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
Care coordination agreements in the Veterans Healthcare Administration
Journal of Integrated Care,Volume 25, Issue 3, July 2017. Purpose The Veteran ’s Health Administration (VHA) has promoted Specialty Care Neighborhoods (SCN) to enhance the coordination of services between primary and specialty care. Care coordination agreements (CCAs) were included as a critical element in the SCN program. The purpose of this study was to examine the role of these documents in the successful implementation of SCNs. Design/methodology/approach Content, quality, and perceived usefulness of CCAs from 19 SCN sites was evaluated. CCA content was defined as the presence or absence of eight key components: co...
Source: Journal of Integrated Care - May 19, 2017 Category: International Medicine & Public Health Source Type: research
Care transitions as street-level work: providers ’ perspectives on the dilemmas and discretions of older people’s transitions across acute, sub-acute and primary care
Journal of Integrated Care,Volume 25, Issue 3, 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 transition practice tak...
Source: Journal of Integrated Care - May 19, 2017 Category: International Medicine & Public Health Source Type: research
Development, implementation and evaluation of a nurse led integrated, person-centred care with long term conditions
Journal of Integrated Care,Volume 25, Issue 3, July 2017. Purpose This proposal outlines a conceptual plan for innovative, integrated care designed for people living with long term conditions. Design/methodology/approach The conceptual plan delivers a partnership between the health system, the person with long-term conditions (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 co-ordinate care acros...
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: insights from a UK case-study
Journal of Integrated Care,Volume 25, Issue 3, July 2017. Purpose This 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 generate proposals ...
Source: Journal of Integrated Care - May 19, 2017 Category: International Medicine & Public Health Source Type: research
People powered primary care: learning from Halton
Journal of Integrated Care,Volume 25, Issue 3, July 2017. Purpose A community-centred approach to health called Community Wellbeing Practices (CWP) is being offered to patients at all 17 GP practices in Halton in order to respond more appropriately to patients ’ social needs which are often an underlying reason for their presentation at primary care services. Design/methodology/approach Delivered in partnership with a local social enterprise this approach is centred on the integration of community assets and non-medical community based support provid ed by the voluntary, community and social enterprise (VCSE) sector. T...
Source: Journal of Integrated Care - May 19, 2017 Category: International Medicine & Public Health Source Type: research
One Ilfracombe: piecing together the public sector puzzle using a person-centred, local system approach
Journal of Integrated Care,Volume 25, Issue 3, July 2017. Purpose This paper reports 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 influence design. It was implemented t...
Source: Journal of Integrated Care - May 19, 2017 Category: International Medicine & Public Health Source Type: research
Early findings from the evaluation of the integrated care and support pioneers in England
Journal of Integrated Care,Volume 25, Issue 3, July 2017. Purpose Integrating health and social care is a priority in England, although there is little evidence that previous initiatives have reduced hospital admissions or costs. Twenty-five Integrated Care Pioneers have been established to drive change ‘at scale and pace’. The early phases of our evaluation (April 2014-June 2016) aimed to identify their objectives, plans and activities, and to assess the extent to which they have overcome barriers to integration. In the longer-term, we will assess whether integrated care leads to improved outc omes and quality of car...
Source: Journal of Integrated Care - May 19, 2017 Category: International Medicine & Public Health Source Type: research
Editorial
Journal of Integrated Care,Volume 25, Issue 3, July 2017. (Source: Journal of Integrated Care)
Source: Journal of Integrated Care - May 19, 2017 Category: International Medicine & Public Health Source Type: research
Care coordination agreements in the Veterans Healthcare Administration
Journal of Integrated Care,Volume 25, Issue 3, July 2017. Purpose The Veteran ’s Health Administration (VHA) has promoted Specialty Care Neighborhoods (SCN) to enhance the coordination of services between primary and specialty care. Care coordination agreements (CCAs) were included as a critical element in the SCN program. The purpose of this study was to examine the role of these documents in the successful implementation of SCNs. Design/methodology/approach Content, quality, and perceived usefulness of CCAs from 19 SCN sites was evaluated. CCA content was defined as the presence or absence of eight key components: co...
Source: Journal of Integrated Care - May 19, 2017 Category: International Medicine & Public Health Source Type: research
Care transitions as street-level work: providers ’ perspectives on the dilemmas and discretions of older people’s transitions across acute, sub-acute and primary care
Journal of Integrated Care,Volume 25, Issue 3, 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 transition practice tak...
Source: Journal of Integrated Care - May 19, 2017 Category: International Medicine & Public Health Source Type: research
Development, implementation and evaluation of a nurse led integrated, person-centred care with long term conditions
Journal of Integrated Care,Volume 25, Issue 3, July 2017. Purpose This proposal outlines a conceptual plan for innovative, integrated care designed for people living with long term conditions. Design/methodology/approach The conceptual plan delivers a partnership between the health system, the person with long-term conditions (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 co-ordinate care acros...
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: insights from a UK case-study
Journal of Integrated Care,Volume 25, Issue 3, July 2017. Purpose This 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 generate proposals ...
Source: Journal of Integrated Care - May 19, 2017 Category: International Medicine & Public Health Source Type: research
