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International Journal of Integrated Care

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https://www.readbyqxmd.com/read/30093845/understanding-the-impact-of-chronic-obstructive-pulmonary-disease-and-intervening-to-improve-self-management-in-the-context-of-multi-morbidity
#1
Sameera Ansari
No abstract text is available yet for this article.
July 19, 2018: International Journal of Integrated Care
https://www.readbyqxmd.com/read/30093844/organizing-health-care-networks-balancing-markets-government-and-civil-society
#2
Kasper Raus, Eric Mortier, Kristof Eeckloo
Much is changing in health care organization today. A perspective or paradigm that is gaining ever increasing momentum is that of translational, extramural and integrated care. Current research suggests many potential benefits for integrated care and health care networks but the ethical issues are less frequently emphasized. Showing that integrated care can be beneficial, does not mean it is automatically ethically justified. We will argue for three ethical requirements such health care networks should meet...
July 11, 2018: International Journal of Integrated Care
https://www.readbyqxmd.com/read/30093843/policies-make-coherent-care-pathways-a-personal-responsibility-for-clinicians-a-discourse-analysis-of-policy-documents-about-coordinators-in-hospitals
#3
Audhild Høyem, Deede Gammon, Gro Rosvold Berntsen, Aslak Steinsbekk
Introduction: In response to increase of patients with complex conditions, policies prescribe measures for improving continuity of care. This study investigates policies introducing coordinator roles in Norwegian hospitals that have proven challenging to implement. Methods: This qualitative study of policy documents employed a discourse analysis inspired by Carol Bacchi's 'What's the problem represented to be?'. We analysed six legal documents (2011-2016) and selected parts of four whitepapers presenting the statutory patient care coordinator and contact physician roles in hospitals...
July 10, 2018: International Journal of Integrated Care
https://www.readbyqxmd.com/read/30093842/don-t-blame-the-system-they-ve-chosen-the-wrong-one
#4
Tony Brauer
While trying to represent patients in the design of integrated care, I have heard the words system, systemic and holism used frequently. Few of those using the words seem to be aware of the history of systems thinking, or its principles. Health interventions are instead designed using logic modelling, which is aholistic and disintegrative. This concern is illustrated in relation to the UK's Better Care Fund, which was an attempt to reduce hospital admissions by co-ordinating care. Systems thinking is then used to provide a possible distinction between three operating systems for the UK's National Health Service (NHS)...
July 10, 2018: International Journal of Integrated Care
https://www.readbyqxmd.com/read/29588646/patient-involvement-in-geriatric-care-results-and-experiences-from-a-mixed-models-design-study-within-project-integrate
#5
Joern Kiselev, Kadri Suija, Marje Oona, Eva Mellenthin, Elisabeth Steinhagen-Thiessen
Introduction: Patient involvement is a core component of an integrated care approach. While the benefits and prerequisites of patient involvement have been described in general and additionally for some target populations, little is known about the views and experiences of older people regarding this matter. Methods: A study with a mixed-methods design was conducted to gain a better understanding about patient involvement in geriatric care. A questionnaire on shared decision-making was administered within a group of older adults in Germany...
February 28, 2018: International Journal of Integrated Care
https://www.readbyqxmd.com/read/29588645/translating-the-elements-of-health-governance-for-integrated-care-from-theory-to-practice-a-case-study-approach
#6
Caroline Nicholson, Julie Hepworth, Letitia Burridge, John Marley, Claire Jackson
Introduction: Against a paucity of evidence, a model describing elements of health governance best suited to achieving integrated care internationally was developed. The aim of this study was to explore how health meso-level organisations used, or planned to use, the governance elements. Methods: A case study design was used to offer two contrasting contexts of health governance. Semi-structured interviews were conducted with participants who held senior governance roles...
January 31, 2018: International Journal of Integrated Care
https://www.readbyqxmd.com/read/29632457/development-of-a-customizable-programme-for-improving-interprofessional-team-meetings-an-action-research-approach
#7
Jerôme Jean Jacques van Dongen, Marloes Amantia van Bokhoven, Wilhelmus Nicolaas Marie Goossens, Ramon Daniëls, Trudy van der Weijden, Anna Beurskens
Introduction: Interprofessional teamwork is increasingly necessary in primary care to meet the needs of people with complex care demands. Needs assessment shows that this requires efficient interprofessional team meetings, focusing on patients' personal goals. The aim of this study was to develop a programme to improve the efficiency and patient-centredness of such meetings. Methods: Action research approach: a first draft of the programme was developed, and iteratively used and evaluated by three primary care teams...
