Effectiveness of Integrated Diabetes Care Interventions Involving Diabetes Specialists Working in Primary and Community Care Settings: A Systematic Review and Meta-Analysis
Conclusions: Integrated interventions with an active endocrinologist involvement can result in modest improvements in HbA1c, blood pressure and weight management. Although the improvements per clinical outcome are modest, there is possible net improvements at a holistic level. Published on 2022-05-12 11:40:59 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - May 13, 2022 Category: Nursing Source Type: research

The " Score Beb é®" as a proposal for enhancing neonatal risk stratification from an integrated care approach: a nationwide retrospective study
ConclusionsThe Score Beb é® is an acceptably accurate tool for neonatal health risk assessment and stratification.Lessons learnedImproving neonatal care in Ecuador is a priority. Risk assessment and stratification, as digital health tool, has the potential of reducing neonatal mortality by timely interventions and by enhancing communication and collaborative work.LimitationsWe did not include non-at-risk neonates in the analyses; therefore, it is possible that some predictors could overestimate mortality. We could not test the prediction ability of the score by including laboratory biomarkers as predictors.Suggestions fo...
Source: International Journal of Integrated Care - May 10, 2022 Category: Nursing Source Type: research

Unpacking the Black Box of Medical Leadership in a Complex Specialist Rehabilitation Hospital: An Action Research Study. Phase 1: Preunderstanding
ConclusionPreunderstanding allowed assimilation of knowledge, insights and experience before commencing phase 2 enabling the meta learning of content, process and premise.Lessons learnedPreunderstanding helped develop a shared understanding of issues and a shared desire to address them.LimitationsOnly Consultants with admitting privileges were included Suggestions for future researchExploring a CI approach in other areas Published on 2022-04-08 00:00:00 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - May 10, 2022 Category: Nursing Source Type: research

Lack of social health determinants on risk prediction tools for cardiovascular disease: A systematic review of systematic reviews.
ConclusionsThere is not enough scientific evidence to allow us to choose a CVD risk prediction tool over others, in terms of discrimination, calibration, and reclassification of performance. Also, SD are not included in the risk assessment tools.Lessons learnedProgrammes to provide integrated care of cardiovascular prevention and treatment have been developed (8). Unfortunately, CVD risk assessment, considering care pathways to socially risk patients (poor working conditions, illiteracy, etc.) when CVD risk is also present, remains as a gap.LimitationsWe limited our search to those sources that we have access to. There is ...
Source: International Journal of Integrated Care - May 10, 2022 Category: Nursing Source Type: research

Co-designing integrated value-based eHealth technology for people living with frailty in Ireland
Healthy ageing has become a global health priority as life expectancy is increasingly improving. With longer life spans, people are more at risk to experience health conditions which, in turn, places greater demands on our current health and social services. The ValueCare project is a Horizon 2020 European project which aims to deliver efficient outcome-based integrated health and social care to older people with chronic health conditions in order to improve their quality of life, as well as their families and to support the sustainability of healthcare systems in Europe. In Ireland, the aim of the ValueCare project is to ...
Source: International Journal of Integrated Care - May 10, 2022 Category: Nursing Source Type: research

Implementation of a Managed Care Programme in Germany Using the Example of the Baden-Wuerttemberg Contract on Care in the Field of Cardiology
This thesis analysed the implementation of the German medical specialists ’ contract in cardiology, a managed care programme within the state of Baden-Wuerttemberg. Research focused on exploring differences between participating and non-participating physicians, their motivation to participate, actual implementation of the programme and its perceived effects. Mixed meth ods consisting of questionnaires and qualitative telephone interviews with cardiologists and general practitioners showed that participants were older than non-participants, participation was mainly financially driven and implementation was successful reg...
Source: International Journal of Integrated Care - April 29, 2022 Category: Nursing Source Type: research

