Can we mandate partnership working? Top down meets bottom up in structural reforms in Scotland and Norway
Journal of Integrated Care,Volume 26, Issue 2, Page 109-119, April 2018. Purpose Partnership working across health and social care is considered key to manage rising service demand whilst ensuring flexible and high-quality services. Evidence suggests that partnership working is a local concern and that wider structural context is important to sustain and direct local collaboration. “Top down” needs to create space for “bottom up” management of local contingency. Scotland and Norway have recently introduced “top down” structural reforms for mandatory partnerships. The purpose of this paper is to describe and co...
Source: Journal of Integrated Care - March 9, 2018 Category: International Medicine & Public Health Source Type: research
The case for mental health support at a primary care level
Journal of Integrated Care,Volume 26, Issue 2, Page 130-139, April 2018. Purpose Severe mental illness affects a significant number of people and, if left untreated, leads to poor quality of life and disability. Many of the aspirations proposed for new models of care assert that better preventative services, closer integration between professionals, and increased access to cognitive behavioural therapy in primary care will bring substantial benefits and improved outcomes. The purpose of this paper is to explore the benefits of integrating mental health services into primary care, and improving collaboration between second...
Source: Journal of Integrated Care - March 7, 2018 Category: International Medicine & Public Health Source Type: research
Co-production in integrated health and social care programmes: a pragmatic model
Journal of Integrated Care, Ahead of Print. Purpose The purpose of this paper is to outline the current thinking on co-production in health and social care, examine the challenges in implementing genuine co-production and argue for a pragmatic version of co-production that may assist programme managers in deciding which type of co-production is most suitable for which programme. Design/methodology/approach A discussion paper based on the professional and academic knowledge and insights of the authors. A focus group interview schedule was used to guide discussions between authors. Findings The authors argue for a pragmat...
Source: Journal of Integrated Care - January 12, 2018 Category: International Medicine & Public Health Source Type: research
The business of integrated care: implementing new models of care in a fee-for-service setting
Journal of Integrated Care, Ahead of Print. Purpose The Western New South Wales Integrated Care Strategy (ICS) was rolled out from November 2014 across three rural sites. The purpose of this paper is to assess its impact on general practices, and examine the feasibility of implementing an ICS, within a predominantly fee-for-service delivery model. Design/methodology/approach Mixed methods were used to analyse the implementation of the ICS, including practice-level patient data on changes in service provision. This includes unit-record data on 130 enroled patients across three rural sites, as well as qualitative data coll...
Source: Journal of Integrated Care - January 12, 2018 Category: International Medicine & Public Health Source Type: research
Serious gaming as a method for changing stakeholders ’ perspectives on integrated care
Journal of Integrated Care, Ahead of Print. Purpose Serious gaming provides opportunities to harmonize the views of stakeholders regarding integrated care. In order to provide first insights on the effects and stakeholders ’ satisfaction of serious gaming, the purpose of this paper is to explore what effects serious gaming has on the perceptions of different stakeholders regarding integrated care, and to evaluate a trial case of serious gaming on integrated care. Design/methodology/approach A pre- and post-test de sign was used, with two questionnaires. The first questionnaire focused on integrated care, based on the i...
Source: Journal of Integrated Care - January 11, 2018 Category: International Medicine & Public Health Source Type: research
Stroke: the critically neglected first year post-stroke
Journal of Integrated Care, Ahead of Print. Purpose Stroke is a leading cause of death and disability in the USA and worldwide. While stroke care has evolved dramatically, many new acute approaches to therapy focus only on the first 3-12 hours. Significant treatment opportunities beyond the first 12 hours can play a major role in improving outcomes for stroke patients. The purpose of this paper is to highlight the issues that affect stroke care delivery for patients and caregivers and describe an integrated care model that can improve care across the continuum. Design/methodology/approach This paper details evidence-base...
Source: Journal of Integrated Care - January 9, 2018 Category: International Medicine & Public Health Source Type: research
Change in clinical practice in Australia: impact of participation in MHPN webinars
Journal of Integrated Care,Volume 26, Issue 2, Page 101-108, April 2018. Purpose The Mental Health Professionals ’ Network (MHPN) was established to enhance collaborative care among health professionals working in mental health care in Australia. The MHPN has two primary arms: face-to-face network meetings and online webinars. The purpose of this paper is to investigate practice changes in health professiona ls who participated in one of MHPN’s live webinars. Design/methodology/approach Practice change was assessed by online survey with attendees from three MHPN webinars held in 2016. The survey link was e-mailed to ...
Source: Journal of Integrated Care - December 29, 2017 Category: International Medicine & Public Health Source Type: research
Change in clinical practice in Australia: impact of participation in MHPN webinars
Journal of Integrated Care, Ahead of Print. Purpose The Mental Health Professionals ’ Network (MHPN) was established to enhance collaborative care among health professionals working in mental health care in Australia. The MHPN has two primary arms: face-to-face network meetings and online webinars. The purpose of this paper is to investigate practice changes in health professiona ls who participated in one of MHPN’s live webinars. Design/methodology/approach Practice change was assessed by online survey with attendees from three MHPN webinars held in 2016. The survey link was e-mailed to webinar attendees three month...
Source: Journal of Integrated Care - December 29, 2017 Category: International Medicine & Public Health Source Type: research
Change in mental health collaborative care attitudes and practice in Australia
Journal of Integrated Care, Ahead of Print. Purpose The Mental Health Professionals Network (MHPN) was established to support and enhance collaborative care among health professionals working in primary mental healthcare. The MHPN has two primary arms: face-to-face network meetings and online webinars. The purpose of this paper is to investigate attitudinal and practice changes amongst health professionals after participation in MHPN ’s network meetings. Design/methodology/approach In April 2016, an online survey was e-mailed to health professionals who had attended at least one network meeting during 2015. The survey ...
Source: Journal of Integrated Care - December 29, 2017 Category: International Medicine & Public Health Source Type: research
The perceptions regarding social workers from within an integrated trust in an age of austerity
This study presents specific areas of concern for social workers and for integrated social car e and health as a whole, revealing a number of themes present across the integration journey. While the majority of comments were negative, analysis reveals concerns shared by significant numbers of respondents: conceptual confusion in respect of organising integrated care within a health organisati on, a lack of shared socialisation and the development of a shared culture within the integrated organisation, and the impact of economic austerity on integration. (Source: Journal of Integrated Care)
Source: Journal of Integrated Care - December 29, 2017 Category: International Medicine & Public Health Source Type: research
