International Journal of Integrated Care最新文献

Volunteer-supported Care Transition Interventions for People Living with Dementia: A Secondary Analysis of a Scoping Review. 志愿者支持的痴呆症患者护理过渡干预：范围回顾的二次分析。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2025-05-21 eCollection Date: 2025-04-01 DOI: 10.5334/ijic.9056

Sidra Bharmal, Michelle Nelson, Marianne Saragosa

{"title":"Volunteer-supported Care Transition Interventions for People Living with Dementia: A Secondary Analysis of a Scoping Review.","authors":"Sidra Bharmal, Michelle Nelson, Marianne Saragosa","doi":"10.5334/ijic.9056","DOIUrl":"10.5334/ijic.9056","url":null,"abstract":"Introduction: Rising dementia rates can worsen the strain on the healthcare system and increase hospital admissions. Hospitals decondition persons living with dementia (PLWD), for which volunteers can offer support. We reviewed existing literature on volunteer-led/supported care transition services available to PLWD, assessing PLWD representation and the extent to which their needs are addressed.Methods: We conducted a secondary analysis of a scoping review examining volunteer and third-sector personnel providing post-discharge support. Of the review's 49 articles, we considered services offered to PLWD and persons with cognitive impairment (PWCI). The Camberwell Assessment of Needs for the Elderly (CANE) guided the thematic analysis.Results: Four of our nine selected articles highlighted services supporting PLWD, though only one was developed explicitly for them. The most common themes of needs targeted or met were physical health (n = 7), company (n = 7), food (n = 6), medications (n = 6), and psychological distress (n = 6).Discussion: We described the characteristics and outcomes of these volunteer-led/supported care transition interventions. Comparing the leading PLWD needs against those the interventions primarily addressed revealed potential oversight of their most critical needs. However, volunteers remain valuable in supporting discharged community-dwelling PLWD.Conclusion: In hospital-to-home care transitions, volunteer-led/supported transitional care models benefit PLWD and their caregivers. However, few available interventions explicitly focus on this patient population. Therefore, this is an opportunity to understand better how volunteers and third-sector organizations could optimally support those living during care transitions through an integrated care approach.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 2","pages":"16"},"PeriodicalIF":2.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12101112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142526","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

Impact of Integrating Social and Health Home Care Services in Catalonia: A Retrospective Cohort-Based Two-Year Study. 加泰罗尼亚整合社会和健康家庭护理服务的影响：一项基于队列的为期两年的回顾性研究

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2025-05-16 eCollection Date: 2025-04-01 DOI: 10.5334/ijic.8909

Emili Vela, Joan Carles Contel, Anna Vila, Sebastià J Santaeugènia, Rosa Suñol, Jordi Amblàs-Novellas, Conxita Barbeta, Aina Plaza, Pilar Hilarión

{"title":"Impact of Integrating Social and Health Home Care Services in Catalonia: A Retrospective Cohort-Based Two-Year Study.","authors":"Emili Vela, Joan Carles Contel, Anna Vila, Sebastià J Santaeugènia, Rosa Suñol, Jordi Amblàs-Novellas, Conxita Barbeta, Aina Plaza, Pilar Hilarión","doi":"10.5334/ijic.8909","DOIUrl":"10.5334/ijic.8909","url":null,"abstract":"Introduction: This study aimed to evaluate the impact of integrating social and health home care services (HCSs) on institutionalization, survival, and utilization of health and social care services and associated expenditures.Methods: Retrospective study including all individuals who initiated social HCSs for dependent people in Catalonia during 2018-2019 with a paired case-control, pre/post design (differences-in-differences), using integrated data from the Autonomy and Dependency Care System database and the Catalan Health Surveillance System. Individuals were categorized based on their perceived level of integration in the residing areas (high level: Case Group, and low level: Control Group).Results: We included 4381 cases and 13143 matched controls. HCS integration decreased the risk of institutionalization in a nursing home by 19.5% and the length of stays in any center by 7.7%. Integration increased day centers' use by 23.7% and primary care service utilization by 3.0%, and also reduced associated social expenditures after HCS initiation by 19.1% and overall social and health expenditures by 2.6%.Conclusion: Integration of social and health HCSs resulted in a shift from institutionalization services to primary care services and day care centers, prolonging recipients' lives in their homes.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 2","pages":"15"},"PeriodicalIF":2.6,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12083072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144093698","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

