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Patient Privacy and Integrated Care: The Multidisciplinary Health Care Team
This article explores legislative provisions in relation to patient privacy in the context of integrated health and social care and the development of multidisciplinary health care teams that include practitioners from private sector and government agencies in the health, education, child protection, family welfare, disability, aged-care, housing, local government and criminal justice sectors. The definition of a multidisciplinary health care team and the extent to which health information can be shared within the team is examined. Australian Commonwealth and State legislation provides for the sharing within a health care ...
Source: International Journal of Integrated Care - November 19, 2020 Category: Nursing Source Type: research

Screening Isn ’t Enough: A Call to Integrate Behavioral Health Providers in Women’s Health and Perinatal Care Settings
This paper aims to enhance the current understanding of integrated mental health services in the United States and how they can be better incorporated in perinatal and women ’s health specialty care from the perspective of a behavioral health provider. While much is known about gender disparities of mental health and low recognition and treatment rates for mental health disorders in women’s health and perinatal care, few changes are being implemented to embed mental health specialists where they are needed most to close gaps in care. This paper demonstrates the value creation of integrated behavioral health in a midwif...
Source: International Journal of Integrated Care - November 18, 2020 Category: Nursing Source Type: research

Experiences of Caregivers as Clients of a Patient Navigation Program for Children and Youth with Complex Care Needs: A Qualitative Descriptive Study
The number of Canadian children and youth with complex care needs has continued to rise, and their need for resources across all sectors can be extensive. Navigating the maze of resources and services can create confusion and impact how care is delivered and integrated. Patient navigators can help support and guide patients and caregivers through the healthcare system by matching their needs to appropriate resources with the aim to improve access and promote the integration of care. This qualitative study explored caregivers ’ experiences caring for a child or youth with complex care needs, and their experiences and sati...
Source: International Journal of Integrated Care - November 10, 2020 Category: Nursing Source Type: research

“It’s Difficult, There’s No Formula”: Qualitative Study of Stroke Related Communication Between Primary and Secondary Healthcare Professionals
Conclusions: Generalists and specialists recognise the need for better communication with each other. Current care is characterised by silo-based working that ignores the contribution of other sectors. Failure to bridge this communication gap will result in people with stroke continuing to experience unmet stroke needs and fragmented care. Published on 2020-11-10 09:58:32 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - November 10, 2020 Category: Nursing Source Type: research

Co-Design Process of a Virtual Community of Practice for the Empowerment of People with Ischemic Heart Disease
Conclusion: A people-centred co-design process of a vCoP may facilitate the empowerment of people with IHD. Published on 2020-11-09 09:50:46 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - November 9, 2020 Category: Nursing Source Type: research

Goal-Oriented Care: A Catalyst for Person-Centred System Integration
Discussion: The three cases demonstrate how goal-oriented care has the potential to catalyse integrated care. Exploration of these cases suggests that goal-oriented care can serve to activate formative and normative integration mechanisms; supporting processes that enable integrated care, while providing a framework for a shared philosophy of care.Lessons learned: By establishing a common vision and philosophy to drive shared processes, goal-oriented care can be a powerful tool to enable integrated care delivery. Offering plenty of opportunities for training in goal-oriented care within and across teams is essential to sup...
Source: International Journal of Integrated Care - November 4, 2020 Category: Nursing Source Type: research

Understanding Young People and Their Care Providers ’ Perceptions and Experiences of Integrated Care Within a Tertiary Paediatric Hospital Setting, Using Interpretive Phenomenological Analysis
Discussion and conclusion: Stakeholders ’ experiences of integrated care highlighted the need to examine the discrepancies between healthcare strategies, policies and service delivery within a complex, and often inflexible organisational structure. Power imbalance and family agency (including directly with children and young people) nee ds to be addressed to support the implementation of integrated care. Published on 2020-10-27 11:09:30 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - October 27, 2020 Category: Nursing Source Type: research

