International Journal of Integrated Care最新文献_第2页

Patients' Experiences of the Western HealthLinks Integrated Care Chronic Illness Management Program: A Prospective Mixed-Methods Observational Cohort Study. 西方健康链接综合护理慢性疾病管理项目的患者体验：一项前瞻性混合方法观察队列研究。

IF 2.7 3区医学

International Journal of Integrated Care Pub Date : 2026-09-07 eCollection Date: 2026-07-01 DOI: 10.5334/ijic.8980

Julia L Jones, Kirsty Barnes, Catherine Grant, Jason Plant, Natalie G Lumsden, Koen Simons, Edward D Janus, Craig L Nelson, Ann Allenby

{"title":"Patients' Experiences of the Western HealthLinks Integrated Care Chronic Illness Management Program: A Prospective Mixed-Methods Observational Cohort Study.","authors":"Julia L Jones, Kirsty Barnes, Catherine Grant, Jason Plant, Natalie G Lumsden, Koen Simons, Edward D Janus, Craig L Nelson, Ann Allenby","doi":"10.5334/ijic.8980","DOIUrl":"10.5334/ijic.8980","url":null,"abstract":"Introduction: Western HealthLinks, an integrated care chronic illness management program, supported patients with chronic and complex conditions to stay well at home after hospital discharge. This study assessed patients' experiences of the program.Methods: A prospective mixed-methods observational cohort study, conducted as an implementation evaluation with six-monthly assessments over 30 months included: A visual analogue scale (VAS) rating healthcare satisfaction; an Assessment of Quality of Life 4 Dimensions (AQoL4D) tool; a survey regarding healthcare satisfaction. VAS and AQoL4D were analysed with a simple random effects model using time as a linear variable; survey was analysed with thematic analysis.Results: Median baseline VAS was 79 and AQoL4D 0.15, with no evidence for change over time. Themes across timepoints included: Local/home-based care; hospital access; individualised, coordinated and consistent care; communication; reduced waiting; healthcare provider qualities; transport/parking.Discussion: No evidence of change to VAS and AQoL4D suggests maintained healthcare satisfaction and QoL over time despite increasing age and disease burden. Surveys showed patients value integrated care. Limitations include the absence of control group and loss to follow-up with risk of bias for VAS and AQoL4D.Conclusion: Western HealthLinks patients maintained healthcare satisfaction and QoL over time after hospital discharge. Patients value integrated care and future models of care may benefit from incorporation of themes from analysis.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"26 3","pages":"14"},"PeriodicalIF":2.7,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13565075/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148955422","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

Integration Strategies in the Implementation of a Cardiology Chronic Care Clinic in a Primary Care Setting: A Qualitative Study. 一项质性研究：初级保健机构实施心脏病慢性护理诊所的整合策略。

IF 2.7 3区医学

International Journal of Integrated Care Pub Date : 2026-09-03 eCollection Date: 2026-07-01 DOI: 10.5334/ijic.10197

Shilpa Surendran, Rakhi Vashishtha, Brigitte Fong Yeong Woo, Ash Yusi Zhang, David Bruce Matchar

{"title":"Integration Strategies in the Implementation of a Cardiology Chronic Care Clinic in a Primary Care Setting: A Qualitative Study.","authors":"Shilpa Surendran, Rakhi Vashishtha, Brigitte Fong Yeong Woo, Ash Yusi Zhang, David Bruce Matchar","doi":"10.5334/ijic.10197","DOIUrl":"10.5334/ijic.10197","url":null,"abstract":"Introduction: A Cardiology Integrated Chronic Care (ICC) clinic was established at a polyclinic through collaboration between a tertiary hospital and a polyclinic. This novel model in Singapore prompted a study exploring explore how stakeholders conceptualise and operationalise integration when implementing the clinic in primary care, aiming to understand if common cardiology conditions can be anchored in primary care.Methods: Nine semi-structured interviews were conducted with a cardiologist, intervention's director, family physician, polyclinic head, coordinators and advanced practice nurse. Twelve documents -including implementation monitoring reports, steering committee reports and meeting minutes - were analysed using Singer and colleagues' conceptual model of integration types.Results: Co-located consultation rooms, direct access investigations and remote consultations between healthcare providers promoted structural integration. Interpersonal integration was fostered through teamwork. Functional integration was accomplished via comprehensive care management protocols and training. Low patient numbers reduced polyclinic revenue but positively impacted care efficiency. Provider satisfaction remained high, with participants gaining knowledge and confidence in managing cases.Conclusion: The clinic demonstrated operational integration but may lack a broader healthcare system perspective. For sustainable larger-scale evolution, economic and policy scrutiny is needed focusing on operational feasibility and outcomes, given low patient volume constraints affecting financial viability and scalability potential.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"26 3","pages":"13"},"PeriodicalIF":2.7,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13544038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148897193","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