Realising the Power of Academic-Voluntary Sector Partnerships to Integrated Care Research. 实现学术-志愿部门伙伴关系对综合护理研究的作用。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2025-05-13 eCollection Date: 2025-04-01 DOI: 10.5334/ijic.9101

Kelly Hall, Darshini Ayton, Helen Skouteris, Robin Miller, Catherine Needham

引用次数: 0

Enhancing Integrated Care Through the Voluntary and Community Sector: A Lean Management and Dynamic Capabilities Perspective. 通过志愿和社区部门加强综合护理：精益管理和动态能力的视角。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2025-05-13 eCollection Date: 2025-04-01 DOI: 10.5334/ijic.9014

Huay Ling Tay

引用次数: 0

Inter-Organizational Coordination to Improve Patient Outcomes in Multimorbid Older Patients Following Hospital Discharge - a Systematic Review. 组织间协调以改善出院后多病老年患者的预后——一项系统综述。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2025-05-12 eCollection Date: 2025-04-01 DOI: 10.5334/ijic.9018

Wilhelm Linder, Richard Ssegonja, Inna Feldman, Robert Sarkadi Kristiansson, Jamile Marchi, Ulrika Winblad

{"title":"Inter-Organizational Coordination to Improve Patient Outcomes in Multimorbid Older Patients Following Hospital Discharge - a Systematic Review.","authors":"Wilhelm Linder, Richard Ssegonja, Inna Feldman, Robert Sarkadi Kristiansson, Jamile Marchi, Ulrika Winblad","doi":"10.5334/ijic.9018","DOIUrl":"10.5334/ijic.9018","url":null,"abstract":"Introduction: Health and social care systems are constantly undergoing major reforms to meet the rising demands of an increasing proportion of older patients, with many such reforms aiming to improve integration and coordination. The aim of this systematic review was to synthesize the evidence on inter-organizational coordination interventions between hospitals and outpatient (health- and social care) providers for older patients with complex needs during- and after hospital discharge.Methods: A systematic search of four databases was performed to identify interventions of inter-organizational coordination at hospital discharge for older patients with complex needs. The retrieved literature was analyzed using a narrative synthesis.Results: Twelve studies were included (seven randomized controlled trials and five non-randomized intervention studies). The most common intervention components were; needs assessments, dedicated care coordinators and multi-professional teams. Findings show that inter-organizational coordination could decrease- or even increase readmission rates, with similar findings for hospital length of stay and mortality. Furthermore, inter-organizational coordination seemed to have a positive impact on quality of life and activities of daily living.Conclusion: Inter-organizational coordination could potentially reduce health-care utilization and improve quality of life for older patients with complex needs. However, the findings remain uncertain and further research is warranted.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 2","pages":"12"},"PeriodicalIF":2.6,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12082463/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144093703","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

The Infinity Loop of Healthcare Innovation: Development of an Integrated Rehabilitation Pathway for Lumbar Fusion Surgery Through Design Thinking. 医疗创新的无限循环：通过设计思维开发腰椎融合手术的综合康复途径。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2025-05-12 eCollection Date: 2025-04-01 DOI: 10.5334/ijic.7765

Liedewij Bogaert, Bart Depreitere, Sanne Peters, Tinne Thys, Simon Brumagne, Sebastiaan Schelfaut, Koen Peers, Lieven Moke, Wim Dankaerts, Peter Van Wambeke, Ann Spriet, Thijs Willem Swinnen, Lotte Janssens

