Measuring integrated care at the interface between primary care and secondary care: a scoping review
Aimee O'Farrell, Geoff McCombe, John Broughan, Áine Carroll, Mary Casey, Ronan Fawsitt, Walter Cullen
Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.-
In many healthcare systems, health policy has committed to delivering an integrated model of care to address the increasing burden of disease. The interface between primary and secondary care has been identified as a problem area. This paper aims to undertake a scoping review to gain a deeper understanding of the markers of integration across the primary–secondary interface.
A search was conducted of PubMed, SCOPU...
Source: Journal of Integrated Care - March 19, 2021 Category: International Medicine & Public Health Authors: Aimee O'Farrell Geoff McCombe John Broughan Áine Carroll Mary Casey Ronan Fawsitt Walter Cullen Source Type: research
International advances in self-direction: themes from a disability leadership exchange
Valerie Bradley, Miso Kwak, Highsmith Rich, Bevin Croft
Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.-
Self-direction–also known as participant direction, personalization and self-directed care–is a service delivery model that enables people to manage their personal budget and purchase services and supports tailored to their needs based on a person-centered plan. This paper, the outcome of an international learning exchange on self-direction, describes approaches across four countries’ successful strategies, unresolved questions and recommendations to enhance se...
Source: Journal of Integrated Care - March 2, 2021 Category: International Medicine & Public Health Authors: Valerie Bradley Miso Kwak Highsmith Rich Bevin Croft Source Type: research
Preconditions to implementation of an integrated care process programme
Angela Bångsbo, Anna Dunér, Synneve Dahlin Ivanoff, Eva Lidén
Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.-
The purpose of this study was to investigate the preconditions of a full-scale implementation of an integrated care process programme for frail older people from the staff's understanding, commitment and ability to change their work procedures with comparisons over time and between organisations.
A repeated cross-sectional study was conducted in a hospital, municipal health and social care setting.
Staff commitment decreased to the importance of a ...
Source: Journal of Integrated Care - February 23, 2021 Category: International Medicine & Public Health Authors: Angela B ångsbo Anna Dun ér Synneve Dahlin Ivanoff Eva Lid én Source Type: research
Enablers and barriers in adopting a reablement model of domiciliary care
Erin King, Alys Young
Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.-
The purpose of this paper is to explore the effectiveness of reablement as an outcome-focussed commissioning model within the English domiciliary care market from the perspective of two private domiciliary care agency (PDCA) managers/owners within one local authority (LA) in the North West of England. Specifically, it focusses on owner/managers' perceived ability to effect change from a dependency to a reablement model within the English domiciliary care market.
Qualitative interviews with two c...
Source: Journal of Integrated Care - February 1, 2021 Category: International Medicine & Public Health Authors: Erin King Alys Young Source Type: research
The impact of structural changes to community nursing services on the rate of emergency hospital use of older people: a longitudinal ecological study of based on 140 primary care trusts in England
This study’s outcome measures were (1) emergency hospital admissions and (2) emergency hospital bed use, for people aged 65+ years in 140 primary care trusts (PCTs) in England.
The authors found no statistically significant difference in the post-intervention trend in emergency hospital admissions between those PCTS that integrated community nursing services with an acute care provider and those integrated with a mental health provider (IRR 0.999, 95% CI 0.986–1.013) or those that did not structurally integrate services (IRR 0.996, 95% CI 0.982–1.010). The authors similarly found no difference in the trends for ...
Source: Journal of Integrated Care - January 20, 2021 Category: International Medicine & Public Health Authors: Steven Wyatt Robin Miller Peter Spilsbury Mohammed Amin Mohammed Source Type: research
Achieving sustainable governance of horizontal integration of care services: progress and democratic accountability of strategic coordination bodies for older people
Stefan Szücs, Inger Kjellberg
Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.-
The purpose is to analyse the relationship between democratic accountability and how sustainable governance is achieved by horizontally integrating care services for older people through collaboration in a coordination body of key leaders from across the health and social care system.
The data and measures come from two surveys with coordination body members in Sweden (politicians, administrators, professionals) from a sample of 73 bodies in 2015 (n = 549) and the same/corresponding 5...
Source: Journal of Integrated Care - December 30, 2020 Category: International Medicine & Public Health Authors: Stefan Sz ücs Inger Kjellberg Source Type: research
The comprehensive framework for integrated healthcare implementation: a realist evaluation of positive parenting in rural primary care in the US
This study aimed to develop a comprehensive framework that encompasses contextual determinants of integrated care implementation. The initial framework was developed based on literature and was refined based on contexts and mechanisms that facilitated or interfered with integrating a pilot parenting intervention, Behavior Checker (BC), into the routine service delivery in a rural primary care clinic in the USA.
This study was a single organizational case study informed by the realist evaluation methodology. Data collection methods included key informant interviews, healthcare staff surveys, a focus group and direct ob...
Source: Journal of Integrated Care - December 30, 2020 Category: International Medicine & Public Health Authors: Deborah J. Moon Adrian J. Ballard Source Type: research
Collaboration among healthcare professionals at the public hospitals in Gaza: a quantitative study
This study aimed at assessing the current interprofessional collaboration (IPC) among healthcare professionals at the public hospitals in the Gaza Strip in 2016 through measuring the average level, and also examind the influence of professionals' characteristics on their collaboration.
A quantitative, cross-sectional study using a valid and reliable self-administered questionnaire on a 5-point Likert scale was conducted. A total of 323 participants from six health professions completed the questionnaire which was analyzed using SPSS version 20 by applying descriptive tests, t-test, ANOVA and inferential analysis (Sche...
