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.

Financial Integration Scenario for Community Integrated Care: Focusing on the Case of Korea
This study analyzes the potential effects of a reform based on community integrated care in Korea, which is experiencing a high rate of population aging, and a specific method for financial integration. We first analyze the size and trend of funds used for the care for the elderly out of Korea ’s health insurance, long-term care insurance, and national budget. We then analyze the amount of financial resources required and the cost-saving effect when the related financial resources are converted into local community care funds. This approach sheds light on the possibility of harmonizing healthcare policy for the elderly a...
Source: International Journal of Integrated Care - May 31, 2022 Category: Nursing Source Type: research

Integration of Care in Complex and Fragmented Service Systems: Experiences of Staff in Flexible Assertive Community Treatment Teams
Conclusion: The FACT team staff described several barriers to integration within the system. However, they made some adjustments in their way of working that might provide opportunities for integrated care within complex and fragmented service systems. Published on 2022-05-25 14:33:11 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - May 25, 2022 Category: Nursing Source Type: research

Integrating Care from Home to Hospital to Home: Using Participatory Design to Develop a Provincial Transitions in Care Guideline
Conclusion: The extensive design process used to create the Guideline was instrumental in establishing content, encouraging system integration, and creating conditions to support provincial implementation. While intended to improve and standardize patient care in Alberta, the methods used and lessons learned throughout the development of the Guideline are applicable internationally. Published on 2022-05-20 11:21:13 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - May 20, 2022 Category: Nursing Source Type: research

Key informants' perspectives on Implementing Patient Navigator Programs within Hospital Settings
ConclusionsTo our knowledge, this is the first Canadian study to explore the implementation of PNPs for seniors with complex needs using health care providers working across care settings. This study provides initial insight into the organizational and system-level facilitators and barriers associated with the development and implementation of PNPs.Implications for applicability/transferability sustainability and limitationsFuture implementation strategies to adopt PNPs should incorporate evidence on the value of the program and consider collaborative communication and workflow processes. Our sample is limited. Future rese...
Source: International Journal of Integrated Care - May 16, 2022 Category: Nursing Source Type: research

Modifying Essential Coaching for Every Mother, a postpartum text message program, for implementation during COVID-19
ConclusionsThe modification of Essential Coaching for Every Mother to be applicable during COVID-19 pandemic was achieved relatively efficiently, with a total of 56 messages. We were able to maintain approximately twice a day messages for the first two weeks, except for three days in which three messages were sent.Implications for applicability/transferability sustainability and limitationsThe Essential Coaching for Every Mother postpartum text message program can offer a way to provide evidence-based, people-centered care during a time of challenges associated with COVID-19 pandemic restrictions. By engaging mothers and h...
Source: International Journal of Integrated Care - May 16, 2022 Category: Nursing Source Type: research

The creation of an adaptive space in a healthcare system: a retrospective organisational analytic autoethnography.
ConclusionsThis account provides an insight into the author's lived experience as a senior leader within a national public healthcare organisation as she endeavoured to create an adaptive space within the organisation and concludes with some reflections about the gap between innovation and practice in healthcare transformation.Implications for applicability/transferability sustainability and limitationsOrganizational autoethnography has the potential to be a powerful tool for capturing the authentic lived experiences of employees within organisations. This account is one person ’s reflections but using multiple data sour...
Source: International Journal of Integrated Care - May 16, 2022 Category: Nursing Source Type: research

Facilitating Adaptive Strategy through Design Spurts
ConclusionsDesign thinking provided the opportunity for our faculty, administration, and students to voice theirconcerns and more importantly create solutions that address their environment ’s contextual andtemporal constraints and affordances. Participants of our design thinking sessions described theexperience as highly collaborative and thought-provoking. Furthermore, during COVID-19pandemic, this paradigm  Implications for applicability/transferability sustainability and limitationsThe design thinking paradigm is one that can be easily transferred to any setting where participantsare open to new ideas and thoughts ...
Source: International Journal of Integrated Care - May 16, 2022 Category: Nursing Source Type: research

