International Journal of Integrated Care最新文献

Application of Decision-Analytic Models to Evaluate Integrated Care Interventions for Cardiometabolic Multimorbidity: A Systematic Review. 应用决策分析模型评价心血管代谢多病综合护理干预：系统综述。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2026-04-27 eCollection Date: 2026-04-01 DOI: 10.5334/ijic.9075

Elvis Omondi Achach Wambiya, Duncan Gillespie, Robert Akparibo, James Odhiambo Oguta, Catherine Akoth, Peter Otieno, Peter J Dodd

{"title":"Application of Decision-Analytic Models to Evaluate Integrated Care Interventions for Cardiometabolic Multimorbidity: A Systematic Review.","authors":"Elvis Omondi Achach Wambiya, Duncan Gillespie, Robert Akparibo, James Odhiambo Oguta, Catherine Akoth, Peter Otieno, Peter J Dodd","doi":"10.5334/ijic.9075","DOIUrl":"https://doi.org/10.5334/ijic.9075","url":null,"abstract":"Introduction: Integrated care is increasingly adopted to address the needs of patients with multimorbidity, but cost-effective configuration of integrated healthcare pathways remains unclear. This study reviewed decision analytic models (DAMs) used in economic evaluations of integrated care interventions for cardiometabolic multimorbidity.Methods: A systematic search of eight electronic databases was conducted to identify peer-reviewed articles published in English until November 2024. Studies using DAMs to evaluate integrated care interventions for patients at risk or having cardiometabolic multimorbidity were included. Data on DAMs characteristics, integrated care models evaluated, and diseases were summarised. The quality of reporting was assessed using Philips (2006) checklist.Results: Sixteen studies met inclusion criteria. Most studies (81%) were cost utility analyses, focused on hypertension and/or diabetes concordant multimorbidity (69%). High-income countries accounted for 69% of the studies. Markov models were used the most (63%), with only three studies employing individual patient simulation (microsimulation) models. Few studies were explicit about data validation and reporting uncertainty.Conclusion: Economic evaluations of integrated care cardiometabolic multimorbidity should adopt microsimulation to better capture patient-level interactions and health outcomes. Better reporting of validation and uncertainty is needed. There is limited application of DAM-based economic evaluations of integrated care in low- and middle-income countries.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"26 2","pages":"7"},"PeriodicalIF":2.6,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13131342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147814788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Re: Policy Versus Practice: Facilitators and Barriers of Chronic Care Integration in Dutch General Practice - a Survey Study. 政策与实践：荷兰全科医疗中慢性护理整合的促进因素和障碍——一项调查研究。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2026-04-25 eCollection Date: 2026-04-01 DOI: 10.5334/ijic.9873

Daan P Hurkmans, Eva de Bie

引用次数: 0

Implementing Population Health Management (PHM) Across an Integrated Care System in England, Using Action Learning Sets and an Embedded, Formative Process Evaluation. 在英国的综合护理系统中实施人口健康管理（PHM），使用行动学习集和嵌入的形成性过程评估。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2026-04-24 eCollection Date: 2026-04-01 DOI: 10.5334/ijic.10027

Julian Elston, Felix Gradinger, Tahir Bockarie, Kristian Tomblin, Ginny Snaith, Richard Byng, Sheena Asthana

