Conceptualizing “project resiliency”
Journal of Integrated Care, Ahead of Print. Purpose To meet the multidimensional needs of patients, health services are increasingly implementing complex programmes of care through partnerships between public, private and voluntary sector organisations. The purpose of this paper is to explore the implementation process of a complex, multi-innovative regional health and social care partnership to coordinate end-of-life care in the South East of England. Design/methodology/approach The study adopted a pragmatic, pluralist design using primarily qualitative methods including observations, interviews, focus group and documen...
Source: Journal of Integrated Care - November 29, 2018 Category: International Medicine & Public Health Source Type: research

System wide collaboration? Health and social care leaders ’ perspectives on working across boundaries
Journal of Integrated Care, Ahead of Print. Purpose Structural integration is increasingly explored as a means of achieving efficiency gains alongside improved health outcomes. In 2015, three boroughs in London, England began working together to develop an Accountable Care Organisation for the 750,000 population they serve. The purpose of this paper is to understand the experiences of working across organisational and sectoral boundaries for the benefit of the population, including enablers and barriers encountered, the role of financial incentives and perspectives on Accountable Care Organisations. Design/methodology/ap...
Source: Journal of Integrated Care - November 29, 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

Conceptualizing “project resiliency”
Journal of Integrated Care, Ahead of Print. Purpose To meet the multidimensional needs of patients, health services are increasingly implementing complex programmes of care through partnerships between public, private and voluntary sector organisations. The purpose of this paper is to explore the implementation process of a complex, multi-innovative regional health and social care partnership to coordinate end-of-life care in the South East of England. Design/methodology/approach The study adopted a pragmatic, pluralist design using primarily qualitative methods including observations, interviews, focus group and documen...
Source: Journal of Integrated Care - November 29, 2018 Category: International Medicine & Public Health Source Type: research

System wide collaboration? Health and social care leaders ’ perspectives on working across boundaries
Journal of Integrated Care, Ahead of Print. Purpose Structural integration is increasingly explored as a means of achieving efficiency gains alongside improved health outcomes. In 2015, three boroughs in London, England began working together to develop an Accountable Care Organisation for the 750,000 population they serve. The purpose of this paper is to understand the experiences of working across organisational and sectoral boundaries for the benefit of the population, including enablers and barriers encountered, the role of financial incentives and perspectives on Accountable Care Organisations. Design/methodology/ap...
Source: Journal of Integrated Care - November 29, 2018 Category: International Medicine & Public Health Source Type: research

The contribution of implementation science to improving the design and evaluation of integrated care programmes for older people with frailty
Journal of Integrated Care, Ahead of Print. Purpose The purpose of this paper is to discuss three potential contributions from implementation science that can help clinicians and researchers to design and evaluate more effective integrated care programmes for older people with frailty. Design/methodology/approach This viewpoint paper focuses on three contributions: stakeholder engagement, using implementation science frameworks, and assessment of implementation strategies and outcomes. Findings Stakeholder engagement enhances the acceptability of interventions to recipients and providers and improves reach and sustainab...
Source: Journal of Integrated Care - October 24, 2018 Category: International Medicine & Public Health Source Type: research

What is the relevance of policy transfer and policy translation in integrated care development?
Journal of Integrated Care, Ahead of Print. Purpose The purpose of this paper is to document the influence of policy transfer on integrated care development, its global occurrence and shifts towards integrated care. It highlights the influence of supranational forces, and the roles and relevance of policy transfer and policy translation in the development of integrated care. Design/methodology/approach This paper presents the findings of an international review of the policy transfer of integrated care, and the relevance of policy translation in integrated care development. Findings The global occurrence in integrated c...
Source: Journal of Integrated Care - October 12, 2018 Category: International Medicine & Public Health Source Type: research

A scaling-up strategy supporting the expansion of integrated care: a study protocol
The objective is to gain insight in whether the step-based strategy is implemented as it was designed to explore what works and does not work when implementing the scaling-up strategy. The second part concerns a realist evaluation to examine what it is about the SCIROCCO ’s strategy that works for whom, why, how and in which circumstances when scaling-up integrated care. Findings The intended study will provide valuable information on the implementation of the scaling-up strategy which will help to explain for what specific reasons the implementation succeeds an d will facilitate further improvement of project outcomes....
Source: Journal of Integrated Care - October 10, 2018 Category: International Medicine & Public Health Source Type: research

The tacit assumptions of care integration
Journal of Integrated Care,Volume 26, Issue 4, Page 254-256, October 2018. (Source: Journal of Integrated Care)
Source: Journal of Integrated Care - October 5, 2018 Category: International Medicine & Public Health Source Type: research

Creating a community driven bioethics network
Journal of Integrated Care, Ahead of Print. Purpose The South West Health Ethics Network (SWHEN) was created to bring together health care providers from a variety of health care settings across a geographical region. SWHEN ’s mission was to connect health professionals who have an interest in ethical issues. SWHEN’s target participants are people with an interest in this field regardless of the individual’s capacity within an ethics profession. While other ethics networks exist, few of these expand beyond a narr ow scope of ethics professionals (clinical ethicists). The preliminary vision in bringing together this ...
Source: Journal of Integrated Care - September 19, 2018 Category: International Medicine & Public Health Source Type: research