Case Management Programs for Improving Integrated Care for Frequent Users of Healthcare Services: An Implementation Analysis
Conclusion and discussion:This study underscores the necessity of an experienced, knowledgeable and well-trained case manager with interpersonal skills to optimize CMP implementation such that patients are more proactive in their care and their outcomes improve. Published on 2022-02-11 10:12:36 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - February 11, 2022 Category: Nursing Source Type: research

Intersectoral Ward Rounds on Patients Admitted to Temporary Twenty-Four-Hour Accommodations in Denmark: Case Study
ConclusionAn overview of the course of treatment was provided in most casesThe patient ’s health was enhanced in most cases and to a considerable or determining degree in half of casesMedication was optimized in most casesThe succeeding course of treatment was enhanced in more than half of the casesReadmission was prevented in some cases. Published on 2022-02-11 10:22:50 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - February 11, 2022 Category: Nursing Source Type: research

Understanding for whom, how and why Sydney Local Health District ’s Integrated Response was Effective in Addressing COVID-19: A Critical Realist Qualitative Study
Conclusion: The SLHD ’s progress towards a ‘whole of health’ approach, empowered and enabled the district to effectively work within and across sectors to address the pandemic in a people-centred manner. Sustaining the contextual conditions and mechanisms, that facilitated effective integration, will be beneficial beyond the pandemic. Published on 2022-02-11 10:30:40 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - February 11, 2022 Category: Nursing Source Type: research

The Impact of Payment Reforms on the Quality and Utilisation of Healthcare for Patients With Multimorbidity: A Systematic Review
Inadequate treatment of multimorbidity is recognised as a major determinant of the effectiveness of healthcare and also of its inappropriate expenditures. However, current payment systems target, primarily, the treatment of single diseases, thus hindering integrated delivery of care for patients with multimorbidity (PwM). This review aims to assess the effects of targeted reforms of payment systems which could help attain a higher quality of care and reduce unnecessary healthcare utilisation. In June 2020, a search of Medline and EMBASE revealed 13 relevant articles. The most common payment models were the use of bundled p...
Source: International Journal of Integrated Care - February 10, 2022 Category: Nursing Source Type: research

Improving Thrombolysis for Acute Ischemic Stroke: The Implementation and Evaluation of a Theory-Based Resource Integration Project in China
Conclusions: Introduction of the theory-based resource integration project was associated with increased thrombolysis administrations, shorter DNT, and no statistically significant change in adverse outcomes. The basic principles of this project might be applicable to various resource settings. Published on 2022-02-08 10:21:01 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - February 8, 2022 Category: Nursing Source Type: research

Integrated People-Centred Care in Canada – Policies, Standards, and Implementation Tools to Improve Outcomes
Conclusion: Implementing integration strategies requires that we create and sustain a culture of continuous improvement and learning. Key lessons from the development process focused on the importance of co-design, embedding people-centred practices throughout the standard, formal yet iterative methodology inclusive of broad consultation, clear accountability for both policy makers and system partners, tools that support action and can be adapted to local context and level of integrated system maturity. Published on 2022-02-04 12:58:09 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - February 5, 2022 Category: Nursing Source Type: research

Effectiveness of Peri-Discharge Complex Interventions for Reducing 30-Day Readmissions among COPD Patients: Overview of Systematic Reviews and Network Meta-Analysis
Conclusions: Peri-discharge complex interventions may not differ from usual care in reducing 30-day all-cause readmissions among COPD patients but some are more effective for lowering 30-day COPD-related readmission. Thus, complex intervention comprising core components of patient education, self-management, patient-centred discharge instructions, and telephone follow up may be considered for implementation, but further evaluation is warranted. Published on 2022-02-03 10:43:42 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - February 3, 2022 Category: Nursing Source Type: research

Integrating Care for Diabetes and Hypertension with HIV Care in Sub-Saharan Africa: A Scoping Review
Conclusion:The review may inform the understanding of how best to develop an integrated model of care service by reducing barriers to uptake, linkage and retention in HIV, diabetes and hypertension treatment in SSA countries. Published on 2022-01-31 11:44:38 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - January 31, 2022 Category: Nursing Source Type: research

Managing Chronic Conditions: Lessons Learnt from a Comparative Analysis of Seven Years ’ Policies for Chronic Care Patients in Italy
Conclusions: The paper firstly describes the main policies developed in Italy in the last seven years; secondly, it discusses six main trends and clusters them into three strategies: demand management strategies; strategies to improve the management of comorbid and frail patients; and strategies to improve the coordination between levels of care and the patient journey; thirdly, it discusses eight trends and evolutionary trajectories which are now emerging. Published on 2022-01-21 12:47:12 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - January 23, 2022 Category: Nursing Source Type: research

How Different Quality Paradigms Undermine a Shared Value Base for Integrated Care: The Need for Collective Reflexivity
This article aims to clarify what an important challenge is for the further development of integrated care and for integrated care research. Professionals and managers in integrated care need to cope with and embrace uncertainty. However, that requires collective reflexivity. Collective reflexivity is a means to investigate the values of the partners interacting to co-create integrated care and to remove the roadblocks on the way. Published on 2022-01-21 12:52:44 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - January 23, 2022 Category: Nursing Source Type: research

The Evolving Roles of Nurses Providing Care at Home: A Qualitative Case Study Research of a Transitional Care Team
Conclusion: The roles of nurses have ‘emerged differently’ from their traditional counterparts. Various nursing roles have been undertaken to facilitate care integration. The findings emphasised the important balance between formal structural practices and informal processes in facilitating and supporting the nurses in their role d evelopment. Published on 2022-01-20 11:52:56 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - January 21, 2022 Category: Nursing Source Type: research

Community Based Participatory Research For The Development of a Compassionate Community: The Case of Getxo Zurekin
Conclusion: Getxo Zurekin represents an example of a participatory action research model, which has shown to be effective to meet initial targets towards creation of a compassionate community. Published on 2022-01-17 10:21:02 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - January 17, 2022 Category: Nursing Source Type: research

Provider and Manager Perspectives on the Use of an Integrated Clinical Pathway for Community-Dwelling Older Adults: A Qualitative Case Study
Conclusion:Given the importance of ICPs in advancing clinical integration, it is critical to continuously adjust their design to align with providers ’ realities in order to optimize their potential in real life contexts. Published on 2022-01-13 12:25:08 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - January 16, 2022 Category: Nursing Source Type: research

Care Integration in Primary Dementia Care Networks: A Longitudinal Mixed-Methods Study
Conclusions:The DementiaNet approach enables a transition towards more mature networks. Identified success factors provide better understanding of how network maturity can be achieved and gives guidance to future care integration strategies. Published on 2021-12-08 11:55:47 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - December 8, 2021 Category: Nursing Source Type: research

Consensus on Integrated Care for Older People Among Dutch Experts: A Delphi Study
Conclusion and discussion: The initial PT was refined for the Dutch setting. Items on which no consensus was found, need to be further investigated on the reason behind it. Published on 2021-12-08 11:57:07 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - December 8, 2021 Category: Nursing Source Type: research