International Journal of Integrated Care This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

General Practitioners and Community Pharmacists ’ Collaboration in Primary Care: Small Steps for a Major Change
Conclusion: The study confirms that a thorough context assessment prior to implementation of a complex project is needed and that a step-wise approach should be respected to achieve effective interprofessional relationships. Published on 2021-04-23 11:10:01 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - April 23, 2021 Category: Nursing Source Type: research

Barriers and Facilitators in the Uptake of Integrated Care Pathways for Older Patients by Healthcare Professionals: A Qualitative Analysis of the French National “Health Pathway of Seniors for Preserved Autonomy” Pilot Program
The objective of the present study of healthcare professionals was to identify barriers to and facilitators of commi tment to integrated care for seniors.Methods: We performed a two-step, qualitative study, comprising (i) six qualitative, semi-directive series of interviews with HCPs (hospital practitioners, family physicians, nurses and pharmacists) who agreed or disagreed to take part in the French national “Health Pathway of Seniors for Preserved Autonomy” (PAERPA) pilot program; and (ii) an analysis of the pooled results, in order to identify common concerns among the healthcare professionals.Results: We identified...
Source: International Journal of Integrated Care - April 22, 2021 Category: Nursing Source Type: research

A Scoping Review of Alternative Payment Models in Maternity Care: Insights in Key Design Elements and Effects on Health and Spending
Conclusions: This study shows that key design elements of alternative payment models including risk mitigation strategies vary highly. Risk mitigation strategies seem to be relevant tools to increase APM uptake and protect providers from (initially) bearing too much (perceived) financial risk. Empirical evidence on the effects of APMs on health outcomes and spending is still limited. A clear definition of key design elements and a further, in-depth, understanding of key design elements and how they operate into different health settings is required to shape payment reform that aligns with its goals. Published on 2021-04-21...
Source: International Journal of Integrated Care - April 21, 2021 Category: Nursing Source Type: research

Clustering Complex Chronic Patients: A Cross-Sectional Community Study From the General Practitioner ’s Perspective
Conclusions: Characterization of CCPs shows clearly distinct profiles of needs, which provides an improved epidemiological picture by identifying clusters of patients who are likely to benefit from targeted interventions. Published on 2021-04-19 11:47:46 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - April 19, 2021 Category: Nursing Source Type: research

A Validation Study of the Rainbow Model of Integrated Care- Measurement Tool for Patients in China
Conclusions: The results showed initial satisfactory psychometric properties for the validation of the Chinese RMIC-MT patient version. Its application in China will promote the development of people-centered integrated primary care. However, future studies with diverse samples crossing regions would be needed to test its psychometric properties for the various Chinese primary care contexts. Published on 2021-04-19 12:00:30 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - April 19, 2021 Category: Nursing Source Type: research

An Integrated Care Strategy for Pre-schoolers with Suspected Developmental Disorders: The Optimus Co-design Project that has Made it to Regular Care
Conclusion: Evaluating multiple neurodevelopmental problems in children requires an integrated care approach. The Optimus care model is a relevant showcase for how people-initiated integrated care reforms can make it into usual care. Published on 2021-04-15 11:53:05 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - April 15, 2021 Category: Nursing Source Type: research

Transitional Care Experiences of Patients with Hip Fracture Across Different Health Care Settings
Discussion: In transitions to formal care settings, similarities were related to feeling confused, while in transitions to home, similarities existed in regards to feeling unprepared. These findings support the view that models of integrated care should consider the context to which they are applied. Published on 2021-04-08 11:45:35 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - April 8, 2021 Category: Nursing Source Type: research

Service Delivery Reforms for Asian Ageing Societies: A Cross-Country Study Between Japan, South Korea, China, Thailand, Indonesia, and the Philippines
Conclusions and discussion: Doctor and hospital-based healthcare delivery system requires more drastic reform for an aged society. This fact implies that strengthening primary health care is not only useful for current health issues but also an investment for the aged society near future in low- and middle-income countries. Published on 2021-04-06 12:42:27 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - April 6, 2021 Category: Nursing Source Type: research

