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.

How to Ensure Referral and Uptake for COPD Rehabilitation — Part 1: Disentangling Factors in the Cross-Sectorial Workflow of Patients with COPD to Understand why Most Patients are not Referred to Rehabilitation
Conclusion: The FRAM analysis was useful to detangle factors important to cross-sectorial  collaboration and resulted in a series of focus areas that were disseminated at a workshop. The municipality and the hospital agreed to initiate activities to develop and coordinate the cross-sectorial relations. Published on 2021-03-02 09:58:21 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - March 2, 2021 Category: Nursing Source Type: research

How to Ensure Referral and Uptake for COPD Rehabilitation – Part 2: A Case of Integrated Care on How to Translate Findings of Cross- Sectorial Workflow to Improve Cross-Sectorial Rehabilitation
Conclusion: We succeeded in simplifying referral procedures and facilitated cross-sectorial  relational coordination. We had to make ongoing adjustments of procedures, information, content, population and data infrastructure.in simplifying referral procedures and facilitated cross-sectorial relational coordination. We had to make ongoing adjustments of procedures, information, content, p opulation and data infrastructure. Published on 2021-03-02 10:03:29 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - March 2, 2021 Category: Nursing Source Type: research

Learnings from Implementing Telemonitoring in South West Sydney (LITE in SWS)
This study provides guidance for the future development and escalation of telemonitoring across NSW. It highlights the importance of partnerships between the District Health, PHN, service providers (private/non-private) and local general practitioners. The results of this study will contribute to the understanding of practical considerations as well as barriers and facilitators of implementation telemonitoring beyond this region.Lessons learned:Selection of right cohort for the intervention and a better communication between the patients, staff and the GPs.Limitations:Only one service provider.Suggestions for future resear...
Source: International Journal of Integrated Care - February 25, 2021 Category: Nursing Source Type: research

Integrated Place Based Hubs - The Yarrabilba Family and Community Place - a proof of concept hub utilizing cross-sector partnerships to enable a shared focus on improving health, development and wellbeing outcomes of children and families living in a spe
Conclusions:The YFCP is an exciting and innovative initiative that showcases shared service delivery to improve outcomes for children and their families.   Supporting parents before conception, during pregnancy and in the early years of a child’s life has significant positive impacts on health and wellbeing.Lessons learned:Collaboration and co-design with the local community and service providers is integral to providing a suitable, sustainable community hub. Published on 2021-02-26 00:00:00 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - February 25, 2021 Category: Nursing Source Type: research

Using a participatory approach to assess the effectiveness of the Get Healthy Service among Chinese communities in Sydney, Australia
ConclusionsEquitable access to health promotion campaigns and preventative health would be compromised if stakeholders could not effectively promote the service in the community and if resource materials were not culturally appropriate for the targeted population. Evaluation methods which seek the views of different stakeholders and participants are important to the policy cycle and to decision makers to ensure cost efficiency, program success and better health outcomes. This pragmatic participatory approach led to refinement of the Chinese GHS including addressing the concerns of stakeholders by emphasising that bilingual...
Source: International Journal of Integrated Care - February 25, 2021 Category: Nursing Source Type: research

Development and enhancement of pathways created to Health and Social Care for clients in areas of family disadvantage in targeted Primary Schools in Sydney, Australia
Conclusion: Establishment of this pathway has challenged partners to develop a model using creative, non-standard methods of intervention.   Families in these communities have multiple needs and face multiple barriers to care. This highlights the need for place-based integrated care initiatives such as Healthy Homes and Neighbourhoods to target the needs of disadvantaged communities. The enhanced model of practice is in early stages o f implementation. Further study will focus on evaluation of these initiatives. Published on 2021-02-26 00:00:00 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - February 25, 2021 Category: Nursing Source Type: research

A qualitative study into the health and social care needs and barriers to service access for Sudanese women living in a socioeconomically disadvantaged area of Sydney, Australia
CONCLUSION: Ethnically Sudanese women who have resettled in Australia experience a range of barriers to accessing and engaging in a complex health and social care system. Further alienation occurs when women access the healthcare system specifically for perinatal care and childbirth services.LESSONS LEARNED Access to the local community relied on long-term, consistent relationship building, identification of key leaders and shared planning and goal development. Female Genital Mutilation and its consequent morbidity is a common issue for Sudanese women who have resettled in Australia.SUGGESTIONS FOR FUTURE RESEARCH   :Futu...
Source: International Journal of Integrated Care - February 25, 2021 Category: Nursing Source Type: research

