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International Journal of Integrated Care

Miia Tuominen, Anne Kaljonen, Pia Ahonen, Juha Mäkinen, Päivi Rautava
INTRODUCTION: Primary maternity care services are globally provided according to various organisational models. Two models are common in Finland: a maternity health clinic and an integrated maternity and child health clinic. The aim of this study was to clarify whether there is a relation between the organisational model of the maternity health clinics and the utilisation of maternity care services, and certain maternal and perinatal health outcomes. METHODS: A comparative, register-based cross-sectional design was used...
July 8, 2016: International Journal of Integrated Care
Sarah Amador, Claire Goodman, Elspeth Mathie, Caroline Nicholson
In the United Kingdom, approximately a third of people with dementia live in long-term care facilities for adults, the majority of whom are in the last years of life. Working arrangements between health services and care homes in England are largely ad hoc and often inequitable, yet quality end-of-life care for people with dementia in these settings requires a partnership approach to care that builds on existing practice. This paper reports on the qualitative component of a mixed method study aimed at evaluating an organisational intervention shaped by Appreciative Inquiry to promote integrated working between visiting health care practitioners (i...
June 3, 2016: International Journal of Integrated Care
Claudio Dario, Elena Luisotto, Enrico Dal Pozzo, Silvia Mancin, Vassilis Aletras, Stanton Newman, Lorenzo Gubian, Claudio Saccavini
INTRODUCTION: The purpose of this paper is to assess if similar telemedicine services integrated in the management of different chronic diseases are acceptable and well perceived by patients or if there are any negative perceptions. THEORY AND METHODS: Participants suffering from different chronic diseases were enrolled in Veneto Region and gathered into clusters. Each cluster received a similar telemedicine service equipped with different disease-specific measuring devices...
June 1, 2016: International Journal of Integrated Care
Nick Goodwin
No abstract text is available yet for this article.
2016: International Journal of Integrated Care
Rowan Hillis, Maria Brenner, Philip J Larkin, Des Cawley, Michael Connolly
INTRODUCTION: This systematic review seeks to identify the intended components of the role of care coordinator for children with complex care needs and the factors that determine its composition in practice. THEORY AND METHODS: The initial search identified 1,157 articles, of which 37 met the inclusion criteria. They were quality assessed using the SIGN hierarchy of evidence structure. RESULTS: Core components of the role include: coordination of care needs, planning and assessment, specialist support, emotional support, administration and logistics and continuing professional development...
2016: International Journal of Integrated Care
Arne Orvik, Gerd E M Nordhus, Susanna Bihari Axelsson, Runo Axelsson
INTRODUCTION AND AIM: This article reports a study of a post-discharge programme for elderly patients in Norway. It took place in an intermediate ward for transitional care and was based on collaboration between a municipality and a hospital, which was part of a health enterprise. The aim of the study was to analyse the collaboration and its possible effects on the quality of patient care, and the economic efficiency of the project for the organizations involved. METHODOLOGY: A mixed-methods approach, consisting of interviews, questionnaires and analyses of official documents and statistics...
2016: International Journal of Integrated Care
Brenda Ohta, Ana Mola, Peri Rosenfeld, Shauna Ford
BACKGROUND/METHODS: Readmission prevention is a marker of patient care quality and requires comprehensive, early discharge planning for safe hospital transitions. Effectively performed, this process supports patient satisfaction, efficient resource utilization, and care integration. This study developed/tested the utility of a predictive early discharge risk assessment with 366 elective orthopedic/cardiovascular surgery patients. Quality improvement cycles were undertaken for the design and to inform analytic plan...
