A mixed-methods process evaluation of an integrated care system's population health management system to reduce health inequalities in COVID-19 vaccination uptake
This study was conducted as a mixed-methods process evaluation in a local ICS using PHM. The study used Framework to analyse interviews with health and care professionals about a PHM tool, the COVID-19 vaccination uptake Dashboard. Quantitative data on staff Dashboard usage were analysed descriptively. To develop a wider programme theory, local findings were discussed with national PHM stakeholders.ICS staff used PHM in heterogeneous ways to influence programme delivery and reduce inequalities in vaccine uptake. PHM data was most influential where it highlighted action was needed for “targetable” populations. PHM is mo...
Source: Journal of Integrated Care - November 24, 2023 Category: International Medicine & Public Health Authors: Georgia Watson Cassie Moore Fiona Aspinal Andrew Hutchings Rosalind Raine Jessica Sheringham Source Type: research
A rural dermatology outreach service – a new model
Kirstin Abraham, Huw Thomas, Alyson Bryden Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.- The dermatology service on the islands of Orkney, with a population of approximately 22,500, was taken over by National Health Service (NHS) Tayside in August 2018. This paper aims to provide an overview of the planning and review of a highly efficient and effective dermatology service for a rural island population.The service includes visiting dermatology consultants, enhanced electronic referral vetting, skin surgery services, a General Practice (GP) with extended role (GPwER) in dermatology, specialist v...
Source: Journal of Integrated Care - November 22, 2023 Category: International Medicine & Public Health Authors: Kirstin Abraham Huw Thomas Alyson Bryden Source Type: research
The impact of the COVID-19 pandemic on the provision of physical health interventions to mental health consumers within Sydney Local Health District
Andrew Simpson, Lisa Parcsi, Andrew McDonald Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.- People living with severe mental illness (PLWSMI) experience disproportionately high rates of morbidity and mortality compared with the general population. Sydney Local Health District (SLHD) introduced the Living Well, Living Longer integrated care program in 2013 to address this inequity. This paper reports on the impact of the COVID-19 pandemic on the provision of physical health interventions to community mental health consumers in SLHD.Rates of COVID-19 vaccinations were collated. Routinely collected...
Source: Journal of Integrated Care - November 6, 2023 Category: International Medicine & Public Health Authors: Andrew Simpson Lisa Parcsi Andrew McDonald Source Type: research
Substituting professional with informal care? A response to “how to handle gerontocracy”
Barbara Gösenbauer Journal of Integrated Care, Vol. 31, No. 5, pp.129-132 The comment addresses the idea of substituting professional elder care with informal care provided by early retirees to save economic costs.The comment arose from reading “How to handle gerontocracy”, scientific research and critical, analytical thinking.While having early pensioners deliver elderly care has positive implications, substituting professional with informal care must be challenged. First, the “unused reservoir” of early pensioners might be overestimated, as they often already have care responsibilities. Second, the substitution...
Source: Journal of Integrated Care - October 24, 2023 Category: International Medicine & Public Health Authors: Barbara G ösenbauer Source Type: research
Integrated care for older persons who live with complex health and social care requirements: a core set of indicators
Integrated care for older persons who live with complex health and social care requirements: a core set of indicators Jeanette Prorok, Kelly Kay, Adam Morrison, Salinda Anne Horgan Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.- Performance measures are an important mediating mechanism that influences the design and delivery of care. Unfortunately, it is still commonly the case that acute care indicators are employed to assess the efficacy of integrated care. This hinders the ability to accurately assess and continuously improve integrated care efforts for priority populations, including older p...
Source: Journal of Integrated Care - October 23, 2023 Category: International Medicine & Public Health Authors: Jeanette Prorok Kelly Kay Adam Morrison Salinda Anne Horgan Source Type: research
The effect of narrative persuasion on interpersonal talk and attitude (the case of COVID-19)
Seyed Mehdi Sharifi, Mohammad Reza Jalilvand, Mohammad Reza Shakoorian Fard Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.- The importance of effective public messages has been widely recognized during the coronavirus disease 2019 (COVID-19) pandemic. In particular, the role of news items and interpersonal conversations for the acceptance of public health measures has been highlighted. The authors propose a conceptual model based on the existing literature on how to measure the degree of persuasion of news narratives in the context of the COVID-19 pandemic.The authors adopted a whole population a...
Source: Journal of Integrated Care - October 18, 2023 Category: International Medicine & Public Health Authors: Seyed Mehdi Sharifi Mohammad Reza Jalilvand Mohammad Reza Shakoorian Fard Source Type: research
Using social media-based telemedicine counselling to promote adherence to treatment plans after oral and maxillofacial surgeries in Nigeria
This study aimed to determine the impact of telemedicine with WhatsApp on adherence to treatment plans amongst patients who have experienced oral and maxillofacial surgeries like implants, wisdom tooth removal, facial trauma and facial reconstruction.The researchers used a descriptive survey research design and sampled a total of 294 patients in Nigeria who experienced oral and maxillofacial surgeries 6 months before the study and provided responses that were used for analysis. The questionnaire was used as the instrument for data collection.The researchers found that telemedicine for counselling after oral and maxillofaci...
Source: Journal of Integrated Care - October 18, 2023 Category: International Medicine & Public Health Authors: Anselm Uchenna Anibueze Olaoluwa Temitope Talabi Felix Olajide Talabi Adebola Adewunmi Aderibigbe Prosper Nunayon Zannu Bernice Oluwalanu Sanusi Verlumun Celestine Gever Source Type: research
Uncovering misalignments in the health- and elderly care system
This study provides the theoretical foundations for resource misalignments and provides empirical examples of these.Semi-structured interviews with multiple stakeholders on various hierarchical levels were carried out to create a more complete view of the system and resources deployed in health- and elderly care. The application of user-centered design methods and co-creation with employees have also been crucial to the outcomes of the study.Results show that health- and elderly care is a large-scale complex system. The overlapping and mutually reinforcing misalignments are: (1) regulation and policy differences, (2) stake...