{"title":"The Infinity Loop of Healthcare Innovation: Development of an Integrated Rehabilitation Pathway for Lumbar Fusion Surgery Through Design Thinking.","authors":"Liedewij Bogaert, Bart Depreitere, Sanne Peters, Tinne Thys, Simon Brumagne, Sebastiaan Schelfaut, Koen Peers, Lieven Moke, Wim Dankaerts, Peter Van Wambeke, Ann Spriet, Thijs Willem Swinnen, Lotte Janssens","doi":"10.5334/ijic.7765","DOIUrl":"10.5334/ijic.7765","url":null,"abstract":"Introduction: Integrated care pathways may help to bridge evidence-practice gaps. To overcome the limitations of traditional researcher-centred and linear pathway development frameworks, a more user-centred approach is needed. In this study, we propose design thinking as a framework for developing integrated care pathways, specifically targeting rehabilitation of patients undergoing lumbar fusion surgery.Description: From 2017 to 2022, we utilized the design thinking infinity loop to create an evidence-based rehabilitation pathway for patients undergoing lumbar fusion surgery. This approach consisted of five phases: (1) empathizing with user needs, (2) defining problem statements, (3) ideating through meta-analysis, expert consensus, and brainstorming, (4) prototyping the pathway, and (5) testing its effectiveness and implementability.Discussion: Through the proposed design thinking phases, innovative elements such as prehabilitation, early mobilization, and consistent communication emerged as the building blocks of the new rehabilitation pathway, addressing the needs of both patients and healthcare providers. These results serve as a practical guide for applying design thinking in developing integrated care pathways.Conclusion: Design thinking, represented by the infinity loop, presents a user-centred framework for developing integrated care pathways, and has the potential to effectively bridge the gap between evidence and clinical practice.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 2","pages":"11"},"PeriodicalIF":2.6,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12082458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144093748","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

Analysis of the Relationship Between Organizational Learning and Healthcare Integration. 组织学习与医疗一体化的关系分析。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2025-05-09 eCollection Date: 2025-04-01 DOI: 10.5334/ijic.9681

Roberto Nuño-Solinís

引用次数: 0

Development of a Person-Centred Coordinated Care Pathway in Swedish Healthcare for Low Back Pain. 发展以人为中心的协调护理途径在瑞典医疗保健下背部疼痛。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2025-05-09 eCollection Date: 2025-04-01 DOI: 10.5334/ijic.8940

Allan Abbott, Malin Forsbrand, Thomas Torstensson, Ann-Charlotte Lindström, Gudrun Greim, Sammy Klaff, Åsa Niper, Marc Karlsson, Christian Simonsberg, Mimmi Engström, Tommy Olsson, Annelie Petersson, Per Ekman, Peter Försth, Gösta Ullmark, Steven J Linton

{"title":"Development of a Person-Centred Coordinated Care Pathway in Swedish Healthcare for Low Back Pain.","authors":"Allan Abbott, Malin Forsbrand, Thomas Torstensson, Ann-Charlotte Lindström, Gudrun Greim, Sammy Klaff, Åsa Niper, Marc Karlsson, Christian Simonsberg, Mimmi Engström, Tommy Olsson, Annelie Petersson, Per Ekman, Peter Försth, Gösta Ullmark, Steven J Linton","doi":"10.5334/ijic.8940","DOIUrl":"https://doi.org/10.5334/ijic.8940","url":null,"abstract":"Introduction: This project aimed to develop a Person-Centred Co-ordinated Care (P3C) pathway for low back pain (LBP).Description: A national working group was formed consisting of representatives from all regional healthcare organisations in Sweden and included all relevant healthcare professions, academia, and patient organisations. A mixed method iterative design and consensus approach was applied in the development of the P3C pathway.Discussion: As a foundation, patient interviews along with a review of literature were conducted investigating the evidence base for healthcare interventions, earlier regional care programs/pathways and guidelines in Sweden as well as patient experiences and challenges with healthcare for LBP. Updated evidence-based clinical recommendations, tools supporting the practical use of the national P3C pathway and national healthcare data registry-based quality outcome indicators were then developed. Thereafter, an open consultation period provided review and feedback for final revisions and consensus.Conclusions: Essential factors for integrating best praxis according to scientific evidence and patient and healthcare professional perspectives were identified to establish a Swedish national P3C pathway for LBP. This provides a novel and innovative example of feasible methodology applicable in the international context. Future research will evaluate potential improvements in healthcare quality outcomes and effectiveness of dissemination and implementation strategies.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 2","pages":"8"},"PeriodicalIF":2.6,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063581/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009524","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

Testing the TEC-MED-Integrated Transcultural Social-Ethical-Care Model for Older People in the Mediterranean Basin: A Mixed-Method Quasiexperimental Study Protocol. 地中海盆地老年人tec - med -整合跨文化社会-伦理护理模式的检验：一种混合方法准实验研究方案。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2025-05-09 eCollection Date: 2025-04-01 DOI: 10.5334/ijic.9017

