Looking down the right end of the integration telescope
Journal of Integrated Care,Volume 25, Issue 4, Page 234-236, October 2017. (Source: Journal of Integrated Care)
Source: Journal of Integrated Care - October 9, 2017 Category: International Medicine & Public Health Source Type: research
The emotional labour of boundary spanning
Journal of Integrated Care,Volume 25, Issue 4, Page 288-300, October 2017. Purpose Within public services there is a widely recognised role for workers who operate across organisational and professional boundaries. Much of this literature focusses on the organisational implications rather than on how boundary spanners engage with citizens. An increased number of public service roles require boundary spanning to support citizens with cross-cutting issues. The purpose of this paper is to explicate the emotional labour within the interactions that boundary spanners have with citizens, requiring adherence to display rules and...
Source: Journal of Integrated Care - October 9, 2017 Category: International Medicine & Public Health Source Type: research
Joining up dementia: not as easy as it sounds
Journal of Integrated Care,Volume 25, Issue 4, Page 280-287, October 2017. Purpose The purpose of this paper is to discuss the different meanings of integration as expressed in dementia care practice and service organisation in England. Dementia is frequently complicated by concurrent illnesses or long-term conditions at the end of life. Design/methodology/approach This is a policy discussion. Findings The paper describes three forms of integration: linkage, co-ordination of care, and full integration. Each form or level is related to dementia as a progressive neurological disorder with multiple symptoms, which also ove...
Source: Journal of Integrated Care - October 9, 2017 Category: International Medicine & Public Health Source Type: research
Integration as a scientific paradigm
Journal of Integrated Care,Volume 25, Issue 4, Page 271-279, October 2017. Purpose Integration is policy, practice as well as object of systematic investigation. What we do not know is whether or not integration can be understood as a science. In his book The Structure of Scientific Revolutions, Thomas Kuhn formulated a notion of (natural) sciences based on the emergence of commitments amongst a community of scientists to a set of logics, model and exemplars. He called this a paradigm. The purpose of this paper is to assess the scientific nature of integration by perceiving it as a paradigm in Kuhn ’s sense. Design/met...
Source: Journal of Integrated Care - October 9, 2017 Category: International Medicine & Public Health Source Type: research
A new health and social care context in Wales
Journal of Integrated Care,Volume 25, Issue 4, Page 265-270, October 2017. Purpose The Social Services and Wellbeing (Wales) Act 2014 and the Well-being of Future Generations (Wales) Act 2015 provide a direction of travel for all public services in Wales and a framework for delivering the aspirations in the legislation. Although specifically referring to social care, both pieces of legislation are as relevant to the NHS as they are to other public bodies, providing an opportunity for NHS Wales and local government, in particular, to be equal partners in making a difference to the people and communities they serve. The pap...
Source: Journal of Integrated Care - October 9, 2017 Category: International Medicine & Public Health Source Type: research
Shifting the balance of care …and making the money add up
Journal of Integrated Care,Volume 25, Issue 4, Page 256-264, October 2017. Purpose A critical commentary on policy and practice over time in English health and social care. The paper aims to discuss these issues. Design/methodology/approach Personal reflections based on prior experience as a senior leader in the English health and care system, combined with insights and relevant evidence from other senior leaders and health and care “think-tanks”. Findings Shifting the balance of care from a hospital to a community setting can potentially be cost-effective as well as improving quality for service users. However, it ...
Source: Journal of Integrated Care - October 9, 2017 Category: International Medicine & Public Health Source Type: research
Professionals ’ views on integrated care
Journal of Integrated Care,Volume 25, Issue 4, Page 247-255, October 2017. Purpose Integrated care policies have been at the heart of recent health reforms in many European countries. The purpose of this paper is to study the integration from the perspective of health care personnel working in primary health care clinics. Design/methodology/approach The study employs data from interviews collected in a research project examining patient choice and integrated care in primary health care clinics in Finland. The interviews were conducted in five cities in Southern Finland in 17 primary health care clinics in Autumn 2014. Am...
Source: Journal of Integrated Care - October 9, 2017 Category: International Medicine & Public Health Source Type: research
Implementing a collaborative mental health care model: the MHPN
Journal of Integrated Care,Volume 25, Issue 4, Page 237-246, October 2017. Purpose The purpose of this paper is to describe the development and experience of the Mental Health Professionals ’ Network (MHPN) in building and supporting a national interdisciplinary professional development platform in community mental health to enhance practitioner response to the needs of consumers. Design/methodology/approach The key components of the MHPN model are described highlighting effective ways of engaging practitioners and supporting interdisciplinary practice. The MHPN has two key programs – Face-to-Face Interdisciplinary P...