12 Value-based health care – setting the scene for Australia
ConclusionsSustained cultural change is needed at all levels and across all sectors. Recommendations for enabling value-based health care through public policy in Australia that will be discussed include:1. A national, cross-sector strategy for value-based health care in Australia2. Access to relevant and up-to-date data3. Evidence for value-based health care in the Australian context4. Health workforce strategies supporting models of care that embrace a value-based approach5. Funding systems that incentivise the delivery of value-based health care. Published on 2021-02-26 00:00:00 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - February 25, 2021 Category: Nursing Source Type: research

Implementation of a model to embed culturally appropriate care for Indigenous children and young people within the Connected Care Program at Children's Health Queensland
The Connected Care Program is designed to streamline the health care of QLD ’s most medically complex children. We recognise that, increasingly, the public health system has become large and intricate and many families struggle to independently navigate.Most families with a medically complex child face daily stressors in relation to the healthcare of that child. This can include having to travel to access specialist care, having to care for more than one complex child, encountering access barriers to essential medications or medical equipment, juggling appointments with specialists, and having to access healthcare from m...
Source: International Journal of Integrated Care - February 25, 2021 Category: Nursing Source Type: research

Implementation of an Integrated Care Service in the Community
Background/Introduction:Through partnership with Western Health Service, Silver Chain Group are delivering the Western Healthlinks program, an innovative, 3-year pilot which aims to reduce the number of unnecessary hospital admissions. The Silver Chain Group is a not-for-profit organisation with a proven record of delivering quality community health and aged care services across Australia.The Silver Chain group provides   Health Navigation and access to a Priority Response Nursing Assessment  (PRNA) Service for Western Health Links patients in the community.These patients are identified by the Department of Health as bei...
Source: International Journal of Integrated Care - February 25, 2021 Category: Nursing Source Type: research

Understanding complex interventions: Evaluating the impact of integrated care
"Evaluating complex interventions such as integrated care programs can be problematic or fail to identify impacts for several reasons – identifying appropriate controls, isolating impact, and interrelationships between specific interventions. For these and many other reasons, existing evidence about the broad impact of integrated care is inconclusive.We propose to discuss how we are evaluating the complex intervention of the Integrated Care Alliance (ICA) on the Gold Coast, Queensland. The ICA is a joint initiative of Gold Coast Hospital and Health Service and Gold Coast Primary Health Network to create an integrated, co...
Source: International Journal of Integrated Care - February 25, 2021 Category: Nursing Source Type: research

An integrated approach to preventing and managing overweight and obesity within the City of Cockburn
Conclusions, discussion and lessons learned:As of June 30th, 2019 the CHLP had 212 active clients attending at least one health assessment. A recent client satisfaction survey showed that 79% of respondents felt that their health would improve after the care that they received. Among those who had attended a review health assessment 56% had reduced their weight. Effective communication including a shared database are critical to this integrated approach.References1. South Metropolitan Health Service. City of Cockburn Health and Wellbeing Profile 2019. Perth: South Metropolitan Health Service; 2019. 25 p. Published on 2021-...
Source: International Journal of Integrated Care - February 25, 2021 Category: Nursing Source Type: research

Applying Elinor Ostrom ’s Design Principles to Guide Co-Design in Health(care) Improvement: A Case Study with Citizens Returning to the Community from Jail in Los Angeles County
Conclusion: The eight design principles – and the relationships between them – form a heuristic that can support the planning, delivery, and evaluation of future healthcare improvement projects adopting co-design. They may help to address questions of how to scale up and embed such approaches as self-sustaining in wider systems. Published on 2021-02-12 09:40:58 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - February 13, 2021 Category: Nursing Source Type: research

Physician Assistants and Nurse Practitioners in Primary Care Plus: A Systematic Review
Conclusions and Discussion: Quality of care within primary care plus delivered by  nurse practitioners appears to be guaranteed, at patient-level and professional-level, with better access to healthcare and fewer referrals to hospital. Most studies were of restricted methodological quality. Findings should be interpreted with caution. Published on 2021-02-12 09:29:40 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - February 12, 2021 Category: Nursing Source Type: research

A Conceptual Framework for Integrated Community Care
This article was developed from a non-systematic review  of scientific and grey literature followed by a qualitative analysis and researcher reflections on ICC.Results: The article presents the core concepts of ICC, namely temporality, local area,  health care, social care, proximity and integration. These concepts are unpacked and a conceptual diagram is set forth to put the dynamic links between the concepts into perspective.Discussion and conclusion: The purpose of the article is to provide a conceptual clarification of ICC. Three examples of practise (from Switzerland, Quebec [Canada] and Italy) are used as illustr...
Source: International Journal of Integrated Care - February 10, 2021 Category: Nursing Source Type: research