International Journal of Integrated Care最新文献

{"title":"Navigating a Decade of Integrated Care Research in the International Journal of Integrated Care: How Far Have We Come?","authors":"Jessica Michgelsen, Nick Zonneveld, Robin Miller, Viktoria Stein, Caroline Longpré, Maripier Jubinville, Nick Goodwin, Mirella Minkman","doi":"10.5334/ijic.9086","DOIUrl":"10.5334/ijic.9086","url":null,"abstract":"<p><strong>Introduction: </strong>The scope of integrated care has evolved and broadened the past decades from specialist pathways to incorporate a more holistic approach. To identify such trends in evidence and knowledge, we analysed published papers in the International Journal of Integrated Care over a 10-year period.</p><p><strong>Methods: </strong>From an initial set of 5.075 IJIC papers (2012-2022), 508 articles were selected after excluding several categories such as poster and conference abstracts. As no existing theoretical framework seemed to fit our study aim, we chose to focus specifically on two important areas in integrated care that are known for development; impact measurement and co-production in research.</p><p><strong>Results: </strong>There was an overall growth of published papers in the journal. The papers predominantly feature contributions from Western regions, including Europe, the Western Pacific and the Americas. Results regarding impact measurement showed no clear overarching pattern over time. Engaging the target population as co-producers in the studies is still low (<5%).</p><p><strong>Conclusions: </strong>Although the number of papers increased pointing towards more attention for integrated care, we could not identify any significant growth or advancement in the two crucial areas of co-production and impact measurement in integrated care research. These gaps need to be addressed accordingly in both practice and research.</p>","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 3","pages":"25"},"PeriodicalIF":2.6,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12412446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015181","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}

{"title":"The inTouch Integrated Care Framework - Reimagining Integrated Health Service Delivery.","authors":"Kathy Eljiz, Jo Medlin, Ben Harris-Roxas, Jasmin Ellis, Alison Derrett, Graeme Loy, David Greenfield","doi":"10.5334/ijic.8638","DOIUrl":"10.5334/ijic.8638","url":null,"abstract":"<p><strong>Introduction: </strong>Integrated care has been adopted as a guiding principle to reduce fragmentation and to make health systems more person-centred. Successful integration requires care services and processes that include primary care, specialist care, and acute services. To promote learning and development in the field, flexible and adaptable empirically derived frameworks for different contexts, conditions and settings are required.</p><p><strong>Description: </strong>The Western Sydney Local Health District (WSLHD) inTouch Program is a systems approach to reconceptualising service delivery, focusing on integrating systems components, platforms for service delivery and coordinating care planning for improved care delivery. The inTouch Program key features and core elements, and three care pathways are presented, demonstrating the adaptability for different population cohorts.</p><p><strong>Discussion: </strong>The inTouch Program, and each pathway, embodies an ongoing, dynamic response to patient priorities. Informed by bottom-up stakeholder input from staff, consumers, and care providers, each pathway fosters interorganisational collaboration by facilitating coproduction of care across primary, aged, and community care sectors, as well as hospitals. The analysis derives an inTouch Integrated Care Framework consisting of six core elements, four strategy and governance enablers, and operational components required for practical implementation and sustainability of pathways. Together they operationalise and link diverse health and social care organisations into a living continuum of care.</p><p><strong>Conclusion: </strong>Accounting for nuances in organisational and care settings, is the difference between success and failure for integrated care. The exploration of the inTouch program and three pathways has detailed how to deliver care for different patient cohorts across health and social care settings. The three care pathways demonstrate the viability and necessity to pursue collaboration, cooperation and care navigation, whilst tailoring services to specific contexts and stakeholder needs. inTouch program aims to ensure safe, high quality patient care is delivered across health and social settings, prioritising the patient needs.</p>","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 3","pages":"24"},"PeriodicalIF":2.6,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12396184/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144953119","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}

{"title":"Patient-Reported Outcomes in Integrated Care: A Frontier of Opportunities and Challenges.","authors":"Nicola Anderson, Sarah E Hughes, Olalekan L Aiyegbusi, Philip Collis, Robin Miller, Melanie Calvert","doi":"10.5334/ijic.9828","DOIUrl":"10.5334/ijic.9828","url":null,"abstract":"<p><p>Effective care integration requires the right information, at the right time, with care and support delivered in the right environment. Patient-reported outcome measures [PROMs] offer a mechanism to support collaborative integrated care to help people understand their conditions better, live well, and remain independent. Through the lens of the delivery of integrated care in England, we consider the opportunities and challenges associated with the use of PROMs across health and care.</p>","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 3","pages":"23"},"PeriodicalIF":2.6,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12372695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144953129","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}