Integrating primary care and community social services through Social Prescribing
ConclusionsWhile the work has been somewhat curtailed by the Covid 19 pandemic, the primary care prevention of frailty through social prescription is based on evidence and leverages the primary care providers' unique position to intervene as their patients start becoming vulnerable to implement services and programs that will prevent frailty.Implications for applicability/transferability sustainability and limitationsThroughout its development the primary care frailty prevention work called CARES has developed a toolkit that is available for any other health service delivery providers.   Webinars have been provided and ar...
Source: International Journal of Integrated Care - May 16, 2022 Category: Nursing Source Type: research

Learnings from the field – An Integrated model of care for Hip and Knee Bundle Patients at UHN
ConclusionsAn integrated pathway for hip and knee bundle patients achieved our aim of improving patient and caregiver experience. Patient feedback was critical in identifying current gaps and opportunities for enhancing integration with technology and care navigation roles to support recovery at home.Implications for applicability/transferability sustainability and limitationsIntegrated care models have proven to be sustainable and patient-centric, ensuring strong clinical outcomes and efficiency in care delivery. In order to sustain these models, it is critical that efficiencies are re-invested to support recovery at home...
Source: International Journal of Integrated Care - May 16, 2022 Category: Nursing Source Type: research

Reducing Avoidable Readmissions in Toronto for Congestive Heart Failure (CHF), Chronic Obstructive Pulmonary Disease (COPD), Community-Acquired Pneumonia (CAP) and Gastrointestinal (GI) Diseases
ConclusionsResults have been remarkable which has led to a reduction in hospital 30-day readmission rates of up to 30%. This has resulted in better patient outcomes and utilization. Toronto is now one of the lowest in Ontario, with a readmission rate of 12.6%, which demonstrates sustained results.Implications for applicability/transferability sustainability and limitationsThis created knowledge that others can follow to reduce avoidable hospital readmissions through:•           Identifying quality gaps. Establishing avoidable readmission targets.•           Tailoring transition supports in the commu...
Source: International Journal of Integrated Care - May 16, 2022 Category: Nursing Source Type: research

Improving care for patients with depression: A collaborative project with community pharmacy and primary care providers
ConclusionsThrough this project, a model was established that integrated care between community pharmacyand primary care to provide support for patients with depression. Patients received follow-up carefrom pharmacists in collaboration with primary care. Care was provided across the continuum,aligning with best practices to maximize health outcomes.Implications for applicability/transferability sustainability and limitationsThe model is this project is applicable to other patient populations and conditions in whichcollaboration and strengthening primary care can help to improve outcomes by implementing bestpractices Publis...
Source: International Journal of Integrated Care - May 16, 2022 Category: Nursing Source Type: research

A Secondary-Primary Mental Health Integrated Care Model for Communities with Diverse Population and Complex Health Needs – a Case Study with Health Care Utilization Evaluation
Conclusions: ILoC appears to shorten non-acute length-of-specialist-care and reduce acute mental health admission. The study provides a first step in understanding the clinical characteristics and specialist services health-care utilization of patients supported by an integrated mental care approach. Published on 2022-05-16 12:32:54 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - May 16, 2022 Category: Nursing Source Type: research

Qualitative Case Study: A Pilot Program to Improve the Integration of Care in a Vulnerable Inner-City Community
Conclusion: Knowledge gained from this study will inform future integrated approaches in health districts to address health inequities in areas of need. Published on 2022-05-16 12:38:46 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - May 16, 2022 Category: Nursing Source Type: research

Do Shared Digital Workspaces Boost Integration? The Case of One Early Intervention Initiative for Vulnerable Children in Norway
Conclusion: Concerted action at national and municipal level is needed to successfully implement digital tools. Published on 2022-05-13 10:26:09 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - May 14, 2022 Category: Nursing Source Type: research

Impact of COVID-19 Measures on Discharge Planning and Continuity of Integrated Care in the Community for Older Patients in Singapore
Conclusion: The pandemic measures generated challenges of safe discharge of patients and care continuity in the community. Findings shed light on the need to proactively assess care pathways and catalyse novel models to improve care transition beyond the pandemic. Published on 2022-05-13 10:28:04 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - May 14, 2022 Category: Nursing Source Type: research