2016: International Journal of Integrated Care
David Font, Joan Escarrabill, Mónica Gómez, Rafael Ruiz, Belén Enfedaque, Xavier Altimiras
The Integrated Health Area "Barcelona Esquerra" (Área Integral de Salud de Barcelona Esquerra - AIS-BE), which covers a population of 524,000 residents in Barcelona city, is running a project to improve healthcare quality and efficiency based on co-ordination between the different suppliers in its area through the participation of their professionals. Endowed with an Organisational Model that seeks decision-taking that starts out from clinical knowledge and from Information Systems tools that facilitate this co-ordination (an interoperability platform and a website) it presents important results in its structured programmes that have been implemented such as the Reorganisation of Emergency Care, Screening for Colorectal Cancer, the Onset of type 2 Diabetes Mellitus, Teledermatology and the Development of Cross-sectional Healthcare Policies for Care in Chronicity...
2016: International Journal of Integrated Care
Charlotte Klinga, Johan Hansson, Henna Hasson, Magna Andreen Sachs
INTRODUCTION: Co-leadership has been identified as one approach to meet the managerial challenges of integrated services, but research on the topic is limited. In the present study, co-leadership, practised by pairs of managers - each manager representing one of the two principal organizations in integrated health and social care services - was explored. AIM: To investigate co-leadership in integrated health and social care, identify essential preconditions in fulfilling the management assignment, its operationalization and impact on provision of sustainable integration of health and social care...
2016: International Journal of Integrated Care
Ralf Kirchhoff, Birgitte Ljunggren
INTRODUCTION: This paper raises questions about equality in partnerships, since imbalance in partnerships may effect collaboration outcomes in integrated care. We address aspects of equality in mandatory, public-public partnerships, from the perspective of municipal care. We have developed a questionnaire wherein the Norwegian Coordination Reform is an illustrative example. The following research question is addressed: What equality dimensions are important for municipals related to mandatory partnerships with hospitals? THEORY/METHODS: Since we did not find any instrument to measure equality in partnerships, an explorative design was chosen...
2016: International Journal of Integrated Care
Giannoula Tsakitzidis, Olaf Timmermans, Nadine Callewaert, Veronique Verhoeven, Maja Lopez-Hartmann, Steven Truijen, Herman Meulemans, Paul Van Royen
BACKGROUND: Geriatric care increasingly needs more multidisciplinary health care services to deliver the necessary complex and continuous care. The aim of this study is to summarize indicators of effective interprofessional outcomes for this population. METHOD: A systematic review is performed in the Cochrane Library, Pubmed (Medline), Embase, Cinahl and Psychinfo with a search until June 2014. RESULTS: Overall, 689 references were identified of which 29 studies met the inclusion criteria...
2016: International Journal of Integrated Care
Hanna Maria van Dijk, Jane Murray Cramm, Anna Petra Nieboer
BACKGROUND: Although the need for integrated neighborhood approaches (INAs) is widely recognized, we lack insight into strategies like INA. We describe diverse Dutch INA partners' experiences to provide integrated person- and population-centered support to community-dwelling older people using an adapted version of Valentijn and colleagues' integrated care model. Our main objective was to explore the experiences with INA participation. We sought to increase our understanding of the challenges facing these partners and identify factors facilitating and inhibiting integration within and among multiple levels...
2016: International Journal of Integrated Care
Michael Morton, Elisabeth Paice
In North West London, health and social care leaders decided to design a system of integrated care with the aim of improving the quality of care and supporting people to maintain independence and participation in their community. Patients and carers, known as 'lay partners,' were to be equal partners in co-production of the system. Lay partners were recruited by sending a role profile to health, social care and voluntary organisations and requesting nominations. They formed a Lay Partners Advisory Group from which pairs were allocated to system design workstreams, such as which population to focus on, financial flow, information technology and governance...
2016: International Journal of Integrated Care
Arianne Mj Elissen, Dorijn Fl Hertroijs, Nicolaas C Schaper, Hubertus Jm Vrijhoef, Dirk Ruwaard
BACKGROUND: This article presents the design of PROFILe, a study investigating which (bio)medical and non-(bio)medical patient characteristics should guide more tailored chronic care. Based on this insight, the project aims to develop and validate 'patient profiles' that can be used in practice to determine optimal treatment strategies for subgroups of chronically ill with similar healthcare needs and preferences. METHODS/DESIGN: PROFILe is a practice-based research comprising four phases...