{"title":"Hypertension Cascade Across Three Healthcare Systems and in Relation to the Level of Implementation of the Integrated Care Package.","authors":"Veerle Buffel, Philippe Bos, Savina Chham, Srean Chimm, Katrien Danhieux, Grace Marie Ku, Josefien Van Olmen, Crt Zavrnik, Zalika Klemenc-Ketis, Edwin Wouters","doi":"10.5334/ijic.8921","DOIUrl":"10.5334/ijic.8921","url":null,"abstract":"<p><strong>Introduction: </strong>We built Cascades of Care (CoC) for hypertension in Belgium, Slovenia and Cambodia, and assessed CoC stratifications across patients' gender and socioeconomic status. Differences between the CoCs were studied by looking at the level of implementation of the integrated care package and other health system characteristics.</p><p><strong>Methods: </strong>A mixed methods design: Age-standardized gender-specific hypertension cascades were built from survey and register data and logistic regression analyses were performed. Focus group discussions with experts were used to interpret these results.</p><p><strong>Results: </strong>In Belgium, the largest gap is between 'prevalence' and 'diagnosis'. In Cambodia, a large drop -especially among men- is found at the beginning and the end of the cascade. In Slovenia, only a limited number of patients is tested and linked to care, but once registered, attrition is quite low. Poor financial situation was a significant determinant of drop-out across the countries but at different stages of the CoC, and especially in Cambodia large gender differences were observed with women being better retained throughout the CoC.</p><p><strong>Discussion and conclusion: </strong>Despite contextual differences between the countries and difficulties in comparability of the cascades, lessons can be learnt from each country's strengths and weaknesses to improve quality of integrated hypertension care.</p>","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 3","pages":"22"},"PeriodicalIF":2.6,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12372687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144953106","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}

{"title":"Integrating Non-Clinical Supports into Care: A Systematic Review of Social Prescribing Referral Pathways for Mental Health, Wellbeing, and Psychosocial Improvement.","authors":"Samantha Spanos, Shalini Wijekulasuriya, Louise A Ellis, Maree Saba, Tanja Schroeder, Charlotte Officer, Yvonne Zurynski","doi":"10.5334/ijic.9127","DOIUrl":"10.5334/ijic.9127","url":null,"abstract":"<p><strong>Introduction: </strong>Social prescribing (SP) involves person-centred integration of non-clinical supports into care, which is critical for addressing mental health and psychosocial needs and enhancing wellbeing. This systematic review evaluated the impact of SP referral pathways on mental health, wellbeing, and psychosocial outcomes.</p><p><strong>Methods: </strong>Four databases (Medline, Embase, PsycINFO and Scopus) were searched for empirical studies of referral pathways to community-based SP interventions targeting mental health, psychosocial factors and/or wellbeing. Data from studies published from January 2010 to April 2024 were extracted; referral pathways, interventions, and their resultant outcomes were synthesised and tabulated.</p><p><strong>Results: </strong>Across the 30 included studies, 27 SP interventions and two main referral pathways were identified, involving providers across health, community, social, and voluntary care sectors. Quantitative outcomes (<i>n</i> = 21, 70%) most frequently measured were wellbeing, anxiety, depression and quality of life. Findings were mixed, and widely varying methodological approaches limited study comparability. Qualitative outcomes (<i>n</i> = 16, 53%) were mostly associated with social interactions (e.g., increased sense of belonging) and self-concepts and feelings (e.g., increased sense of purpose).</p><p><strong>Discussion and conclusion: </strong>Research on SP referral pathways supporting mental health, wellbeing and psychosocial outcomes is proliferating, but high heterogeneity in the evidence base limits conclusive inferences about effectiveness. Standardised quantitative measurement of core outcomes, supplemented by rigorous qualitative designs, will enhance capacity to demonstrate the value of an SP approach to integrated care for mental and psychosocial health and wellbeing.</p>","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 3","pages":"21"},"PeriodicalIF":2.6,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12372674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144953173","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}

