The development of a collaborative framework for commissioning health and social care
Journal of Integrated Care, Ahead of Print. Purpose The purpose of this paper is to present an evaluation of a collaborative commissioning approach to improve quality and experience and reduce cost within integrated health and social care. Design/methodology/approach A multi-method approach is used involving qualitative interviews, documentary analysis and non-participant observation. Findings The findings suggest that the approach provides a suitable framework for the collaborative commissioning of integrated health and social care services. Research limitations/implications Further research is now needed to provide a...
Source: Journal of Integrated Care - June 26, 2018 Category: International Medicine & Public Health Source Type: research
The health care home in New Zealand: rolling out a new model of primary health care
Journal of Integrated Care, Ahead of Print. Purpose The purpose of this paper is to report on the origins, development and early impacts of a Health Care Home (HCH) model of care being rolled out around New Zealand (NZ). Design/methodology/approach This paper draws on a literature review on HCHs and related developments in primary health care, background discussions with key players, and a review of significant HCH implementation documents. Findings The HCH model of care is emerging from the sector itself and is being tailored to local needs and to meet the needs of local practices. A key focus in NZ seems to be on busi...
Source: Journal of Integrated Care - June 14, 2018 Category: International Medicine & Public Health Source Type: research
The primary care home: a new vehicle for the delivery of population health in England
Journal of Integrated Care, Ahead of Print. Purpose The purpose of this paper is to consider how the evolving concept of the “primary care home” (PCH) that is developing in England might be an effective vehicle for the delivery of the goals of “population health”. The authors examine evidence from earlier initiatives to achieve similar objectives of primary care-led health system planning and care integration to u nderstand relevant lessons for the PCH. Design/methodology/approach This paper is based on a descriptive review of the PCH using documentary sources and a non-systematic review of literature relating to...
Source: Journal of Integrated Care - June 4, 2018 Category: International Medicine & Public Health Source Type: research
Case study of home care for isolated and frail elderly patients by general practice nurses
Journal of Integrated Care, Ahead of Print. Purpose In a novel approach, two part-time “Link Nurses” within an NE Hampshire practice of 16,500 patients were funded by a local charity, to assess and manage unmet needs of isolated frail elderly patients at home. The paper aims to discuss these issues. Design/methodology/approach Patients in this vulnerable group with no recorded h ealthcare contact for a prolonged period were identified from practice computer records. One group was to be assessed at home, and appropriate interventions effected. Follow-up visits or telephone contacts also offered support to carers as we...
Source: Journal of Integrated Care - May 29, 2018 Category: International Medicine & Public Health Source Type: research
Care transition types across acute, sub-acute and primary care
This study identifies types of care transition experiences across acute, sub-acute and primary care from the perspective of older people and their carers. Understanding transition types and their features can assist health professionals to better target strategies within and across the system and improve patient experiences as a whole. (Source: Journal of Integrated Care)
Source: Journal of Integrated Care - May 14, 2018 Category: International Medicine & Public Health Source Type: research
Frequent presentations to emergency departments and the collaborative community and emergency response
Journal of Integrated Care, Ahead of Print. Purpose Patient dependence on an emergency department (ED) for ongoing, non-urgent health care is a complex issue related to poor mental and physical health, disability, previous trauma, social disadvantage and lack of social supports. Working Together to Connect Care is an innovative program that provides an assertive community case management approach coupled with an ED management plan to support people who frequently attend the Royal Brisbane and Women ’s Hospital ED. The program, which is yet to be fully evaluated, currently helps to manage a large number of patients with ...
Source: Journal of Integrated Care - May 14, 2018 Category: International Medicine & Public Health Source Type: research
Delivering primary health care as envisioned
Journal of Integrated Care, Ahead of Print. Purpose For over 40 years, Canadian and international bodies have endorsed comprehensive primary health care (PHC), yet very little work has been done to describe how services and programs are delivered within these organizations. Because health equity is now of greater interest to policy makers and the public, it is important to describe an evidence-informed framework for the delivery of integrated and equitable PHC. The purpose of this paper is to describe the development of a “Model of Health and Well-being” (MHWB) that provides a roadmap to the delivery of PHC in a succe...
Source: Journal of Integrated Care - May 14, 2018 Category: International Medicine & Public Health Source Type: research
Care transition types across acute, sub-acute and primary care
This study identifies types of care transition experiences across acute, sub-acute and primary care from the perspective of older people and their carers. Understanding transition types and their features can assist health professionals to better target strategies within and across the system and improve patient experiences as a whole. (Source: Journal of Integrated Care)
Source: Journal of Integrated Care - May 14, 2018 Category: International Medicine & Public Health Source Type: research
Frequent presentations to emergency departments and the collaborative community and emergency response
Journal of Integrated Care, Ahead of Print. Purpose Patient dependence on an emergency department (ED) for ongoing, non-urgent health care is a complex issue related to poor mental and physical health, disability, previous trauma, social disadvantage and lack of social supports. Working Together to Connect Care is an innovative program that provides an assertive community case management approach coupled with an ED management plan to support people who frequently attend the Royal Brisbane and Women ’s Hospital ED. The program, which is yet to be fully evaluated, currently helps to manage a large number of patients with ...
Source: Journal of Integrated Care - May 14, 2018 Category: International Medicine & Public Health Source Type: research
Delivering primary health care as envisioned
Journal of Integrated Care, Ahead of Print. Purpose For over 40 years, Canadian and international bodies have endorsed comprehensive primary health care (PHC), yet very little work has been done to describe how services and programs are delivered within these organizations. Because health equity is now of greater interest to policy makers and the public, it is important to describe an evidence-informed framework for the delivery of integrated and equitable PHC. The purpose of this paper is to describe the development of a “Model of Health and Well-being” (MHWB) that provides a roadmap to the delivery of PHC in a succe...
Source: Journal of Integrated Care - May 14, 2018 Category: International Medicine & Public Health Source Type: research
