Does training in co-production lead to any real change in practice? Reflections from practitioners in Northern Ireland
Sonia Patton, Anne McGlade, Joe Elliott
Journal of Integrated Care, Vol. 29, No. 2, pp.141-152
This paper explores the perceptions of a small cohort of participants in the “Involving People” programme. This 35-week course recruited staff from across statutory, voluntary and charity sectors who aimed to lead and develop change initiatives within their respective organisations. The study captured staff views on the extent to which their training in co-production enabled them to deliver sustainable service improvement within their organisations.
This was a small scale, qualitative study, ...
Source: Journal of Integrated Care - November 17, 2020 Category: International Medicine & Public Health Authors: Sonia Patton Anne McGlade Joe Elliott Source Type: research
Does integrated health and care in the community deliver its vision? A workforce perspective
This study revealed four interdependent emergent themes: (1) Insight of IC and collaboration: affording the opportunity for collaboration, shared goals, vision, dovetailing knowledge, skills and expertise. Professional aspirations of person-centred and strength-based care to improve outcomes. (2) Awareness of culture and professionalism: embracing inter-professional working whilst appreciating the fear of losing professional identity and values. Working relationships based on trust, respect and understanding of professional roles to improve outcomes. (3) Impact of workforce engagement: participants felt strongly about thei...
Source: Journal of Integrated Care - November 12, 2020 Category: International Medicine & Public Health Authors: Linda Marie Wain Source Type: research
Person-centred care in Northern Ireland: learning from the experiences of adult social care users
Alexandra Chapman
Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.-
The move towards a “person-centred” or “personalised” system of adult social care has been at the heart of policy debates in Great Britain. However, policy developments in Northern Ireland are more limited than in other parts of the UK, and less attention has been paid to reforming adult social care. The purpose of this paper is to examine the views and experiences of adult social care users who receive care at home, to explore if and how a person-centred approach might work for older adults in N...
Source: Journal of Integrated Care - October 12, 2020 Category: International Medicine & Public Health Authors: Alexandra Chapman Source Type: research
Technical assistance needs for realizing person-centered thinking, planning and practices in United States human service systems
Bevin Croft, Jami Petner-Arrey, Dorothy Hiersteiner
Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.-
The United States’ National Center on Advancing Person-Centered Practices and Systems provides technical assistance to human service systems on person-centered thinking, planning and practices. To apply for the Center's technical assistance, 33 state human service systems submitted applications and participated in interviews in which they detailed technical assistance needs. This technical paper examines themes that emerged from these technical assistance applications ...
Source: Journal of Integrated Care - October 12, 2020 Category: International Medicine & Public Health Authors: Bevin Croft Jami Petner-Arrey Dorothy Hiersteiner Source Type: research
Health workforce planning under conditions of uncertainty: identifying supportive integrated care policies using scenario analysis
In this study we reveal some integration-supportive workforce governance and planning policies that were derived from the application of scenario analysis.
Through a mixed methods design that applies content analysis, scenario construction and the policy Delphi method, we analysed a set of New Zealand's older persons health sector workforce scenarios. Developed from data gathered from workforce documents and studies, the scenarios were evaluated by a suitably qualified panel, and derived policy statements were assessed for desirability and feasibility.
One scenario was found to be most favourable, based on its br...
Source: Journal of Integrated Care - October 7, 2020 Category: International Medicine & Public Health Authors: Gareth H. Rees Peter Crampton Robin Gauld Stephen MacDonell Source Type: research
Building an initial realist theory of partnering across National Health Service providers
Justin Avery Aunger, Ross Millar, Joanne Greenhalgh, Russell Mannion, Anne Marie Rafferty, Hugh McLeod
Journal of Integrated Care, Vol. 29, No. 2, pp.111-125
The National Health Service (NHS) is facing unprecedented financial strain. These significant economic pressures have coincided with concerns regarding the quality and safety of the NHS provider sector. To make the necessary improvements to performance, policy interest has turned to encouraging greater collaboration and partnership working across providers.
Using a purposive search of academic and grey literature, this narrative revie...
Source: Journal of Integrated Care - September 19, 2020 Category: International Medicine & Public Health Authors: Justin Avery Aunger Ross Millar Joanne Greenhalgh Russell Mannion Anne Marie Rafferty Hugh McLeod Source Type: research
The development of a tool to monitor integrated care for childhood overweight and obesity in the Netherlands
This study presents a “Tool to monitor the local implementation of Integrated Care for Childhood Overweight and obesity” (TICCO).
A three-step study was conducted in order to adapt and refine a generic integrated care questionnaire into a tool that suits the specific characteristics and context of integrated care for childhood overweight and obesity. The three consecutive steps comprised the following: a focus group session that assessed the relevance and comprehensiveness of the original integrated care instrument; a pilot questionnaire for end users that evaluated the feasibility of the preliminary tool and a pi...
