Pop-up micro clinics for pre-exposure prophylaxis of immunocompromised patients
We describe UHN Connected Care Hub’s ability to identify patients from high-risk population and collaborate to delivery timely care, in detailing the real world experience of this model of care in the organization of a centralized system of micro-clinics to administer a therapeutic for pre-exposure prophylaxis against COVID-19 (Tixagevimab/cilgavimab [Evusheld]) in a population of immunocompromised patients.Having a centralized system of micro-clinics for care delivery presents opportunities for increased adaptability, patient accessibility, enhanced community partnerships and integratedness. Expansion in the scope of se...
Source: Journal of Integrated Care - April 18, 2024 Category: International Medicine & Public Health Authors: Ryan J. Chan Shiran Isaacksz Brian Low Cecile Raymond Lori Seeton Christopher T. Chan Source Type: research
Continuity of care. Patient support from hospital-to-territory care plan: protected hospital discharges
Cinzia Storace, Serafina Esposito, Anna Maria Iannicelli, Carmela Bravaccio Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.- To facilitate the reception and care of discharged patients, streamlining processes at the University Hospital and promoting a seamless transition to continuity of care services post-discharge.Hospitalised patients undergo the Blaylock risk assessment screening score (BRASS), a screening tool identifying those at risk of complex discharge.Pre-pandemic, patients with a medium-to-high risk of complex discharge were predominantly discharged to their residence or long-term care ...
Source: Journal of Integrated Care - April 17, 2024 Category: International Medicine & Public Health Authors: Cinzia Storace Serafina Esposito Anna Maria Iannicelli Carmela Bravaccio Source Type: research
Physician assistants in the German inpatient care: barriers and enablers of integration
Laura Ringel, Ayman Fouda Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.- Various health systems are challenged by a multifaceted crisis of increased service demand and workforce shortages. The effects are devastating and may end up in decreased access to care, poor quality of patient care and extreme demands on the workforce. The introduction of the physician assistant (PA) profession provided an avenue to address such challenges in several countries. In Germany, the integration of PAs has been proceeding slowly.To understand the integration of the profession in Germany, we conducted 15 expert i...
Source: Journal of Integrated Care - April 12, 2024 Category: International Medicine & Public Health Authors: Laura Ringel Ayman Fouda Source Type: research
Older patients ’ experiences of person-centred integrated care: joint replacement surgery as a case
Older patients’ experiences of person-centred integrated care: joint replacement surgery as a case Henriikka Anne-Mari Seittu, Anneli Hujala, Minna Kaarakainen Journal of Integrated Care, Vol. 32, No. 5, pp.1-12 Integrated care (IC) is mainly studied from the perspectives of organisations or employees. However, less research is focussed on how patients themselves experience person-centred (PC) IC in practice. This context-specific, small-scale study examines what PC-IC means to older patients who went through joint replacement surgery (JRS).The data consists of ten in-depth interviews of older patients, focussing on the...
Source: Journal of Integrated Care - April 2, 2024 Category: International Medicine & Public Health Authors: Henriikka Anne-Mari Seittu Anneli Hujala Minna Kaarakainen Source Type: research
Non-communicable diseases and the prospects of integrated behavioral health in India: current status and future directions
P. Padma Sri Lekha, E.P. Abdul Azeez, Ronald R. O'Donnell Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.- Contextual to the recognition of the complex interplay between health and behavioral aspects, integrated behavioral health (IBH) has emerged. Although this model is becoming popular in the Western world, its presence in the global context is not promising. This paper aims to explore the need for IBH in India and address its barriers to implementation and possible solutions.We analyzed the case of IBH and its potential implications for India using the current evidence base, authors' reflection...
Source: Journal of Integrated Care - March 25, 2024 Category: International Medicine & Public Health Authors: P. Padma Sri Lekha E.P. Abdul Azeez Ronald R. O'Donnell Source Type: research
What is known about Australian child protection practitioners ’ participation in the health care of children living in out of home care: a scoping review
What is known about Australian child protection practitioners’ participation in the health care of children living in out of home care: a scoping review Rachael Elizabeth Sanders, Corina Modderman, Stacey Bracksley-O'Grady, Fiona Harley, Jacquelin Spencer, Jacinta Molloy Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.- There is a growing recognition of the urgency to enhance health outcomes for children and young people residing in out-of-home care (OOHC). Research underscores the need to establish effective pathways to quality health care for children and young people who have been exposed to t...
Source: Journal of Integrated Care - March 13, 2024 Category: International Medicine & Public Health Authors: Rachael Elizabeth Sanders Corina Modderman Stacey Bracksley-O'Grady Fiona Harley Jacquelin Spencer Jacinta Molloy Source Type: research
Healthy at Home: an integrated health and social care initiative for vulnerable and marginalized older adults in Toronto
Siu Mee Cheng, Cristina Catallo Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.- The Healthy at Home (H@H) is an older adult day program that is in Toronto in Ontario, Canada. This is an integrated health and social care (IHSC) program that seeks to address the social isolation and health needs of a highly vulnerable older adult population living in the north Toronto communities. These are Russian-speaking Jewish older adult immigrants. The case provides a detailed description of the factors that enabled a diverse group of health and social care organizations to integrate their respective services...