{"title":"Implementing Population Health Management (PHM) Across an Integrated Care System in England, Using Action Learning Sets and an Embedded, Formative Process Evaluation.","authors":"Julian Elston, Felix Gradinger, Tahir Bockarie, Kristian Tomblin, Ginny Snaith, Richard Byng, Sheena Asthana","doi":"10.5334/ijic.10027","DOIUrl":"https://doi.org/10.5334/ijic.10027","url":null,"abstract":"Introduction: Population Health Management (PHM) is a UK priority for Integrated Care Systems (ICSs), aiming to deliver proactive, preventative, person-centred care using integrated health and care datasets. However, evidence on implementation in primary care remains limited.Methods: This comparative case study used embedded researchers, ethnography, interviews, and observations to formatively evaluate a 24-month PHM programme across 31 Primary Care Networks in one ICS. Data were thematically analysed using Excel and NVivo, with findings fed back to participants to guide programme delivery.Results: Around 200 stakeholders participated in Action Learning Sets, fostering cross-sector collaboration within four localities. Few innovations, developed using integrated datasets, progressed to delivery, limiting their impact on patient health. While PHM infrastructure was established, delivery was constrained by operational pressures, data governance challenges, limited resources, lack of strategic integration and the nature of local relationships.Discussion: Effective PHM implementation requires more than infrastructure and governance. It depends on developing system-wide soft skills (facilitation, co-production), motivating stakeholders, and investing in processes that support insight generation, innovation piloting, and evidencing of impact.Conclusion: The study highlights the need for stronger strategic integration, sustained resourcing, coordination, and co-production to realise PHM's potential at system, place and neighbourhood levels in addressing health inequalities and improving population outcomes.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"26 2","pages":"5"},"PeriodicalIF":2.6,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13109916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147771038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experiences From Older Patients Regarding Their Transition From the Acute Hospital to Their Home: A Phenomenological Study. 老年病人从急症医院转回家的经验：一项现象学研究。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2026-04-20 eCollection Date: 2026-04-01 DOI: 10.5334/ijic.9119

Şirin Özkan, Elias De Coninck, Merel Leithaus, Geert Goderis, Hilde Verbeek, Mieke Deschodt

{"title":"Experiences From Older Patients Regarding Their Transition From the Acute Hospital to Their Home: A Phenomenological Study.","authors":"Şirin Özkan, Elias De Coninck, Merel Leithaus, Geert Goderis, Hilde Verbeek, Mieke Deschodt","doi":"10.5334/ijic.9119","DOIUrl":"https://doi.org/10.5334/ijic.9119","url":null,"abstract":"Introduction: Improving care transitions through better coordination and understanding patient experiences is essential for enhancing care outcomes. This study aims to explore the perceptions of older patients about their transition from hospital to home.Methods: A phenomenological design was used to explore the experiences of older adults aged 65 and older with at least one chronic condition. Participants (n = 16) were recruited from a geriatric department in Flanders, Belgium. Semi-structured interviews were conducted between 2020 and 2022, transcribed, and analyzed using thematic analysis in NVivo.Results: Three key themes emerged from the study: (1) adaptation to a new reality, where participants described difficulties in adjusting to new routines and navigating emotional and psychosocial changes; (2) emotional and self-management support, emphasizing the importance of assistance in maintaining independence and self-sufficiency while expressing concerns about becoming a burden to others; and (3) perceived quality of care, where participants expressed overall satisfaction with the care received but highlighted the need for clearer communication and more comprehensive information during the transition process.Conclusion: Older patients emphasize the need for independence and clear communication, calling for coordinated care that integrates their physical, emotional, and quality-of-care needs.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"26 2","pages":"4"},"PeriodicalIF":2.6,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13109917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147771020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Constructing the Discourse System of "Integrated Care" for Older Adults in China: Logic, Challenges, and Pathways. 构建中国老年人“综合护理”话语体系：逻辑、挑战与路径。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2026-04-16 eCollection Date: 2026-04-01 DOI: 10.5334/ijic.10286

Yue Zheng, Min Liu

引用次数: 0

Involving Citizens in Integrated Care. Lessons Learned Through Participatory Action Research in Three Communities in the Netherlands. 让市民参与综合护理。荷兰三个社区参与式行动研究的经验教训。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2026-04-16 eCollection Date: 2026-04-01 DOI: 10.5334/ijic.9026

Geert M Rutten, Ellen van Wijk, Saskia Sleijster, Dorien L Oostra, Janine Roenhorst, Marloes Kleinjan, Miranda Laurant