{"title":"Charting the Course Together: Municipal Top-Level Managers' Perspectives on Fostering Safe and Integrated Care for Older Adults Living at Home.","authors":"Heidi Hagerman, Mirjam Ekstedt, Mia von Knorring, Cecilia Fagerström, Sara Tolf, Lisa Smeds Alenius","doi":"10.5334/ijic.8916","DOIUrl":"10.5334/ijic.8916","url":null,"abstract":"<p><strong>Introduction: </strong>Top-level managers in municipal social care administration play a central role in ensuring high-quality care through coordination within and between organisations. However, there is limited understanding of the specific tasks and responsibilities they undertake in this regard. Therefore, this study aimed to explore municipal top-level managers' perspectives on fostering safe and integrated care for older adults with complex care needs living at home.</p><p><strong>Methods: </strong>Thirteen top-level managers in municipal social care administration were interviewed. Interview data were analysed thematically.</p><p><strong>Results: </strong>One theme 'Leading through trust and empowerment, and encouraging collaborations within and between organisations to foster safe and integrated care' and five subthemes were identified: 'Creating conditions for seamless care by minimising cross-organisational barriers', 'Using the mandated role when navigating the bigger picture', 'Empowering middle managers and nursing staff', 'Fostering trust in working towards a common goal' and 'Leveraging successful partnerships across organisations'.</p><p><strong>Conclusion: </strong>Top-level managers see themselves as parts of a larger system that requires them to collaborate with others. Empowering middle managers and nursing staff to thrive in their roles, through leadership based on trust, promotes a unified effort toward the common goal of safe and integrated care for older adults with complex care needs.</p>","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 3","pages":"20"},"PeriodicalIF":2.6,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12372682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144953141","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}

{"title":"Third Sector Organisations' Contributions to the Health and Care Ecosystem.","authors":"Sanna Tuurnas, Henna Paananen, Anna-Aurora Kork","doi":"10.5334/ijic.9813","DOIUrl":"10.5334/ijic.9813","url":null,"abstract":"<p><strong>Introduction: </strong>In integrated care models, third sector organisations (TSOs) are essential but often undervalued parts of the health and care ecosystem to address care fragmentation and inequity of access. In this study, we illustrate the value contributed by TSOs in a co-production setting.</p><p><strong>Methods: </strong>In this qualitative study, frame analysis was used to explore the varied interpretations of TSOs' value contributions at different levels of the ecosystem. The qualitative interview data were collected from 16 informants in the context of a Nordic welfare state, Finland. The interviewees represented a variety of health and care TSOs.</p><p><strong>Results: </strong>The resulting frames were seen as organising principles that are socially shared. The analysis revealed a threefold interpretative schema of TSOs' value contributions: strengthening the ideals of civil society, advancing the public service system and connecting people to communities.</p><p><strong>Discussion: </strong>The findings demonstrate that TSOs contribute values in health and care ecosystems at all levels-micro, meso and macro-by integrating short- and long-term policy objectives, ensuring that their actions result in meaningful and sustainable benefits across all levels of the public service ecosystem.</p><p><strong>Conclusions: </strong>This study underlines the need to integrate civil society into the health and care ecosystem and, specifically, to acknowledge the holistic contribution of TSOs when developing integrated care models. The key contribution of this study is demonstrating the diverse ways in which TSOs can contribute value for integrated care.</p>","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 3","pages":"19"},"PeriodicalIF":2.6,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12330809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799035","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}

{"title":"Assessing Readiness and Sustainability for Integrated Care in Ontario, Canada with the Integrated Care Leadership Survey.","authors":"Ruth E Hall, Kevin Walker, Nusrat S Nessa, Walter P Wodchis","doi":"10.5334/ijic.7539","DOIUrl":"10.5334/ijic.7539","url":null,"abstract":"<p><strong>Introduction: </strong>Ontario, Canada, is shifting to a more integrated healthcare delivery system through the Ontario Health Team (OHT) initiative. The extent to which OHTs have the capabilities to engage in integrated care is unknown and important to designing implementation supports. This article describes the development and psychometric testing of the Ontario Integrated Care Leadership Survey (OICLS), in 30 OHTs. The OICLS was informed by the Context and Capabilities for Integrated Care framework (CCIC).</p><p><strong>Methods: </strong>The 42-item survey was distributed electronically to 765 eligible leaders across 30 OHTs; 480 (63%) responded representing approximately 600 organizations. Item analyses and scale psychometric analyses were undertaken to reduce the number of items in the CCIC survey tool while maintaining validity and reliability.</p><p><strong>Results: </strong>The OICLS survey is comprised of 10 domains covering 12 of 17 capabilities identified in the CCIC. In the total sample, Cronbach's alpha exceeded 0.7 for nine of the ten domains. Descriptive responses to each of the 39 OICLS closed-ended survey questions illustrate the areas of strength and weakness and where supports are warranted to advance the formation of integrated care delivery systems.</p><p><strong>Conclusion: </strong>The OICLS offers a brief and valid assessment of foundational aspects of multi-organizational integrated care initiatives.</p>","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 3","pages":"18"},"PeriodicalIF":2.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12315677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775343","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}