Rethinking Primary Care Delivery Models: Can Integrated Primary Care Teams Improve Care Experience?
Conclusions: Our results suggest that the IPCT model is tailored to the needs of its target populations, resulting in improved Patient Reported Experience Measures. These results imply that broader implementation of innovative and flexible community-based care models should be considered by policymakers. Published on 2022-04-27 11:46:31 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - April 28, 2022 Category: Nursing Source Type: research

Implementing a Care Coordination Strategy for Children with Medical Complexity in Ontario, Canada: A Process Evaluation
Conclusion: This study adds to the understanding of the processes involved in a population-level care coordination intervention for CMC. Lessons learned through CCKO can help facilitate reproducibility and necessary adjustments of the intervention in different settings. Published on 2022-04-28 11:58:24 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - April 28, 2022 Category: Nursing Source Type: research

Chefs in Future Integrated Healthcare – Current State and Innovation Needs: A First Overview of the NECTAR Project (aN Eu Curriculum for Chef gasTro-Engineering in Primary Food Care)
People in need of care, chronic or acute, often present problematic food intake and special nutritional needs. Integrated, person-centred and pro-active food and nutritional care delivery has been proven effective for people in health care. However, skills mismatches have been reported in different professions involved, which also applies to the role of chefs in healthcare. The EU funded project NECTAR aims at closing this gap by creating a new job profile, called Chef Gastro-Engineering (CGE). The current publication summarizes the status quo in hospitals and gives a perspective on the future role of chefs in integrated h...
Source: International Journal of Integrated Care - April 19, 2022 Category: Nursing Source Type: research

BigMove: A Group Intervention for People with Physical and Mental Health Conditions
Conclusion: For people with physical and mental health conditions, the intervention BigMove provides an innovative integrated care approach that addresses aspirations people have regarding their functioning and focuses on individual goal setting and behaviour change. Published on 2022-04-19 12:18:31 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - April 19, 2022 Category: Nursing Source Type: research

Designing and Governing Responsive Local Care Systems – Insights from a Scoping Review of Paramedics in Integrated Models of Care
Conclusion: Integrated care may be supported by a generalist health workforce, through cross-cutting organizations that work across silos, and legislation that balances standardization with flexibility. Published on 2022-04-13 11:08:59 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - April 13, 2022 Category: Nursing Source Type: research

Evaluation of the North West London Diabetes Foot Care Transformation Project: A Mixed-Methods Evaluation
Conclusion: Demonstrating the impact of multidisciplinary, integrated care models and the value of co-production approaches is important for health providers and commissioners trying to improve health outcome. Evaluation is also needed to identify strategies to overcome barriers which might have reduced the impact of the programme and key elements for improvement. Published on 2022-04-05 10:31:13 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - April 5, 2022 Category: Nursing Source Type: research

What Can Canada Learn From Accountable Care Organizations: A Comparative Policy Analysis
Conclusion: This comparative study uncovered several insights on the applicability and transferability of ACOs to the Canadian context. Further comparative research outside the US is needed to infer the essential components of successful ACO models. Published on 2022-04-01 10:06:34 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - April 2, 2022 Category: Nursing Source Type: research

The Care Coordinator ’s Tasks During the Implementation of an Integrated Care Pathway for Older Patients: A Qualitative Study Based on the French National “Health Pathway of Seniors for Preserved Autonomy” Pilot Program
Conclusions: The CC ’s tasks in an integrated care pathway for older adults showed that the CC’s overall workload was greater than expected and appreciated by healthcare professionals. Published on 2022-04-01 10:16:13 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - April 2, 2022 Category: Nursing Source Type: research

The Effect of Network-Level Payment Models on Care Network Performance: A Scoping Review of the Empirical Literature
Discussion/conclusion: As health care networks are increasingly common, it seems fruitful to continue experimenting with reimbursement models for health care networks. It is also important to broaden the scope to not only scrutinize outcomes, but also the contexts and mechanisms that lead to certain outcomes. Published on 2022-04-01 10:17:15 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - April 2, 2022 Category: Nursing Source Type: research