Marta Lima-Serrano, Regina Allande-Cussó, Ana Magdalena Vargas-Martínez, Georges Karam, Lea El-Korh, Ana María Porcel-Gálvez

{"title":"Testing the TEC-MED-Integrated Transcultural Social-Ethical-Care Model for Older People in the Mediterranean Basin: A Mixed-Method Quasiexperimental Study Protocol.","authors":"Marta Lima-Serrano, Regina Allande-Cussó, Ana Magdalena Vargas-Martínez, Georges Karam, Lea El-Korh, Ana María Porcel-Gálvez","doi":"10.5334/ijic.9017","DOIUrl":"https://doi.org/10.5334/ijic.9017","url":null,"abstract":"Background: The global shift toward aging populations, driven by advancements in the economy, healthcare, and society, has transformed once-lethal diseases into chronic conditions. Complex patient management scenarios emerge through this trend, coupled with demographic changes, given that multiple chronic diseases coexist within an individual. The TEC-MED project, which spans multiple countries, aims to evaluate whether the TEC-MED model can improve the quality of life and reduce care dependency among older adults in the Mediterranean region.Methods: This study employs a mixed-method approach including a longitudinal analytical quasiexperimental design, economic evaluation, and qualitative techniques such as interviews and focus groups. The sample includes at least 20,000 older adults and their caregivers from the Mediterranean basin countries. Quantitative data analysis encompasses descriptive and bivariate statistical analyses, regression models, and economic evaluation, whereas qualitative analysis involves discourse analysis and thematic categorization.Discussion: The TEC-MED project's focus on integrating social and health care is expected to improve health outcomes and quality of life for older people and their caregivers. The anticipated outcomes will contribute valuable insights into the TEC-MED model's effectiveness in promoting person-centered care and addressing global challenges posed by aging populations.Trial registration: NCT06184178 (ClinicalTrials.gov).Date of registration: 27/12/2023.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 2","pages":"9"},"PeriodicalIF":2.6,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143982787","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

Implementation of Goal-Oriented Care in Belgium: Experiences From 25 Primary Care Organisations. 目标导向护理在比利时的实施：来自25个初级保健组织的经验。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2025-05-02 eCollection Date: 2025-04-01 DOI: 10.5334/ijic.8983

Lotte Vanneste, Isabelle Heymans, Jean-Luc Belche, Ine Huybrechts, Dominique Van de Velde, Patricia De Vriendt, Reini Haverals, Dagje Boeykens, Sibyl Anthierens, Pauline Boeckxstaens

{"title":"Implementation of Goal-Oriented Care in Belgium: Experiences From 25 Primary Care Organisations.","authors":"Lotte Vanneste, Isabelle Heymans, Jean-Luc Belche, Ine Huybrechts, Dominique Van de Velde, Patricia De Vriendt, Reini Haverals, Dagje Boeykens, Sibyl Anthierens, Pauline Boeckxstaens","doi":"10.5334/ijic.8983","DOIUrl":"https://doi.org/10.5334/ijic.8983","url":null,"abstract":"Introduction: Goal oriented care (GOC) and its readiness for implementation has been described in scientific literature, but research on GOC implementation in primary care organisations is limited. This study aims to capture the experiences of primary care organisations in implementing GOC in their context.Method: A qualitative study, with data triangulation, was conducted. Primary care organisations that experimented with the implementation of GOC in their context were followed. Data were analysed using inductive thematic analysis.Results: Seven themes supporting GOC implementation were identified. Project leaders from the primary care organisations experienced that related concepts can serve as a foundation for initiating the implementation of GOC. The implementation process is an iterative and reflective process, with resistance viewed as an integral part of the process, offering opportunities for reflection. Collaborating with partners, especially the active participation of patients, was seen as a facilitator. Furthermore, having a clear vision for GOC is necessary. Projects invested in adapting tools and processes to align with GOC and provided relevant training.Discussion and conclusion: The findings led to recommendations that can guide the implementation of future GOC projects. Effective implementation extends beyond the development and adaptation of tools; it requires translating theoretical concepts into practical application and creating a shared vision on GOC.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 2","pages":"7"},"PeriodicalIF":2.6,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12050686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993999","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