Collective case study: integrated health and social care for older adults within a Canadian context
This study used the Cheng and Catallo (2020) IHSC conceptual framework (CF) to guide the research. Primary data were based on key informant interviews of representatives from organizations that comprised each case and focus groups. A cross-case analysis was undertaken to determine common themes.The cross-case analysis revealed that the three cases shared common integration and external influence factors based on the Cheng and Catallo (2020) CF. Some new factors were identified.The study revealed that the Canadian context was important in influencing integration in the three cases and that there is a unique Canadian aspect ...
Source: Journal of Integrated Care - June 9, 2023 Category: International Medicine & Public Health Authors: Siu Mee Cheng Cristina Catallo Source Type: research

Impact of single multidisciplinary triage system and straight to test process evaluation at surrey integrated musculoskeletal services
This study aims to discuss the aforementioned objectives.Data were extracted retrospectively from a hospital database from January to December 2019 for all the adult musculoskeletal service referrals. The data collected were analysed on a Microsoft Excel sheet with information including date of triage, hospital number, ordering clinician, body part, type of diagnostic, indications for scanning, outcome for STT, serious pathology findings (named code 5 within our trust) and outcome of appointment.A total of 47,039 referrals were received into the IMSK service. Of these referrals 19,967 were directly referred to therapies, w...
Source: Journal of Integrated Care - April 1, 2023 Category: International Medicine & Public Health Authors: Narender Nalajala Mitesh Panchal Laura Gotting Source Type: research

Can simple household assistive products enhance the self-care of  health and well-being?
Can simple household assistive products enhance the self-care of health and well-being? Nitish Nachiappan, Sophie Ward, Nachiappan Chockalingam, Ruth Chambers Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.- The ageing population is a global phenomenon that is occurring in many countries around the world, including the UK. According to the Office for National Statistics (ONS), the proportion of the UK population aged 65 years and over is projected to increase, reaching 25% by 2045. This increase will have a significant impact on a range of social and economic issues. One of the ways to reduce this...
Source: Journal of Integrated Care - March 29, 2023 Category: International Medicine & Public Health Authors: Nitish Nachiappan Sophie Ward Nachiappan Chockalingam Ruth Chambers Source Type: research

How can we define social care and what are the levels of true integration in integrated care? A  narrative review
How can we define social care and what are the levels of true integration in integrated care? A narrative review Gabriela Uribe, Ferdinand Mukumbang, Corey Moore, Tabitha Jones, Susan Woolfenden, Katarina Ostojic, Paul Haber, John Eastwood, James Gillespie, Carmen Huckel Schneider Journal of Integrated Care, Vol. 31, No. 5, pp.43-84 Integrated health and social care initiatives are increasing and health and social care systems are aiming to improve health and social outcomes in disadvantaged groups. There is a global dialogue surrounding improving services by shifting to an integrated health and social care approach. Ther...
Source: Journal of Integrated Care - March 14, 2023 Category: International Medicine & Public Health Authors: Gabriela Uribe Ferdinand Mukumbang Corey Moore Tabitha Jones Susan Woolfenden Katarina Ostojic Paul Haber John Eastwood James Gillespie Carmen Huckel Schneider Source Type: research

How to handle gerontocracy
This article proposes to handle gerontocracy in two ways. First is by using the potential of healthy retired people as volunteers, thereby mitigating the intergenerational solidarity challenges. Second is by taxing part of the windfall profits on the housing market, where older generation profited disproportionally.The added value of the article is twofold. First, it signals a serious problem in affluent societies that is largely ignored, both in the academic world and in politics. Second, it offers original solutions that mitigate the problem. (Source: Journal of Integrated Care)
Source: Journal of Integrated Care - March 10, 2023 Category: International Medicine & Public Health Authors: Marcel Canoy Yvonne Krabbe Xander Koolman Source Type: research

Integrated care systems and equity: prospects and plans
This study adds to our knowledge of the strategic importance assigned by the new ICSs to tackling health inequalities and illustrates the ways in which features of integrated care can facilitate progress in an area of prime importance to society. (Source: Journal of Integrated Care)
Source: Journal of Integrated Care - February 13, 2023 Category: International Medicine & Public Health Authors: Maria Goddard Source Type: research

Shared leadership in integrated care networks: the case of “hub and spoke” networks in oral and maxillofacial surgery (OMFS) in the English NHS
Steve Willcocks, Edward Joshua Willcocks Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.- The purpose of this paper is to explore leadership in the context of the hub and spoke network in oral and maxillofacial surgery (OMFS) in the English National Health Service (NHS).This paper is a conceptual paper using literature relating to the antecedents of shared leadership and relevant policy documents pertaining to both NHS policy and the development of OMFS. The paper is informed, theoretically by the conceptual lens of shared leadership.The paper identifies the challenges that may be faced by policym...
Source: Journal of Integrated Care - January 7, 2023 Category: International Medicine & Public Health Authors: Steve Willcocks Edward Joshua Willcocks Source Type: research