{"title":"Involving Citizens in Integrated Care. Lessons Learned Through Participatory Action Research in Three Communities in the Netherlands.","authors":"Geert M Rutten, Ellen van Wijk, Saskia Sleijster, Dorien L Oostra, Janine Roenhorst, Marloes Kleinjan, Miranda Laurant","doi":"10.5334/ijic.9026","DOIUrl":"10.5334/ijic.9026","url":null,"abstract":"Introduction: In response to rising healthcare demands, alternative health system models are needed. This study aims to investigate the development of community-involved, cross-domain networks, and to identify factors that facilitate or hamper their growth and sustainability.Methods: This participatory action research used purposive sampling to select three diverse networks. A multi-methods approach of document analysis, observations, dialogue and twenty semi-structured interviews across the networks was applied. The ESSA-framework (Exploring, Shaping, Strengthening, Anchoring) of network development was used to track progression across its stages. Reflexivity was ensured through discussions with the networks, an advisory board, and the study's steering committee.Results: All networks advanced by one ESSA phase; however, one only progressed in interprofessional collaboration. Key factors affecting network development included a shared sense of urgency and community, mode of collaboration, essential roles, and a mix of competencies.Discussion: The limited number of networks limits external validity, yet their diversity, and the mixed methods and reflexivity revealed profound insights into community-involved cross-domain network development.Conclusion: Community-involved cross-domain network development is complex and requires felt urgency, patience and perseverance from all participants. Early engagement of both professionals and citizens is required, supported by network leadership and change-agent skills to drive development.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"26 2","pages":"2"},"PeriodicalIF":2.6,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13089367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147722695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correction: Navigating a Decade of Integrated Care Research in the International Journal of Integrated Care: How Far Have We Come? 更正：《国际综合护理杂志》上的综合护理研究的十年导航：我们已经走了多远？

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2026-04-07 eCollection Date: 2026-04-01 DOI: 10.5334/ijic.11035

Jessica Michgelsen, Nick Zonneveld, Robin Miller, Viktoria Stein, Caroline Longpré, Maripier Jubinville, Edelweiss Aldasoro, Nick Goodwin, Mirella Minkman

引用次数: 0

Examining the Influence of Integrated Home and Community Care Programs on Quadruple Aim and Health Equity Outcomes Across the Health Care System: A Scoping Review. 考察综合家庭和社区护理计划对整个医疗保健系统的四重目标和健康公平结果的影响：范围审查。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2026-03-19 eCollection Date: 2026-01-01 DOI: 10.5334/ijic.9896

Margaret E Saari, Ryan McLeod, Marie Lauro, Paul Holyoke, Justine L Giosa

{"title":"Examining the Influence of Integrated Home and Community Care Programs on Quadruple Aim and Health Equity Outcomes Across the Health Care System: A Scoping Review.","authors":"Margaret E Saari, Ryan McLeod, Marie Lauro, Paul Holyoke, Justine L Giosa","doi":"10.5334/ijic.9896","DOIUrl":"https://doi.org/10.5334/ijic.9896","url":null,"abstract":"Introduction: Integrated approaches have been promoted as a solution to challenges in delivering high-quality care for aging populations. Despite their theorized benefits, the system-wide influence of integrated home and community care models remains poorly understood.Methods: We systematically searched MEDLINE (Ovid), CINAHL (EBSCO) and AgeLine (EBSCO) for studies examining the influence of integrated home and community care programs on outcomes aligned with the Quadruple Aim and Health Equity framework.Results: Forty-seven peer-reviewed articles were included, representing five program types: comprehensive coordinated care (n = 6), integrated palliative care (n = 23), preventative care (n = 4), restorative care (n = 3), and transitional care (n = 11). Most studies focused on value outcomes, particularly in hospital (n = 36) and emergency services (n = 22). Patient and caregiver experience was assessed in 11 studies, while provider experience (n = 1), health equity (n = 2) and population health (n = 0) were rarely examined. Eleven studies evaluated system-level influence; 23 focused on community-dwelling care recipients.Discussion: The emphasis on cost-related outcomes reflects prevailing austerity and value-based rhetoric, which may shape research funding, priorities and attention.Conclusion: Future research should adopt a balanced approach, incorporating all Quadruple Aim and Health Equity domains. A learning health system model, linking data, knowledge and practice, is recommended to enable continuous improvement and resource alignment.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"26 1","pages":"12"},"PeriodicalIF":2.6,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13004061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147498695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the Presenting Problems and Services Received by Youth with Diverse Mental Health Presentations in Integrated Youth Mental Health Services Across Canada. 探讨加拿大综合青年心理健康服务中不同心理健康表现的青年所面临的问题和所接受的服务。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2026-03-18 eCollection Date: 2026-01-01 DOI: 10.5334/ijic.10147