Integrated Primary Healthcare Opioid Tapering Interventions: A Mixed-Methods Study of Feasibility and Acceptability in Two General Practices in New South Wales, Australia
Introduction: Integrated team-based primary healthcare is well positioned to support opioid tapering for patients experiencing chronic pain. This paper describes the development, implementation and acceptability of a primary healthcare opioid tapering intervention ‘Assess Inform Manage Monitor’ (AIMM) at two sites.Methods: AIMM involved GP advice; nurse monitoring and potential engagement with: community pharmacist; psychologist; dietitian and exercise physiologist. Individuals receiving 90 days or more of prescription opioids were eligible. Patient and provider surveys and qualitative interviews were completed.Results...
Source: International Journal of Integrated Care - October 22, 2020 Category: Nursing Source Type: research

Research in Integrated Care: The Need for More Emergent, People-Centred Approaches
The International Foundation for Integrated Care (IFIC) recently celebrated its 20th International Conference (ICIC20) through a virtual event that brought together patients and carers, academics, care professionals, NGOs, policy-makers and industry partners from across the global integrated care community [1]. The International Journal for Integrated Care (IJIC) used this opportunity to host a workshop on published research in integrated care, specifically to reflect on the quality of existing scientific enquiry. A lively discussion on the current state of integrated care research concluded that there remained significant...
Source: International Journal of Integrated Care - October 21, 2020 Category: Nursing Source Type: research

(Dis)Integrated Care? Lessons from East London
Discussion: By focusing on professionals ’ working routines, we detailed how and why action taken by organisational leaders failed to have tangible impact. The inability to align organisational priorities and guidelines on the ground, as well as a failure to acknowledge the impact of structural incentives for organisations to compete at the expense of cooperation, in a context of limited financial and human resources, acted as barriers to more coordinated working. Within an environment of continuous reconfigurations, staff were often confused about the functions of new services and did not feel they had influence on chan...
Source: International Journal of Integrated Care - October 19, 2020 Category: Nursing Source Type: research

Exploring the Team Climate of Health and Social Care Professionals Implementing Integrated Care for Older People in Europe
Conclusion: This mixed methods study offers significant insights into the development and maintenance of team climate in complex, integrated care systems in Europe. Published on 2020-10-19 08:48:07 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - October 19, 2020 Category: Nursing Source Type: research

Can Integrated Care Help in Meeting the Challenges Posed on Our Health Care Systems by COVID-19? Some Preliminary Lessons Learned from the European VIGOUR Project
The COVID-19 pandemic puts health and care systems under pressure globally. This current paper highlights challenges arising in the care for older and vulnerable populations in this context and reflects upon possible perspectives for different systems making use of nested integrated care approaches adapted during the work of the EU-funded project VIGOUR ( “Evidence based Guidance to Scale-up Integrated Care in Europe”, funded by the European Union’s Health Programme 2014–2020 under Grant Agreement Number 826640). Published on 2020-10-19 09:03:51 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - October 19, 2020 Category: Nursing Source Type: research

Supporting Older People to Live Safely at Home – Findings from Thirteen Case Studies on Integrated Care Across Europe
Conclusions and discussion: Integrated care services across Europe address older people ’s safety in many ways. Further integration of health and social care solutions is necessary to enhance older people’s perceptions of safety. Published on 2020-10-07 10:49:26 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - October 7, 2020 Category: Nursing Source Type: research

Correction: What Do Parents Expect in the 21st Century? A Qualitative Analysis of Integrated Youth Care
This article details a correction to the article: Nooteboom LA, Kuiper CHZ, Mulder E, Roetman PJ, Eilander J, Vermeiren RRJM. What Do Parents Expect in the 21st Century? A Qualitative Analysis of Integrated Youth Care. International Journal of Integrated Care. 2020; 20(3): 8. DOI:http://doi.org/10.5334/ijic.5419 Published on 2020-10-01 10:34:56 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - October 1, 2020 Category: Nursing Source Type: research

Refining Program Theory for a Place-Based Integrated Care Initiative in Sydney, Australia
Conclusion: This study successfully refined the program theory for subsequent use in later implementation of critical realist evaluation studies. Published on 2020-09-28 10:42:33 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - September 28, 2020 Category: Nursing Source Type: research