Protecting or Excluding? Ethical Tensions in Integrated Care Research with People with Complex Needs. 保护还是排斥？有复杂需要的人的综合护理研究中的伦理紧张。

IF 2.7 3区医学

International Journal of Integrated Care Pub Date : 2026-09-01 eCollection Date: 2026-07-01 DOI: 10.5334/ijic.11036

Catherine Hudon, Marie-Dominique Poirier

引用次数: 0

Construction and Practice of the County Integrated Healthcare System in China: A Case Study of Shaxian, Sanming. 中国县域综合医疗体系建设与实践——以三明沙县为例

IF 2.7 3区医学

International Journal of Integrated Care Pub Date : 2026-08-18 eCollection Date: 2026-07-01 DOI: 10.5334/ijic.9542

Lina Zhao, Yiyang Chen, Fanyi Kong, Zhiyi Luo, Yazi He, Zongjiu Zhang

{"title":"Construction and Practice of the County Integrated Healthcare System in China: A Case Study of Shaxian, Sanming.","authors":"Lina Zhao, Yiyang Chen, Fanyi Kong, Zhiyi Luo, Yazi He, Zongjiu Zhang","doi":"10.5334/ijic.9542","DOIUrl":"10.5334/ijic.9542","url":null,"abstract":"Introduction: Integrated healthcare is a global health reform trend to enhance population health and well-being through person-centered service integration. AS one of the world's most populous developing countries, China has prioritized building county-level medical communities (CMCs) to tackle healthcare challenges, integrate resources, strengthen primary-level capacity, and improve hierarchical service delivery.Description: This paper examines the construction of the CMC in Shaxian District, Sanming City, Fujian Province, as a representative case study. It systematically reviews key initiatives, outcomes, institutional frameworks, management approaches, and operational mechanisms deployed in the district's healthcare integration efforts.Discussion: The Sanming model, exemplified by the Shaxian case, demonstrates how strategic resource integration, standardized management, and mechanism innovation can improve service efficiency and equity at the grassroots level. Its success provides transferable lessons in policy design, cross-sectoral collaboration, and performance evaluation for advancing integrated healthcare.Conclusion: The Shaxian CMC provides valuable insights and actionable policy recommendations for countries and regions advancing integrated healthcare systems, offering potential for global adaptation to strengthen primary care and health equity.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"26 3","pages":"10"},"PeriodicalIF":2.7,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13496226/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148792757","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 Barriers and Facilitators of an Integrated Care Initiative Targeting Socioeconomically Vulnerable Groups. 针对社会经济弱势群体的综合护理倡议的实施障碍和促进因素。

IF 2.7 3区医学

International Journal of Integrated Care Pub Date : 2026-08-18 eCollection Date: 2026-07-01 DOI: 10.5334/ijic.10182

Jonne G Ter Braake, Annefrans F T M van Ede, Tara Kwakkernaat, Maud J Verhoeven, Jessica C Kiefte-de Jong, Rimke C Vos