Sarah Mughal, Alba Sanchez-Allakhverdieva, Amal Abdel-Baki, Neil Andersson, Patricia Boksa, Daphne Hutt-Macleod, Ridha Joober, Shalini Lal, Jessica Chisholm-Nelson, Nora Morrison, Alyssa Frampton, Mary Anne Levasseur, Lacey Augustine, Kevin Friese, Isabelle Godin, Katherine Hay, Norma Rabbitskin, Paula Reaume-Zimmer, Helen Vallianatos, Srividya N Iyer, Ashok Malla, Jai L Shah

{"title":"Exploring the Presenting Problems and Services Received by Youth with Diverse Mental Health Presentations in Integrated Youth Mental Health Services Across Canada.","authors":"Sarah Mughal, Alba Sanchez-Allakhverdieva, Amal Abdel-Baki, Neil Andersson, Patricia Boksa, Daphne Hutt-Macleod, Ridha Joober, Shalini Lal, Jessica Chisholm-Nelson, Nora Morrison, Alyssa Frampton, Mary Anne Levasseur, Lacey Augustine, Kevin Friese, Isabelle Godin, Katherine Hay, Norma Rabbitskin, Paula Reaume-Zimmer, Helen Vallianatos, Srividya N Iyer, Ashok Malla, Jai L Shah","doi":"10.5334/ijic.10147","DOIUrl":"https://doi.org/10.5334/ijic.10147","url":null,"abstract":"Background: Integrated youth mental health (YMH) primary care initiatives have the potential to improve Canada's treatment gap. However, there is no current standard for implementing these services, and offerings vary greatly across models and sites. This has equity implications for the care received by youth with severe presentations.Methods: We describe the provider-rated problems with which 2995 youth presented to ACCESS Open Minds, a multi-site, Canadian YMH integrated care initiative and the services they received, based on the severity of their needs at intake.Results: The largest proportion of youth had both moderate-severe presentations and moderate-to-significant difficulties in functioning (41.67%). The first instance of receiving services following intake for most participants (71.42%) entailed a single service. The highest proportion of youth for whom the type of service received was not documented was those who presented with neither moderate-severe presentations nor poor functioning (15.01%). There was substantial variability in services provided across sites.Conclusion: Variability in service delivery confirms the need for greater standardization of core service offerings across sites. Future research should assess the appropriateness of services for different presentations to ensure equitable support is provided for all youth.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"26 1","pages":"11"},"PeriodicalIF":2.6,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13004059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147498674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Practitioner-Led Approach to Understanding Multi-Professional Working Across Health and Care: Co-Constructing the Integrated-Component Assessment Framework (I-CAF) and the Development Matrix for Integration (DMI). 从业者主导的理解跨健康和护理多专业工作的方法：共同构建集成组件评估框架（I-CAF）和集成发展矩阵（DMI）。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2026-03-18 eCollection Date: 2026-01-01 DOI: 10.5334/ijic.9136

Mark Llewellyn, Sophie Randall, Carolyn Wallace, Chiquita Cusens, Kerrie Phipps

{"title":"A Practitioner-Led Approach to Understanding Multi-Professional Working Across Health and Care: Co-Constructing the Integrated-Component Assessment Framework (I-CAF) and the Development Matrix for Integration (DMI).","authors":"Mark Llewellyn, Sophie Randall, Carolyn Wallace, Chiquita Cusens, Kerrie Phipps","doi":"10.5334/ijic.9136","DOIUrl":"https://doi.org/10.5334/ijic.9136","url":null,"abstract":"Introduction: This paper has two key purposes - to describe and introduce the Integrated-Component Assessment Framework (I-CAF) and the Development Matrix for Integration (DMI).Methods: The I-CAF is a new approach to practitioner-led team assessment, comprised of three methodological component parts - a Scoping Review, a Group Concept Mapping study, and Collaborative Action Research with practitioners. We then go on to describe and outline how the findings from those three components and the context within which the I-CAF was established have led to the co-construction of the DMI.Results/discussion: The DMI is an assessment matrix for completion by a range of professionals engaged in interprofessional and multi-professional working across community health and social care services in both the public and voluntary sectors. Through utilisation of this new approach, a robust self-assessment tool is promoted which enables stakeholders to identify their team's strengths and areas of development, and to reflect on change over time.Conclusion: The paper also identifies that the I-CAF approach may be relevant and useful to other areas of practice within and without health and social care. If adapted, the DMI could also provide a template for development in other areas of service.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"26 1","pages":"10"},"PeriodicalIF":2.6,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13004068/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147498727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0