Source: Journal of Integrated Care - October 11, 2023 Category: International Medicine & Public Health Authors: Jens Hemph älä Magnus Eneberg Source Type: research
It takes a village: what lessons can the UK learn from rural community mental health services in Ghana?
Maria Teresa Ferazzoli, Lily Kpobi Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.- This paper aims to provide new insights into and offer potential solutions to the challenges encountered by mental health services working with remote, rural or underserved communities in the UK.In this paper, the authors reflect on the utility of integrating conventional clinical approaches, with preventive care and empowering work within the community, to provide culturally sensitive and accessible mental health services. The authors describe an example of community intervention from a mental health service in Gh...
Source: Journal of Integrated Care - October 3, 2023 Category: International Medicine & Public Health Authors: Maria Teresa Ferazzoli Lily Kpobi Source Type: research
Client perspectives on primary care integration in a rural-serving behavioral health center
This study aimed to explore the perspectives of people with a substance use disorder (SUD) on accessing integrated primary care (IPC) services in a rural-serving behavioral healthcare organization in Arizona.Clients from a behavioral health facility in Arizona (n = 10) diagnosed with SUDs who also accessed IPC participated in a 45-min semi-structured interview.The authors identified six overarching themes: (1) importance of IPC for clients being treated for SUDs, (2) client low level of awareness of IPC availability at the facility, (3) strategies to increase awareness of IPC availability at the behavioral health facilit...
Source: Journal of Integrated Care - September 21, 2023 Category: International Medicine & Public Health Authors: Jeffersson Santos Amanda Acevedo-Morales Lillian Jones Tara Bautista Carolyn Camplain Chesleigh N. Keene Julie Baldwin Source Type: research
The clinical utility of Multidimensional Behavioral Health Screen
This study provides evidence that the MBHS may be significantly effective in operationalizing the integrated care model in United States (US) healthcare systems.The MBHS, a new behavioral health screening tool, was perceived by providers as useful in identifying mental health issues and guiding treatment decisions in the primary care setting.This paper identifies a novel screening instrument that implements new and emerging models of psychological dysfunction in a practical way in primary medical care, making integrated care a reality rather than an aspiration. (Source: Journal of Integrated Care)
Source: Journal of Integrated Care - September 16, 2023 Category: International Medicine & Public Health Authors: Scott A. Davis Daniel Frayne Jessica McSurdy Annabel O. Franz David Mark McCord Source Type: research
A research method for locating community healthcare facilities in Italy: how to guarantee healthcare for all
A research method for locating community healthcare facilities in Italy: how to guarantee healthcare for all Marco Gola, Marika Fior, Stefano Arruzzoli, Paolo Galuzzi, Stefano Capolongo, Maddalena Buffoli Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.- The new Italian National Recovery and Resilience Plan (NRRP) has prioritised a new healthcare model that will establish the additional community healthcare facilities (CHFs). The paper proposes a methodology for supporting decision-making on location of the future facilities according to new parameters that consider how proximity to healthcare ben...
Source: Journal of Integrated Care - September 15, 2023 Category: International Medicine & Public Health Authors: Marco Gola Marika Fior Stefano Arruzzoli Paolo Galuzzi Stefano Capolongo Maddalena Buffoli Source Type: research
Factors influencing the perception and the willingness to take the COVID-19 vaccine among the working population in Ghana
Frank Gyimah Sackey, Richard Asravor, Christopher Lamptey Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.- The onset of the coronavirus disease 2019 (COVID-19) has led to loss of lives and jobs and other adverse effects on persons, families and businesses. With its frightening tendencies, it was a sigh of relief with the discovery of vaccines to mitigate its disastrous effects. However, participation in the vaccination exercise in Ghana has been slow and unencoraging. This paper sought to identify the factors that influence the perception and willingness of individuals to receive the COVID-19 vacc...
Source: Journal of Integrated Care - September 11, 2023 Category: International Medicine & Public Health Authors: Frank Gyimah Sackey Richard Asravor Christopher Lamptey Source Type: research
Searching for alternative health and social care integration measurement tools – a rapid review of the existing systematic models
This article aims to review existing systematic models to identify alternative health and social care integration measurement tools. The review focuses on models that involve systematic planning and long-term cooperation across different organizational sectors.The study examines various dimensions and elements of integration, including process, outcome and structural measures. It compares different tools used to measure social and health care integration, such as the Rainbow model, Balanced Scorecard (BSC) Scorecard, PRISMA, SCIROCCO, integRATE, health-data simulation (HSIM) and the model developed by Åhgren and Axelsson....
Source: Journal of Integrated Care - September 1, 2023 Category: International Medicine & Public Health Authors: Samuli Tikkanen Pekka R äsänen Timo Sinervo Ilmo Keskim äki Merja Sahlstr öm Tiina Pesonen Hanna Tiirinki Source Type: research
Population health management: from principal to practice
Daniel Mark Alton Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.- Population Health Management (PHM) is a methodology which has the potential to help support the aspirations of the NHS's Integrated Care Systems to address health inequalities, shift from reactive to proactive care and prevention, work in a more integrated manner, and deliver person-centered care tailored to the individual's needs. Although PHM is featured in a number of key national policy documents, moving from the conceptual to widespread adoption requires some key conditions to be in place and barriers to be overcome. It may al...
Source: Journal of Integrated Care - August 22, 2023 Category: International Medicine & Public Health Authors: Daniel Mark Alton Source Type: research