Source: Journal of Integrated Care - October 9, 2017 Category: International Medicine & Public Health Source Type: research
Towards accessible integrated palliative care
Journal of Integrated Care,Volume 25, Issue 3, Page 222-232, July 2017. Purpose Literature suggests that integrated palliative care (IPC) increases the quality of care for palliative patients at lower costs. However, knowledge on models encompassing all integration levels for successfully implementing IPC is scarce. The purpose of this paper is to describe the experiences of IPC leaders in seven European countries regarding core elements, facilitators and barriers of IPC implementation and provides recommendations for future policy and practice. Design/methodology/approach A qualitative interview study was conducted betw...
Source: Journal of Integrated Care - May 19, 2017 Category: International Medicine & Public Health Source Type: research
Care transitions as street-level work
Journal of Integrated Care,Volume 25, Issue 3, Page 196-207, July 2017. Purpose Quality care transitions of older people across acute, sub-acute and primary care are critical to safety and cost, which is the reason interventions to improve practice are a priority. Yet, given the complexity of providers and services involved it is often difficult to know the types of tensions that arise in day-to-day transition work or how front-line workers will respond. To that end, this innovative study differs from the largely descriptive studies by conceptualising care transitions as street-level work in order to capture how transitio...
Source: Journal of Integrated Care - May 19, 2017 Category: International Medicine & Public Health Source Type: research
Development, implementation and evaluation of nurse-led integrated, person-centred care with long-term conditions
Journal of Integrated Care,Volume 25, Issue 3, Page 186-195, July 2017. Purpose The purpose of this paper is to outline a conceptual plan for innovative, integrated care designed for people living with long-term conditions (LTCs). Design/methodology/approach The conceptual plan delivers a partnership between the health system, the person with LTCs (chronic), their family, and the community. The partnership aims to support people at home with access to effective treatment, consistent with the New Zealand Government Health Strategy. This concept of people-owned care is provided by nurses with advanced practice skills, who ...
Source: Journal of Integrated Care - May 19, 2017 Category: International Medicine & Public Health Source Type: research
Promoting integration within the public health domain of physical activity promotion
Journal of Integrated Care,Volume 25, Issue 3, Page 174-185, July 2017. Purpose The purpose of this paper is to report and critically reflect on the methodological processes involved in a formal attempt to promote health and social integration in the rarely reported public health domain of physical activity promotion. Design/methodology/approach A quality improvement (QI) methodology was deployed, comprising three elements: a diagnostic tool that assessed strategic and practice positions; a half-day workshop that brought senior leaders together for to reflect this evidence; and a structured process that sought to generat...
Source: Journal of Integrated Care - May 19, 2017 Category: International Medicine & Public Health Source Type: research
One Ilfracombe
Journal of Integrated Care,Volume 25, Issue 3, Page 150-161, July 2017. Purpose The purpose of this paper is to report the findings of a horizontal integration programme in the South West of England. The programme was unusual insofar as it included the full range of public services being provided in a single town. It was a place-based system framed by the concept that a person ’s wellbeing includes their health, economic status and living environment and that they are inextricably linked. As well as aiming for broader system integration, the programme utilised a person-centred approach using service-user perceptions to ...
Source: Journal of Integrated Care - May 19, 2017 Category: International Medicine & Public Health Source Type: research
Towards accessible integrated palliative care
Journal of Integrated Care,Volume 25, Issue 3, Page 222-232, July 2017. Purpose Literature suggests that integrated palliative care (IPC) increases the quality of care for palliative patients at lower costs. However, knowledge on models encompassing all integration levels for successfully implementing IPC is scarce. The purpose of this paper is to describe the experiences of IPC leaders in seven European countries regarding core elements, facilitators and barriers of IPC implementation and provides recommendations for future policy and practice. Design/methodology/approach A qualitative interview study was conducted betw...
Source: Journal of Integrated Care - May 19, 2017 Category: International Medicine & Public Health Source Type: research
Care transitions as street-level work
Journal of Integrated Care,Volume 25, Issue 3, Page 196-207, July 2017. Purpose Quality care transitions of older people across acute, sub-acute and primary care are critical to safety and cost, which is the reason interventions to improve practice are a priority. Yet, given the complexity of providers and services involved it is often difficult to know the types of tensions that arise in day-to-day transition work or how front-line workers will respond. To that end, this innovative study differs from the largely descriptive studies by conceptualising care transitions as street-level work in order to capture how transitio...
Source: Journal of Integrated Care - May 19, 2017 Category: International Medicine & Public Health Source Type: research