2016: International Journal of Integrated Care
Sofie Johanna Maria van Hoof, Mariëlle Elisabeth Aafje Lydia Kroese, Marieke Dingena Spreeuwenberg, Arianne Mathilda Josephus Elissen, Ronald Johan Meerlo, Monique Margaretha Henriëtte Hanraets, Dirk Ruwaard
OBJECTIVE: To analyse barriers and facilitators in substituting hospital care with primary care to define preconditions for successful implementation. METHODS: A descriptive feasibility study was performed to collect information on the feasibility of substituting hospital care with primary care. General practitioners were able to refer patients, about whom they had doubts regarding diagnosis, treatment and/or the need to refer to hospital care, to medical specialists who performed low-complex consultations at general practitioner practices...
2016: International Journal of Integrated Care
Carola A Huber, Oliver Reich, Mathias Früh, Thomas Rosemann
BACKGROUND: There is an ongoing discussion on the further promotion of integrated care models in many healthcare systems. Only a few data, which examine the effect of integrated care models on medical expenditures and quality of care in chronically ill patients, exist. AIMS: To investigate the effect of integrated care models on disease-related hospitalisations as a quality indicator and healthcare costs in patients with either diabetes, cardiovascular diseases or respiratory illnesses...
2016: International Journal of Integrated Care
Shannon Winters, Lilian Magalhaes, Elizabeth Anne Kinsella, Anita Kothari
INTRODUCTION: Meeting the complex health needs of people often requires interaction among numerous different sectors. No one service can adequately respond to the diverse care needs of consumers. Providers working more effectively together is frequently touted as the solution. Cross-sector service provision is defined as independent, yet interconnected sectors working together to better meet the needs of consumers and improve the quality and effectiveness of service provision. Cross-sector service provision is expected, yet much remains unknown about how it is conceptualised or its impact on health status...
2016: International Journal of Integrated Care
Anneke N Van Dijk-de Vries, Inge G P Duimel-Peeters, Jean W Muris, Geertjan J Wesseling, George H M I Beusmans, Hubertus J M Vrijhoef
INTRODUCTION: Teamwork between healthcare providers is conditional for the delivery of integrated care. This study aimed to assess the usefulness of the conceptual framework Integrated Team Effectiveness Model for developing and testing of the Integrated Team Effectiveness Instrument. THEORY AND METHODS: Focus groups with healthcare providers in an integrated care setting for people with chronic obstructive pulmonary disease (COPD) were conducted to examine the recognisability of the conceptual framework and to explore critical success factors for collaborative COPD practice out of this framework...
2016: International Journal of Integrated Care
Jing Xu, Rui Pan, Raymond W Pong, Yudong Miao, Dongfu Qian
OBJECTIVE: In recent years, in order to provide patients with seamless and integrated healthcare services, some models of collaboration between public hospitals and community health centres have been piloted in some cities in China. The main goals of this study were to assess the nature and characteristics of these collaboration models. METHODS: Three cases of three different collaboration models in three Chinese cities were selected to analyse using descriptive statistics, Pearson χ (2) and ordinal logistic regression...
2016: International Journal of Integrated Care
Marie-Josée Fleury, Michel Perreault, Guy Grenier, Armelle Imboua, Serge Brochu
BACKGROUND: Fragmentation and lack of coordination often occur among organisations offering treatment for individuals with substance-use disorders. Better integration from a system perspective within a network of organisations offering substance-use disorder services can be developed using various integration strategies at the administrative and clinical levels. This study aims to identify integration strategies implemented in Quebec substance-use disorder networks and to assess their strengths and limitations...
2016: International Journal of Integrated Care
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