{"title":"Unlocking Potential: The Potential Impact of 'Happymakers' in Alleviating the Labor Shortage in Dementia Care Work: The Paradigm Shift From Care To Well-Being At An Amsterdam-Based Long-Term Care Facility.","authors":"Caroline Van Dullemen, Petra Boersma, Henk Nies","doi":"10.5334/ijic.8579","DOIUrl":"10.5334/ijic.8579","url":null,"abstract":"<p><strong>Introduction: </strong>This study aims to identify success factors and challenges of an integrated care model, with an underlying goal of addressing the labor shortage in dementia care. The research investigates the interdisciplinary communication in a long-term care facility in Amsterdam, focusing on the collaboration between the so-called 'Happymakers' (non-medically trained staff) and qualified personnel. The Relational Coordination Theory serves as theoretical framework, emphasizing the need for shared goals, knowledge, and mutual respect for effective communication.</p><p><strong>Methods: </strong>Using qualitative methods, the research involved interviews with thirty staff members in 2022.</p><p><strong>Results: </strong>Work satisfaction was rated very positively. The collaboration between the 'Happymakers' and qualified care workers was generally positive, perspectives on risk perception and task alignment varied. Trust and a culture allowing mistakes were deemed crucial.</p><p><strong>Discussion conclusion: </strong>Overall, the findings suggest that the integration model which includes the paradigm shift from care to well-being, positively influences care quality as well as job satisfaction potentially alleviating the labor market shortage. The study suggests further research on strategies for integrating formal with informal care work and comparative research between integrated dementia care and more traditional, medical oriented types of care.</p>","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 3","pages":"17"},"PeriodicalIF":2.6,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12315673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775344","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}

{"title":"A Mixed-method Study on the Implementation of a Medical Psychiatric Care Unit.","authors":"Chedwa Pinto, Maaike Meeder, Jan Busschbach, Witte Hoogendijk, Jelmer Alsma, Isabelle Fabbricotti, Maarten van Schijndel","doi":"10.5334/ijic.8964","DOIUrl":"10.5334/ijic.8964","url":null,"abstract":"<p><strong>Introduction: </strong>Medical Psychiatry Units (MPUs) offer integrated care for patients needing both medical and mental healthcare in hospitals. MPUs provide unique care not covered by Psychiatric Consultation-Liaison Services (PCS). Despite their increasing number, little research exists on why referrers choose MPUs, though their perspectives shape patient populations and reflect MPU goals.</p><p><strong>Aims: </strong><b>1.</b> Asses physician satisfaction with the Erasmus Medical Center MPU and its alignment with initial expectations.<b>2a.</b> Evaluate whether referrals match the intended patient population needing disruptive behavior management and compare this with PCS referrals.<b>2b.</b> Identify unintended reasons for MPU referrals.</p><p><strong>Method: </strong>We conducted interviews with physicians and analyzed questionnaires on MPU or PCS referrals from November 2020 to May 2021.</p><p><strong>Results: </strong><b>1.</b> Physicians report that the MPU improves care quality, job satisfaction, collaboration, safety, educational value and reduces stigmatization.<b>2a.</b> Among 62 referrals, the MPU admitted nearly twice the disruptive patients.<b>2b.</b> Common MPU referral reasons included nursing care load, department expertise and suicidality, while PCS referrals were more often due to delirium.</p><p><strong>Conclusion: </strong>The Erasmus MC MPU meets its founding goals. Physicians recognize its added value, particularly in managing patients with disruptive behaviors and high care needs. The integration of medical and psychiatric expertise has fulfilled expectations.</p>","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 3","pages":"16"},"PeriodicalIF":2.6,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12315675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775342","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}