Nursing Care Coordination for Patients with Complex Needs in Primary Healthcare: A Scoping Review
Conclusion: With the growing complexity of patient ’s needs, efforts must be directed towards enabling the primary healthcare level to effectively play its substantial role in care coordination. This includes finding primary care employment models that would facilitate multidisciplinary teamwork and the delivery of integrated care, and guarantee t he delivery of intensive yet efficient coordinated care. Published on 2021-03-19 10:05:25 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - March 19, 2021 Category: Nursing Source Type: research

Vagueness and Ambiguity in Communication of Case Management: A Content Analysis in the Australian National Disability Insurance Scheme
Case management (CM) is an integrated care strategy, characterised by a set of actions to support person-centred planning, coordination of health and social services. Decades of CM, organisational psychology and occupational research highlight how vagueness and ambiguity in role communication can create role conflict and job stress, negatively impacts staff turnover, intra-organisational collaboration, job performance, and that poor communication of CM impedes policy, quality analysis service development and practice. We conducted a detailed top-down hierarchical, quality analysis of communication about CM roles and respon...
Source: International Journal of Integrated Care - March 19, 2021 Category: Nursing Source Type: research

Implementing Integrated Care in Practice – Learning from MDTs Driving the Integrated Care Programme for Older Persons in Ireland
This study finds ICPOP offers practical and timely insight to inform health system reform. It embraces the complexity of delivery at national, local and community levels. The MDT emerges as an essential mechanism to manage such complexity and deliver on wider reform goals such as patient-centredness and timely access. Published on 2021-03-18 12:17:22 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - March 18, 2021 Category: Nursing Source Type: research

Bridging the Gap: A Mixed Methods Study Investigating Caregiver Integration for People with Geriatric Syndrome
Discussion: Feedback loops constructed from participant questionnaires and interview responses informed the identification of barriers and solutions. These are system wide and address automated integration, cultural shift, reimbursement models, and flexible structures to enhance informal caregiver participation. Future research is urgently required to translate, implement, and evaluate enhanced caregiver integration to ensure sustainable, person-centred healthcare delivery. Published on 2021-03-16 08:37:28 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - March 16, 2021 Category: Nursing Source Type: research

Engaging Carers in Co-Design: Development of the Carer Readiness Tool
Conclusion: The CRT is context-specific and fit for purpose. During the development of the CRT, the project team focused on the face validity and usefulness of the tool. The next stage of the project will be formal evaluation of the tool to measure its impact. Published on 2021-03-15 11:33:11 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - March 15, 2021 Category: Nursing Source Type: research

Learning from the Pandemic to Improve Care for Vulnerable Communities: The Perspectives and Recommendations from the Rare Disease Community
The COVID-19 pandemic has brought about health and social care disruptions for millions of people with complex health needs and disabilities, who are amongst the most vulnerable populations. More than ever before, the need for integrated care is pressing, as fragmented health and care systems struggle to face the pandemic and vulnerable individuals are exposed to aggravated health, social and economic hurdles. The implementation of effective integrated care pathways is long due and must build upon the key guidelines being published by experts worldwide. Furthermore, the pandemic is opening the doors for more remote healthc...
Source: International Journal of Integrated Care - March 4, 2021 Category: Nursing Source Type: research

Co-Creating Descriptors and a Definition for Person- Centred Coordinated Health Care: An Action Research Study
The aim of this study was to co-create a definition and generic descriptors for person-centred coordinated care for Ireland generated from service users ’ narratives. An overarching action research approach was used to engage and empower people to tangibly impact health policy and practice. Through focus groups and a qualitative survey, primary data were collected from a national sample of health services users, caregivers and health care service users’ representative groups. Thematic analysis was used to analyse the data. Three major themes were co-produced as essential care elements. These were: ‘My experience of h...
Source: International Journal of Integrated Care - March 3, 2021 Category: Nursing Source Type: research