January 25, 2018: International Journal of Integrated Care
https://www.readbyqxmd.com/read/29588644/an-instrument-to-measure-maturity-of-integrated-care-a-first-validation-study
#8
Liset Grooten, Liesbeth Borgermans, Hubertus Jm Vrijhoef
Introduction: Lessons captured from interviews with 12 European regions are represented in a new instrument, the B3-Maturity Model (B3-MM). B3-MM aims to assess maturity along 12 dimensions reflecting the various aspects that need to be managed in order to deliver integrated care. The objective of the study was to test the content validity of B3-MM as part of SCIROCCO (Scaling Integrated Care into Context), a European Union funded project. Methods: A literature review was conducted to compare B3-MM's 12 dimensions and their measurement scales with existing measures and instruments that focus on assessing the development of integrated care...
January 25, 2018: International Journal of Integrated Care
https://www.readbyqxmd.com/read/29588643/integrated-care-to-address-the-physical-health-needs-of-people-with-severe-mental-illness-a-mapping-review-of-the-recent-evidence-on-barriers-facilitators-and-evaluations
#9
Mark Rodgers, Jane Dalton, Melissa Harden, Andrew Street, Gillian Parker, Alison Eastwood
People with mental health conditions have a lower life expectancy and poorer physical health outcomes than the general population. Evidence suggests this is due to a combination of clinical risk factors, socioeconomic factors, and health system factors, notably a lack of integration when care is required across service settings. Several recent reports have looked at ways to better integrate physical and mental health care for people with severe mental illness (SMI). We built on these by conducting a mapping review that looked for the most recent evidence and service models in this area...
January 25, 2018: International Journal of Integrated Care
https://www.readbyqxmd.com/read/29588642/quasi-experimental-study-of-systematic-screening-for-family-planning-services-among-postpartum-women-attending-village-health-and-nutrition-days-in-jharkhand-india
#10
Sudharsanam Balasubramaniam, Somesh Kumar, Reena Sethi, Elaine Charurat, Kamlesh Lalchandani, Anne Schuster, Bulbul Sood
Background: Systematic screening helps increase family planning uptake through integration with other services, including immunization. Though successfully demonstrated at health facilities, this strategy has not been demonstrated in communities. This study assessed the effectiveness of systematic screening to increase postpartum family planning use during community health days in India without adversely affecting immunization services. Methods: The study was conducted during 180 individual Village Health and Nutrition Days in Jharkhand, India...
January 25, 2018: International Journal of Integrated Care
https://www.readbyqxmd.com/read/29632456/the-sustain-project-a-european-study-on-improving-integrated-care-for-older-people-living-at-home
#11
Simone R de Bruin, Annerieke Stoop, Jenny Billings, Kai Leichsenring, Georg Ruppe, Nhu Tram, María Gabriela Barbaglia, Eliva A Ambugo, Nick Zonneveld, Gerli Paat-Ahi, Henrik Hoffmann, Usman Khan, Viktoria Stein, Gerald Wistow, Manon Lette, Aaltje P D Jansen, Giel Nijpels, Caroline A Baan
Introduction: Integrated care programmes are increasingly being put in place to provide care to older people who live at home. Knowledge of how to further develop integrated care and how to transfer successful initiatives to other contexts is still limited. Therefore, a cross-European research project, called Sustainable Tailored Integrated Care for Older People in Europe (SUSTAIN), has been initiated with a twofold objective: 1. to collaborate with local stakeholders to support and monitor improvements to established integrated care initiatives for older people with multiple health and social care needs...
January 16, 2018: International Journal of Integrated Care
https://www.readbyqxmd.com/read/29632455/barriers-to-the-integration-of-care-in-inter-organisational-settings-a-literature-review
#12
Carolin Auschra
Introduction: In recent years, inter-organisational collaboration between healthcare organisations has become of increasingly vital importance in order to improve the integration of health service delivery. However, different barriers reported in academic literature seem to hinder the formation and development of such collaboration. Theory and methods: This systematic literature review of forty studies summarises and categorises the barriers to integrated care in inter-organisational settings as reported in previous studies...
January 16, 2018: International Journal of Integrated Care
https://www.readbyqxmd.com/read/29588641/cancer-survivorship-care-person-centered-care-in-a-multidisciplinary-shared-care-model
#13
Jacqueline J Loonen, Nicole Ma Blijlevens, Judith Prins, Desiree Js Dona, Jaap Den Hartogh, Theo Senden, Eline van Dulmen-Den Broeder, Koos van der Velden, Rosella Pmg Hermens
Survivors of childhood and adult-onset cancer are at lifelong risk for the development of late effects of treatment that can lead to serious morbidity and premature mortality. Regular long-term follow-up aiming for prevention, early detection and intervention of late effects can preserve or improve health. The heterogeneous and often serious character of late effects emphasizes the need for specialized cancer survivorship care clinics. Multidisciplinary cancer survivorship care requires a coordinated and well integrated health care environment for risk based screening and intervention...