Source: Journal of Integrated Care - December 25, 2020 Category: International Medicine & Public Health Authors: Iyad Ibrahim Shaqura Radwan Baroud Ali Akbari Sari Source Type: research
The shift to collaborative working and integration in the English NHS: developing shared leadership in primary care networks
Steve Willcocks, Tony Conway
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 policy shift to collaborative working and integration currently being pursued in the UK NHS. As ways of integrating care are being explored in other countries it can be argued that this topic may have wider policy significance. This paper is particularly concerned with leadership in Primary Care Networks in the English NHS.
This paper is a conceptual paper using literature relating to the antecedents of shared leader...
Source: Journal of Integrated Care - December 24, 2020 Category: International Medicine & Public Health Authors: Steve Willcocks Tony Conway Source Type: research
Integrated care effectiveness for adults with co-occurring disorders
This study examined effectiveness of an integrated care program on emergency department visits within a longitudinal sample of patients with both primary care and behavioral health diagnoses.
Patients with co-occurring disorders enrolled in an integrated care clinic and were followed over time to determine whether participation in the clinic, including engagement in wellness/peer services, predicted decreases in Emergency Department (ED) use. Associations between socio-demographic characteristics of patients and ED use were also analyzed.
After 6 months, clinic patients had decreases in ED use that continued for ...
Source: Journal of Integrated Care - December 23, 2020 Category: International Medicine & Public Health Authors: Angela Mooss Joyce Myatt Jennifer Goldman Joey-Ann Alexander Source Type: research
Appropriate polypharmacy: a barometer for integrated care
Alpana Mair, Eleftheria Antoniadou, Anne Hendry, Branko Gabrovec
Journal of Integrated Care, Vol. 29, No. 2, pp.204-214
Polypharmacy, the concurrent use of multiple medicines by one individual, is a common and growing challenge driven by an ageing population and the growing number of people living longer with chronic conditions. Up to 11% of unplanned hospital admissions in the UK are attributable to, mostly avoidable, harm from medicines. However, this topic is not yet central to integrated practice. This paper reviews the challenge that polypharmacy presents to the health and care system and ...
Source: Journal of Integrated Care - December 18, 2020 Category: International Medicine & Public Health Authors: Alpana Mair Eleftheria Antoniadou Anne Hendry Branko Gabrovec Source Type: research
Beyond the workforce training pipeline: embracing the meandering stream of “whole of life” and career to strengthen the retention of health professionals rurally
Richard Colbran, Robyn Ramsden, Michael Edwards, Emer O'Callaghan, Dave Karlson
Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.-
While Australia has continued to invest in polices and strategies aimed at improving rural health service provision, many communities still confront a disproportionate share of the rural workforce shortage. The NSW Rural Doctors Network (RDN) contributes its perspectives about the importance of a whole of life career and the meandering stream concept to support the retention of health professionals rurally. We unpack these concepts and examine...
Source: Journal of Integrated Care - December 1, 2020 Category: International Medicine & Public Health Authors: Richard Colbran Robyn Ramsden Michael Edwards Emer O'Callaghan Dave Karlson Source Type: research
The recruitment, retention and development of an integrated urgent care telephone triage workforce: a small-scale study
This study explored the recruitment, retention and development of one integrated urgent care (IUC) workforce in England, specifically the NHS 111 service and Clinical Hub.
An online survey was distributed to the NHS 111 and Clinical Hub workforce. The data from 48 respondents were summarised and analysed thematically.
The survey respondents held a variety of clinical and non-clinical roles within NHS 111 and the Clinical Hub. The findings indicate that the IUC workforce is motivated to care for their patients and utilise a range of communication and cognitive skills to undertake their telephone triage roles. In t...
Source: Journal of Integrated Care - November 27, 2020 Category: International Medicine & Public Health Authors: Laura Snell Tom Grimwood Source Type: research
Healthcare professionals at the Gazan public hospitals: are they collaborative?
This study aimed to assess interprofessional collaboration among healthcare professionals at governmental hospitals in the Gaza Strip.
This is qualitative study at six governmental hospitals, four general and two specialized. Thirty healthcare professionals were purposefully recruited to seven semi-structured interviews and three focus group discussions. Analysis was carried out using the open-coded thematic analysis.
Eight themes had been identified: (1) unity of goals among health professionals, (2) physicians as team leaders, (3) patient involvement, (4) decision-making and conflict management (5) relationship...
Source: Journal of Integrated Care - November 20, 2020 Category: International Medicine & Public Health Authors: Iyad Ibrahim Shaqura Radwan Baroud Ali Akbari Sari Source Type: research
Service integration for improved diabetic and dental care: exploring an effective model for optimising health outcomes
This study identifies and synthesizes existing literature on the integration of diabetic and dental services and explores a service integration model for optimising diabetic patient health outcomes and improving healthcare systems in low and middle-income countries.
Peer-reviewed literature that analysed the integration of health services regarding dental and medical services were reviewed. The articles were identified using the Academic Search Complete, Business Source Complete, CINAHL Complete, Google Scholar and MEDLINE databases and screened using the PRISMA guidelines.
A total of 40 full-text articles were e...
Source: Journal of Integrated Care - November 19, 2020 Category: International Medicine & Public Health Authors: Isaac S. Obeng Ikedinachi K. Ogamba Source Type: research
