How organisation theory may help us understand integrated care
Journal of Integrated Care,Volume 27, Issue 1, Page 2-4, February 2019. (Source: Journal of Integrated Care)
Source: Journal of Integrated Care - February 6, 2019 Category: International Medicine & Public Health Source Type: research

Roles and responsibilities in integrated care for dementia
Journal of Integrated Care, Ahead of Print. Purpose Effective integrated healthcare systems require capable, trained workforces with leadership, shared governance and co-ordination. The purpose of this paper is to characterise roles and responsibilities in relation to integrated care from the perspective of massive open online course (MOOC) participants. Design/methodology/approach MOOC discussion board posts were analysed using framework analysis consisting of transcription, familiarisation, coding, developing an analytical framework and application of the framework. Findings Boundaries and key issues surrounding roles...
Source: Journal of Integrated Care - December 7, 2018 Category: International Medicine & Public Health Source Type: research

From summative to developmental
Journal of Integrated Care, Ahead of Print. Purpose Models of integrated care are prime examples of complex interventions, incorporating multiple interacting components that work through varying mechanisms to impact numerous outcomes. The purpose of this paper is to explore summative, process and developmental approaches to evaluating complex interventions to determine how to best test this mess. Design/methodology/approach This viewpoint draws on the evaluation and complex intervention literatures to describe the advantages and disadvantages of different methods. The evaluation of the electronic patient reported outcome...
Source: Journal of Integrated Care - December 3, 2018 Category: International Medicine & Public Health Source Type: research

HealthPathways implementation on type 2 diabetes
This study used a programmatic approach and mixed methods including literature reviews, site visits, semi-structured interviews of stakeholders and General Practitioners (GPs), and surveys (GPs and patients) to better understand the development, implementation and acceptance of T2DM pathways. Findings Results from this study indicate that 63 percent (n=37) of all survey respondents use HP and nearly half (47 percent) use HP in caring for a patient with diabetes. More than 80 percent of the health professionals found HP a useful tool, which has improved the quality of care, keeps them informed and supports diagnostics proc...
Source: Journal of Integrated Care - December 3, 2018 Category: International Medicine & Public Health Source Type: research

Elephant in the room
Journal of Integrated Care, Ahead of Print. Purpose The purpose of this paper is to report on the findings of the first stage of a project seeking to evaluate and overcome inter-professional barriers between health and social care staff within a single, co-located, integrated community team. The project seeks to answer the following questions: first, Do inter-professional barriers to integrated working exist between health and social care staff at the interface of care delivery? Second, If inter-professional barriers exist, can joint health and social care assessments help to overcome them? The paper develops the current ...
Source: Journal of Integrated Care - December 3, 2018 Category: International Medicine & Public Health Source Type: research

Inter-agency adult support and protection practice
This study investigated professionals’ perceptions of gaps and concerns pertaining to integrated working by means of a realistic evaluation approach. It recommended the need for further research and inter-agency training on public protection. (Source: Journal of Integrated Care)
Source: Journal of Integrated Care - December 3, 2018 Category: International Medicine & Public Health Source Type: research

Reducing emergency department visits among older adults
This study is among the few available to document a decrease in medical costs, as well as decreased ED utilization following a low-intensity integrated care intervention. (Source: Journal of Integrated Care)
Source: Journal of Integrated Care - December 3, 2018 Category: International Medicine & Public Health Source Type: research

From summative to developmental
Journal of Integrated Care, Ahead of Print. Purpose Models of integrated care are prime examples of complex interventions, incorporating multiple interacting components that work through varying mechanisms to impact numerous outcomes. The purpose of this paper is to explore summative, process and developmental approaches to evaluating complex interventions to determine how to best test this mess. Design/methodology/approach This viewpoint draws on the evaluation and complex intervention literatures to describe the advantages and disadvantages of different methods. The evaluation of the electronic patient reported outcome...
Source: Journal of Integrated Care - December 3, 2018 Category: International Medicine & Public Health Source Type: research

HealthPathways implementation on type 2 diabetes
This study used a programmatic approach and mixed methods including literature reviews, site visits, semi-structured interviews of stakeholders and General Practitioners (GPs), and surveys (GPs and patients) to better understand the development, implementation and acceptance of T2DM pathways. Findings Results from this study indicate that 63 percent (n=37) of all survey respondents use HP and nearly half (47 percent) use HP in caring for a patient with diabetes. More than 80 percent of the health professionals found HP a useful tool, which has improved the quality of care, keeps them informed and supports diagnostics proc...
Source: Journal of Integrated Care - December 3, 2018 Category: International Medicine & Public Health Source Type: research

Elephant in the room
Journal of Integrated Care, Ahead of Print. Purpose The purpose of this paper is to report on the findings of the first stage of a project seeking to evaluate and overcome inter-professional barriers between health and social care staff within a single, co-located, integrated community team. The project seeks to answer the following questions: first, Do inter-professional barriers to integrated working exist between health and social care staff at the interface of care delivery? Second, If inter-professional barriers exist, can joint health and social care assessments help to overcome them? The paper develops the current ...
Source: Journal of Integrated Care - December 3, 2018 Category: International Medicine & Public Health Source Type: research

Inter-agency adult support and protection practice
This study investigated professionals’ perceptions of gaps and concerns pertaining to integrated working by means of a realistic evaluation approach. It recommended the need for further research and inter-agency training on public protection. (Source: Journal of Integrated Care)
Source: Journal of Integrated Care - December 3, 2018 Category: International Medicine & Public Health Source Type: research

Reducing emergency department visits among older adults
This study is among the few available to document a decrease in medical costs, as well as decreased ED utilization following a low-intensity integrated care intervention. (Source: Journal of Integrated Care)
Source: Journal of Integrated Care - December 3, 2018 Category: International Medicine & Public Health Source Type: research

Perception of integrated practice in home care services
Journal of Integrated Care, Ahead of Print. Purpose As a result of demographic changes, older people are increasingly living at home, with multi-morbidity and complex care needs. This calls for enhanced integration of homecare nursing and social services. The purpose of this paper is to describe the clinical collaboration, scope and impact of integration from the perspective of staff in a setting identified as fully integrated. Design/methodology/approach In this qualitative study, data consisted of interviews with managers and care workers in social services and homecare nursing (n=14) in daily clinical collaboration, f...
Source: Journal of Integrated Care - November 29, 2018 Category: International Medicine & Public Health Source Type: research