Impact of Integrated Care on the Rate of Hospitalization for Ambulatory Care Sensitive Conditions among Older Adults in Stockholm County: An Interrupted Time Series Analysis
Conclusion: Introducing IC in Norrt älje may have had positive impact on admissions for ACSC for older people living in Norrtälje; however, the interpretation of the impact of IC on admissions for ACSC is complicated by intervening policy changes in health and social care during the study period. Published on 2021-06-09 10:45:01 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - June 9, 2021 Category: Nursing Source Type: research

Organisational and Professional Integration Between Specialist and Primary Healthcare Services: A Municipal Perspective
Conclusions: The coexistence of the new and the old regimes seems to hamper functional and normative integration in care transitions. Published on 2021-05-24 10:15:17 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - May 24, 2021 Category: Nursing Source Type: research

The Influence of Contextual Factors on the Process of Formulating Strategies to Improve the Adoption of Care Manager Activities by Primary Care Nurses
Conclusion: Future studies should give sufficient attention to implementation strategy formulation and consider the dynamic role of organizational readiness for change when facilitating the adoption of evidence-based practices for common mental disorders in primary care. Published on 2021-05-19 11:23:34 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - May 19, 2021 Category: Nursing Source Type: research

Applying Complexity Theory to a Hospital Complex Patient Care Program
Increasingly, complexity science concepts are informing health care design and practice. The present paper describes the implementation of early complexity science principles in a Complex Care Program with the aim of strengthening the provision of integrated care. Grounded in cybernetic network theory, Stafford Beer ’s Viable Systems Model [1] provided the guiding principles for the program’s redesign. The Viable Systems Model with its broadly applicable principles [1], is now the conceptual model of information management in the program. Beer’s framework has enabled a relatively small number of clinician s to coordi...
Source: International Journal of Integrated Care - May 19, 2021 Category: Nursing Source Type: research

The Gold Coast Integrated Care Programme: The Perspectives of Patients, Carers, General Practitioners and Healthcare Staff
Conclusion: The programme enhanced care and coordination of services and was valued by patients and healthcare providers. Study results provide a rationale for adopting the model for those with chronic and complex conditions. Published on 2021-05-07 11:29:20 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - May 7, 2021 Category: Nursing Source Type: research

The Evaluation of Determinants and Impacts of Co-Production in Healthcare: A Research Protocol for OPAT in Cystic Fibrosis
Conclusion: The research protocol contributes to both theoretical and practical knowledge. It represents the first attempt to develop a systematic analytical framework for the evaluation of co-production in healthcare. Moreover, the findings gathered within the study will provide evidence to support policy makers and managers in decision-making and managerial processes within the health service. Published on 2021-04-30 11:59:00 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - April 30, 2021 Category: Nursing Source Type: research

Co-Design for People- Centred Care Digital Solutions: A Literature Review
Conclusion: Co-design is the key to deliver people-centred care as it allows to involve stakeholders in the development of health digital solutions. Implementing one or more of the co-design methods identified in this literature review should be considered to better address the needs and specific projects and target groups. Published on 2021-04-30 12:05:28 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - April 30, 2021 Category: Nursing Source Type: research

Exploring the Quality Paradigms in Integrated Care: The Need for Emergence and Reflection
This study aims to explore the use of the four quality paradigms in integrated care, and to shed light on the different paradigmatic commitments and different perspectives on quality.Methods: Peer-reviewed articles from the International Journal of Integrated care published between January 2015 and December 2019 were included in this study. For each article was determined in which paradigm it belonged. Additionally, the role of the patient and domain of impact in research, policy or practice in relationship to the paradigms were investigated.Results: In total, 255 articles were assessed based on the four quality paradigms....
Source: International Journal of Integrated Care - April 30, 2021 Category: Nursing Source Type: research

A Qualitative Study on the Implementation of Flexible Assertive Community Treatment – an Integrated Community-based Treatment Model for Patients with Severe Mental Illness
Conclusion: FACT increases access to intensive care for a broader group of patients with severe mental illness. However, findings from this study also suggest that the increased caseload in FACT compared with ACT and a changed mindset may not reflect the needs of the smaller group of patients who find it difficult to engage with mental health care services. Published on 2021-04-29 11:30:20 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - April 29, 2021 Category: Nursing Source Type: research

The Impact on Service Collaboration of Colocation of Early Childhood Services in Tasmanian Child and Family Centres: An Ethnographic Study
Conclusion: Co-location of ECS in CFCs contributed to greater cooperation and collaboration between services. However, for the potential of CFCs to be fully realised there remains a need for governance that better integrates service policies, systems and processes that explicitly support collaborative practice. Published on 2021-04-29 11:53:32 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - April 29, 2021 Category: Nursing Source Type: research

Barriers to Integration of Primary Care into Emergency Care: Experiences in Germany
Conclusion: The key element deficient in each barrier to our project, yet present in successful studies, was normative integration. Published on 2021-04-26 12:47:04 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - April 26, 2021 Category: Nursing Source Type: research

Measuring Processes of Integrated Care for Hospital to Home Transitions
Conclusion: Multiple measurement perspectives are needed to improve our understanding of how integrated care is being implemented. While chart review cannot address the full breadth of integrated care, it can help understand how processes of care are being implemented in routine daily care. Published on 2021-04-26 12:51:15 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - April 26, 2021 Category: Nursing Source Type: research

New Zealand ’s Integration- Based Policy for Driving Local Health System Improvement – Which Conditions Underpin More Successful Implementation?
Conclusion: In the context of integrated care, our findings support the need to focus on establishing the conditions that build collaborative governance in addition to strengthening it when it already exists. Published on 2021-04-23 10:48:46 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - April 23, 2021 Category: Nursing Source Type: research

A Contextual Analysis and Logic Model for Integrated Care for Frail Older Adults Living at Home: The INSPIRE Project
Conclusion: Contextual understanding and a clear logic model should enhance the potential for successful implementation of the integrated care model. Published on 2021-04-23 10:57:44 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - April 23, 2021 Category: Nursing Source Type: research