Source: Journal of Integrated Care - February 24, 2024 Category: International Medicine & Public Health Authors: Siu Mee Cheng Cristina Catallo Source Type: research
Guest editorial: Integrated care in rural, remote or island communities
Anne Hendry, Donata Kurpas, Sarah-Anne Munoz, Helen Tucker Journal of Integrated Care, Vol. 32, No. 1, pp.1-5 (Source: Journal of Integrated Care)
Source: Journal of Integrated Care - February 1, 2024 Category: International Medicine & Public Health Authors: Anne Hendry Donata Kurpas Sarah-Anne Munoz Helen Tucker Source Type: research
Health-related digital content engagement during the COVID-19 pandemic: an elaboration likelihood model lens
This study aims to investigate how different elements of a website including both argument-oriented and emotional stimuli based on the elaboration likelihood model (ELM) can affect the issue involvement and change the attitude of the website visitors of a healthcare service provider.The Ministry of Health and Education (MOHME) website was selected to explore how its content and design can persuade visitors. An online survey was conducted on 355 adults engaging in health protection behaviors during the COVID-19 pandemic.Structural equation modeling (SEM) analysis showed that one design element, i.e. website navigation and o...
Source: Journal of Integrated Care - January 24, 2024 Category: International Medicine & Public Health Authors: Seyed Mehdi Sharifi Mohammad Reza Jalilvand Shabnam Emami kervee Source Type: research
Are community health agents the link to integrating care? Lesson from Brazil
Larissa Veríssimo, Helen Rainey, Roberta Lindemann, Anne Hendry Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.- This viewpoint piece will highlight the contribution of trained lay community health workers to the integrated workforce in rural, remote and island settings, drawing on experience from a system strengthening project involving community health agents (CHAs) in four municipalities in Litoral Norte, a remote coastal and island region in the state of São Paulo, Brazil. This viewpoint reflects on experiential learning from a unique north–south collaboration that spanned the period of a ...
Source: Journal of Integrated Care - January 9, 2024 Category: International Medicine & Public Health Authors: Larissa Ver íssimo Helen Rainey Roberta Lindemann Anne Hendry Source Type: research
Full Engagement with the NHS in an integrated age: reflections on past endeavours (the Wanless Report) and current challenges (the anti-vaxxer movement)
Full Engagement with the NHS in an integrated age: reflections on past endeavours (the Wanless Report) and current challenges (the anti-vaxxer movement) Jill Manthorpe, Steve Iliffe, Richard Bourne Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.- It is over 20 years since the publication of the Wanless Report, “Securing our Future Health: Taking a Long-Term View”. The Wanless Report argued that the National Health Service (NHS) would survive in its current form only if the population became “fully engaged” with it.In this discussion paper, the authors explored what “fully engaged” mean...
Source: Journal of Integrated Care - December 28, 2023 Category: International Medicine & Public Health Authors: Jill Manthorpe Steve Iliffe Richard Bourne Source Type: research
Tackling health inequalities through integrated care in English police custodies: an inclusion perspective and model of care
Mihai Picior Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.- The purpose of this research is to identify novel ways of tackling health inequalities of underserved populations. It explores the opportunities presented by the changes in health and social care legislation to employ historically underused services, such as police custody healthcare providers, in addressing health inequalities.This research analyses the policy approaches to tackling health inequalities in the UK in the past 40 years with an emphasis on those experienced by the people detained in English police custodies. It analyses t...
Source: Journal of Integrated Care - December 18, 2023 Category: International Medicine & Public Health Authors: Mihai Picior Source Type: research
Integrated child mental health care provision in Pakistan: End-user and provider perspectives
Panos Vostanis, Sajida Hassan, Syeda Zeenat Fatima, Michelle O'Reilly Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.- Children in majority world countries (MWC) have high rates of unmet mental health needs, with limited access to specialist resources. Integration of child mental health in existing psychosocial care can improve provision. Through a Train-the-Trainer (ToT) cascade approach, this study aimed to provide a framework for such integration in resource-constrained communities in Karachi, Pakistan and to establish hindering and enabling factors.Eight practitioners attended a child mental h...
Source: Journal of Integrated Care - December 5, 2023 Category: International Medicine & Public Health Authors: Panos Vostanis Sajida Hassan Syeda Zeenat Fatima Michelle O'Reilly Source Type: research
Health care model for people living in nursing homes based on integrated care
Mariona Espaulella-Ferrer, Felix Jorge Morel-Corona, Mireia Zarco-Martinez, Alba Marty-Perez, Raquel Sola-Palacios, Maria Eugenia Campollo-Duquela, Maricelis Cruz-Grullon, Emma Puigoriol-Juvanteny, Marta Otero-Viñas, Joan Espaulella-Panicot Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.- Older people living in nursing homes have complex care needs and frequently need specialists’ advice and support that can be challenging to deliver in a rural setting. The aim of this paper is to describe a model of integrated care in a rural area supported by a nurse case manager.A real-world evidence study o...
Source: Journal of Integrated Care - December 1, 2023 Category: International Medicine & Public Health Authors: Mariona Espaulella-Ferrer Felix Jorge Morel-Corona Mireia Zarco-Martinez Alba Marty-Perez Raquel Sola-Palacios Maria Eugenia Campollo-Duquela Maricelis Cruz-Grullon Emma Puigoriol-Juvanteny Marta Otero-Vi ñas Joan Espaulella-Panicot Source Type: research
A mixed-methods process evaluation of an integrated care system's population health management system to reduce health inequalities in COVID-19 vaccination uptake
This study was conducted as a mixed-methods process evaluation in a local ICS using PHM. The study used Framework to analyse interviews with health and care professionals about a PHM tool, the COVID-19 vaccination uptake Dashboard. Quantitative data on staff Dashboard usage were analysed descriptively. To develop a wider programme theory, local findings were discussed with national PHM stakeholders.ICS staff used PHM in heterogeneous ways to influence programme delivery and reduce inequalities in vaccine uptake. PHM data was most influential where it highlighted action was needed for “targetable” populations. PHM is mo...
Source: Journal of Integrated Care - November 24, 2023 Category: International Medicine & Public Health Authors: Georgia Watson Cassie Moore Fiona Aspinal Andrew Hutchings Rosalind Raine Jessica Sheringham Source Type: research
