising approach, but in practise, adequate generic tool support for integrated care is still missing. Such care faces multifaceted challenges with regulatory, organizational and technical aspects, whereas the following high-lev...
Source: International Journal of Integrated Care - September 2, 2021 Category: Nursing Source Type: research

A compassionate communities ’ programme to support volunteers to be carers at the end of life
IntroductionVolunteers are engaged in co-designing Compassionate Isle of Man along with the Programme Lead in Hospice Isle of Man. Volunteers sit on the Steering Committee which includes Third sector and statutory organisations and the Community Development Group to plan the project and also use their own lived experience to use and manage the Facebook site which informs the public about the programme.End of life care requires a sensitive approach and emotional preparation in order to support people in difficult times. Compassionate Isle of Man uses a bottom up approach which drives discussion and participation rather than...
Source: International Journal of Integrated Care - September 2, 2021 Category: Nursing Source Type: research