Source: Journal of Integrated Care - August 20, 2020 Category: International Medicine & Public Health Authors: Leandra Koetsier Monique Jacobs Jutka Halberstadt Marian Sijben Nick Zonneveld Mirella Minkman Source Type: research
Will the real “Mrs Smith” please stand up: a critical examination of the role of vignettes in integrated service development and delivery
This article argues that changing the way services are organised and delivered must be underpinned by critical reflection of the assumptions which underpin attitudes towards old age, including our tendency to define older people by chronological age and to homogenise “the elderly” into a single group. The value of participatory methods which meaningfully involve older citizens in both evaluating and planning services could contribute significantly to innovation in service development.
This paper highlights the critical importance of challenging age-based stereotypes and ageist policy and practice. Recognising old ...
Source: Journal of Integrated Care - August 17, 2020 Category: International Medicine & Public Health Authors: Thomas George Michael Toze Mo Ray Owen Clayton Source Type: research
Implementing integrated care pilot projects in hospital settings – an exploration of disruptive practices
Elizabeth Mansfield, Jane Sandercock, Penny Dowedoff, Sara Martel, Michelle Marcinow, Richard Shulman, Sheryl Parks, Mary-Lynn Peters, Judith Versloot, Jason Kerr, Ian Zenlea
Journal of Integrated Care, Vol. 29, No. 2, pp.126-140
In Canada, integrated care pilot projects are often implemented as a local reform strategy to improve the quality of patient care and system efficiencies. In the qualitative study reported here, the authors explored the experiences of healthcare professionals when first implementing integrated care pilot projects, bringing together physical and mental health services, ...
Source: Journal of Integrated Care - August 7, 2020 Category: International Medicine & Public Health Authors: Elizabeth Mansfield Jane Sandercock Penny Dowedoff Sara Martel Michelle Marcinow Richard Shulman Sheryl Parks Mary-Lynn Peters Judith Versloot Jason Kerr Ian Zenlea Source Type: research
Case study method to design and evaluate person-centred integrated palliative and end-of-life care
Giovanna I. Cruz, Sarah M. McGhee
Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.-
This case study aims to understand the experience of care from a patient/carer perspective and to describe how the method can be replicated to address gaps in evidence relating to integrated person-centred care.
The case study was constructed using data extracted from personal diaries and medical records kept by a person with a complex condition, correspondence with family from the last 18 months of life and interviews with the carer and long-term conditions coordinator. The number o...
Source: Journal of Integrated Care - July 2, 2020 Category: International Medicine & Public Health Authors: Giovanna I. Cruz Sarah M. McGhee Source Type: research
Case definition for health and social care services integrated initiatives
Journal of Integrated Care, Ahead of Print. Purpose The purpose of this paper is to develop a case definition of integrated health and social services initiatives that serve older adults, and will provide characteristics to aid in the identification of such initiatives. The case definition is intended to ease the identification of integrated health and social care initiatives. Design/methodology/approach A limited search was undertaken of both scientific and gray literature that documented and/or examined integrated health and social services initiatives. In addition, literature on well-documented and generally accepted ...
Source: Journal of Integrated Care - June 25, 2019 Category: International Medicine & Public Health Source Type: research
Implementing a step down intermediate care service
Journal of Integrated Care, Ahead of Print. Purpose The purpose of this paper is to explore implementation and development of step-down intermediate care (IC) in Glasgow City from the perspective of staff. Design/methodology/approach The study used qualitative methods. Nine key members of staff were interviewed and three focus groups were run for social work, rehabilitation and care home staff. Framework analysis was used to identify common themes. Findings The proposed benefits of IC were supported anecdotally by staff. Perceived enablers included: having a range of engaged stakeholders, strong leadership and a risk ma...
Source: Journal of Integrated Care - June 18, 2019 Category: International Medicine & Public Health Source Type: research
Does the integration of response services lead to meaningful change in healthcare activity? A case study evaluation
Journal of Integrated Care, Ahead of Print. Purpose The aim of the NHS England Vanguards of new care models was to improve healthcare provision and integration through the coordination of services, seeking to deliver the Five Year Forward View. The purpose of this paper is to report on an extensive analysis of one of the Vanguard programmes, exploring whether the implemented integrated response service (IRS) based in Harrogate, England, resulted in any meaningful change in secondary healthcare activity. Design/methodology/approach The authors used an interrupted time series framework applied to aggregate secondary care d...
Source: Journal of Integrated Care - June 17, 2019 Category: International Medicine & Public Health Source Type: research