A co-production approach to exploring an integrated service model in UK local authorities
Parisa Diba, Jonathan Bowden, Andrew Divers, Beth Taylor, Dorothy Newbury-Birch, Jonathan Ling Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.- Integrated service models aim to simplify access, enable effective delivery, remove duplication and provide a holistic and person-centred approach. This project explored the development of integrated well-being services in two local authorities in North-East England. The purpose of this paper is to address this issue.Underpinned by public health and co-production approaches, the project utilised a mixed-methods approach. Data were collected via online surv...
Source: Journal of Integrated Care - January 5, 2023 Category: International Medicine & Public Health Authors: Parisa Diba Jonathan Bowden Andrew Divers Beth Taylor Dorothy Newbury-Birch Jonathan Ling Source Type: research

Knowledge management in a regional integrated health and social care system
This study identifies the mechanisms by which KM can support health and social services integration. At the macro level, national coordination and regional co-operation require common information structures. At the meso level, a shared regional strategy with shared objectives guides both organisational decision-making and collaboration between professionals. At the micro level, technology supported and data-driven planning of service chains complements the experiences of professionals and may help remove obstacles to integration.This study contributes to the literature on integrated care by providing a more comprehensive v...
Source: Journal of Integrated Care - December 29, 2022 Category: International Medicine & Public Health Authors: Tuomas Hujala Harri Laihonen Source Type: research

Priorities in integrating primary and secondary care: a multimethod study of GPs
Shane Dunlea, Geoff McCombe, John Broughan, Áine Carroll, Ronan Fawsitt, Joe Gallagher, Kyle Melin, Walter Cullen Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.- Throughout the world, healthcare policy has committed to delivering integrated models of care. The interface between primary–secondary care has been identified as a particularly challenging area in this regard. To that end, this study aimed to examine the issue of integrated care from general practitioners’ (GPs) perspectives in Ireland.This multimethod study involved a cross-sectional survey and semi-structured interviews with GPs ...
Source: Journal of Integrated Care - December 15, 2022 Category: International Medicine & Public Health Authors: Shane Dunlea Geoff McCombe John Broughan Áine Carroll Ronan Fawsitt Joe Gallagher Kyle Melin Walter Cullen Source Type: research

Perceptions towards integrated care through the narrative of practicing social workers and psychologists in PHC: a cross-case analysis
Nadezhda Ryapolova, Jerome T. Galea, Karah Y. Greene Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.- In a collective effort to build a patient-centered and coordinated health care system, social workers and psychologists are being progressively introduced to primary health care (PHC) settings worldwide. The present study aims to explore the current status of integration through the narrative of social workers and psychologists in PHC settings in Kazakhstan.In this paper purposive snowball sampling was utilized to recruit social workers and psychologists who work, or used to work, in PHC settings ...
Source: Journal of Integrated Care - December 5, 2022 Category: International Medicine & Public Health Authors: Nadezhda Ryapolova Jerome T. Galea Karah Y. Greene Source Type: research

Women living with HIV, diabetes and/or hypertension multi-morbidity in Uganda: a qualitative exploration of experiences accessing an integrated care service
This study whilst small scale, provides a unique insight into the lived experience of WLHIV navigating care for HIV and diabetes and/or hypertension, and how a “one stop” integrated care clinic can support them (and their children) in their treatment journeys. (Source: Journal of Integrated Care)
Source: Journal of Integrated Care - December 2, 2022 Category: International Medicine & Public Health Authors: Marie Claire Annette Van Hout Flavia Zalwango Mathias Akugizibwe Moreen Namulundu Chaka Charlotte Bigland Josephine Birungi Shabbar Jaffar Max Bachmann Jamie Murdoch Source Type: research

An evaluation of speech and language therapy services for people with long COVID in the UK: a call for integrated care
This study provides novel insights into the current speech and language therapy needs of and care pathways for individuals with long COVID in the UK SLTs have unique expertise and are integral to supporting individuals with long COVID and should be a part of integrated care teams. (Source: Journal of Integrated Care)
Source: Journal of Integrated Care - November 30, 2022 Category: International Medicine & Public Health Authors: Katie Chadd Sophie Chalmers Kate Harrall Kathryn Moyse Gemma Clunie Source Type: research

A delicate balance: how physicians manage change towards collaborative care within their institutions
Debbie Vermond, Esther de Groot, Niek de Wit, Dorien Zwart Journal of Integrated Care, Vol. 30, No. 5, pp.125-137 In response to the COVID-19 pandemic, in 2020–2022, the immutable and fragmented character of our healthcare system changed. Healthcare professionals and their institutional leads proved remarkably agile and managed to change toward collaborative care. The purpose of this paper is to examine experiences with collaborative practice in healthcare during the COVID-19 pandemic in two regions in the Netherlands, to explore and understand the relationship between policy and practice and the potential development o...
Source: Journal of Integrated Care - September 8, 2022 Category: International Medicine & Public Health Authors: Debbie Vermond Esther de Groot Niek de Wit Dorien Zwart Source Type: research

“Unchaining the doctor from the desk”: deliberate team-based care in action
This study focuses on a GP practice implementing DTBC in rural Australia. The aim of this research was to understand the perspectives of the healthcare workers involved and to ascertain factors impacting on the day to day running of the model, patient care and clinician work-life. The authors conducted a qualitative study on the experiences of the DTBC workers.Team members were invited to participate in semi-structured interviews (n = 9). Interviews were analysed using an iterative thematic analysis, summarised, collated and explored for emergent themes.Key themes included: creating change from old ways of doing things, ...
Source: Journal of Integrated Care - August 23, 2022 Category: International Medicine & Public Health Authors: Caroline Robertson Tabitha Jones Philippa Southwell Source Type: research