January 16, 2018: International Journal of Integrated Care
https://www.readbyqxmd.com/read/29632454/contract-design-risk-management-and-evaluation
#14
Axel C Mühlbacher, Volker E Amelung, Christin Juhnke
Introduction: Effective risk adjustment is an aspect that is more and more given weight on the background of competitive health insurance systems and vital healthcare systems. The risk structure of the providers plays a vital role in Pay for Performance. A prerequisite for optimal incentive-based service models is a (partial) dependence of the agent's returns on the provider's gain level. Integrated care systems as well as accountable care organisations (ACOs) in the US and similar concepts in other countries are advocated as an effective method of improving the performance of healthcare systems...
January 12, 2018: International Journal of Integrated Care
https://www.readbyqxmd.com/read/29588640/contract-design-financial-options-and-risk
#15
Axel C Mühlbacher, Volker E Amelung, Christin Juhnke
Introduction: Integrated care systems as well as accountable care organisations (ACOs) in the US and similar concepts in other countries are advocated as an effective method of improving the performance of healthcare systems. These systems outline a payment and care delivery model that intends to tie provider reimbursements to predefined quality metrics. By this the total costs of care shall be reduced. When designing healthcare options contractors are faced with a variety of financial options...
January 12, 2018: International Journal of Integrated Care
https://www.readbyqxmd.com/read/29588639/contract-design-the-problem-of-information-asymmetry
#16
Axel C Mühlbacher, Volker E Amelung, Christin Juhnke
Introduction: Integrated care systems are advocated as an effective method of improving the performance of healthcare systems. These systems outline a payment and care delivery model that intends to tie provider reimbursements to predefined quality metrics. Little is known about the contractual design and the main challenges of delegating "accountability" to these new kinds of organisations and/or contracts. The research question in this article focuses on how healthcare contracts can look like and which possible problems arise in designing such contracts...
January 12, 2018: International Journal of Integrated Care
https://www.readbyqxmd.com/read/29588638/integrated-care-planning-for-cancer-patients-a-scoping-review
#17
Anum Irfan Khan, Erin Arthurs, Sharon Gradin, Marnie MacKinnon, Jonathan Sussman, Vishal Kukreti
Introduction: There has been a growing emphasis on the use of integrated care plans to deliver cancer care. However little is known about how integrated care plans for cancer patients are developed including featured core activities, facilitators for uptake and indicators for assessing impact. Methods: Given limited consensus around what constitutes an integrated care plan for cancer patients, a scoping review was conducted to explore the components of integrated care plans and contextual factors that influence design and uptake...
November 13, 2017: International Journal of Integrated Care
https://www.readbyqxmd.com/read/29588637/indicators-and-measurement-tools-for-health-systems-integration-a-knowledge-synthesis
#18
Esther Suter, Nelly D Oelke, Maria Alice Dias da Silva Lima, Michelle Stiphout, Robert Janke, Regina Rigatto Witt, Cheryl Van Vliet-Brown, Kaela Schill, Mahnoush Rostami, Shelanne Hepp, Arden Birney, Fatima Al-Roubaiai, Giselda Quintana Marques
Background: Despite far reaching support for integrated care, conceptualizing and measuring integrated care remains challenging. This knowledge synthesis aimed to identify indicator domains and tools to measure progress towards integrated care. Methods: We used an established framework and a Delphi survey with integration experts to identify relevant measurement domains. For each domain, we searched and reviewed the literature for relevant tools. Findings: From 7,133 abstracts, we retrieved 114 unique tools...
November 13, 2017: International Journal of Integrated Care
https://www.readbyqxmd.com/read/29588636/enhancing-care-transitions-for-older-people-through-interprofessional-simulation-a-mixed-method-evaluation
#19
Susie Sykes, Lesley Baillie, Beth Thomas, Judy Scotter, Fiona Martin
Introduction: The educational needs of the health and social care workforce for delivering effective integrated care are important. This paper reports on the development, pilot and evaluation of an interprofessional simulation course, which aimed to support integrated care models for care transitions for older people from hospital to home. Theory and methods: The course development was informed by a literature review and a scoping exercise with the health and social care workforce...
November 13, 2017: International Journal of Integrated Care
https://www.readbyqxmd.com/read/29588635/individualising-chronic-care-management-by-analysing-patients-needs-a-mixed-method-approach
#20
P Timpel, C Lang, J Wens, J C Contel, A Gilis-Januszewska, K Kemple, P E Schwarz
Background: Modern health systems are increasingly faced with the challenge to provide effective, affordable and accessible health care for people with chronic conditions. As evidence on the specific unmet needs and their impact on health outcomes is limited, practical research is needed to tailor chronic care to individual needs of patients with diabetes. Qualitative approaches to describe professional and informal caregiving will support understanding the complexity of chronic care...
November 13, 2017: International Journal of Integrated Care
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