{"title":"Implementation Barriers and Facilitators of an Integrated Care Initiative Targeting Socioeconomically Vulnerable Groups.","authors":"Jonne G Ter Braake, Annefrans F T M van Ede, Tara Kwakkernaat, Maud J Verhoeven, Jessica C Kiefte-de Jong, Rimke C Vos","doi":"10.5334/ijic.10182","DOIUrl":"10.5334/ijic.10182","url":null,"abstract":"Introduction: The incorporation of integrated care initiatives for socioeconomically vulnerable groups into standard care is rare. Insight into implementation barriers and facilitators to select strategies for further implementation and upscaling are therefore needed.Description: This study evaluated the implementation of an integrated care initiative adopting interprofessional collaborative practice of patient-centred care for citizens with prediabetes in the form of group consultations.Results: Key barriers included insufficient involvement of citizens in the design of the group consultations, which could be overcome by involving patients/consumers and family members in the design of the group consultations. Additionally, we identified a lack of embedding in the current healthcare and social support systems and fragmented financing systems as barriers. By developing a formal implementation blueprint, obtaining formal commitments, using other payment schemes, and developing resource sharing agreements, these barriers could be addressed. Finally, inadequate evaluation was identified as a barrier. This could be improved by capturing and sharing local knowledge and developing and organising a quality monitoring system. Key facilitators were the widespread enthusiasm for the concept of group consultations, a sense of urgency for change, and the adaptability of the initiative to the local context.Conclusion: Meaningful citizen involvement in the design of an integrated care initiative, such as group consultations, is a key determinant of implementation when targeting socioeconomically vulnerable groups. Although there is broad support for interprofessional collaborative practice, the organisational and governance structures required for their sustainable implementation remain underdeveloped.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"26 3","pages":"11"},"PeriodicalIF":2.7,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13496229/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148792258","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

How Does Integrated Care Do With, Not for, Neighbourhoods & Communities? 综合护理如何与邻里和社区合作，而不是为社区服务？

IF 2.7 3区医学

International Journal of Integrated Care Pub Date : 2026-08-12 eCollection Date: 2026-07-01 DOI: 10.5334/ijic.11104

Robin Miller, Michelle L A Nelson, Fraser Battye

{"title":"How Does Integrated Care Do With, Not for, Neighbourhoods & Communities?","authors":"Robin Miller, Michelle L A Nelson, Fraser Battye","doi":"10.5334/ijic.11104","DOIUrl":"https://doi.org/10.5334/ijic.11104","url":null,"abstract":"A notable development in recent years has been the emphasis on structuring integrated care around 'neighbourhoods' or 'places' and engaging 'communities' in the planning, design and delivery of support. Across the world, related principles are being used to inform national and regional policies and to develop local practice innovations. Despite such interest, community and neighbourhood working can feel a radical endeavour which clashes with established structures, relationships, investments and skills. A group of international experts from policy, practice, communities and research came together at a roundtable at the International Conference on Integrated Care 2026 to debate how integrated care can authentically adopt these principles. Agreeing what is meant by such concepts and how they can be utilised in practice is an important starting point - 'neighbourhoods' were generally seen to be more geographically oriented and where people physically live, whereas 'communities' relate to the connections and relationships which matter to people. Addressing power and resource imbalances requires investing in the voluntary and community sector and framing neighbourhoods as the responsibility of the whole system, including hospitals. Building the professional skills and capacity for neighbourhood working means embedding as a core competency with qualifying and on-going education. Creating the organisational and system capacities to sustain involves developing performance metrics and processes which emphasis shared outcomes. Such developments also require researchers to support with the process of change through responsive, co-produced and accessible methodologies.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"26 3","pages":"9"},"PeriodicalIF":2.7,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13475526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148760219","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 Challenges in Dementia Three-Level Prevention Services Through Integrated Care Theory: Insights from an Ethnographic Study. 通过综合护理理论在痴呆症三级预防服务中的挑战：来自民族志研究的见解。

IF 2.7 3区医学

International Journal of Integrated Care Pub Date : 2026-08-10 eCollection Date: 2026-07-01 DOI: 10.5334/ijic.9106

Taomei Zhang, Yueju Wang, Lili Li, Liping Tan, Lanshu Zhou, Huiling Li, Fengmei Tian

{"title":"The Challenges in Dementia Three-Level Prevention Services Through Integrated Care Theory: Insights from an Ethnographic Study.","authors":"Taomei Zhang, Yueju Wang, Lili Li, Liping Tan, Lanshu Zhou, Huiling Li, Fengmei Tian","doi":"10.5334/ijic.9106","DOIUrl":"https://doi.org/10.5334/ijic.9106","url":null,"abstract":"Background: The number of older adults living with dementia is increasing in China and worldwide. Three-level prevention is vital to delay the occurrence and development of dementia. However, the current state of these services remains suboptimal. This study aimed to explore the programs and challenges in providing dementia prevention services.Methods: A one-year ethnographic study, including semi-participatory observations and in-depth interviews, was conducted in nine settings in China from July 2022 to June 2023. Twenty-four service providers and 26 residents or family members were observed, and seventeen of these 50 participants were interviewed. Data collection was guided by the Rainbow Model. A combination of deductive and inductive content analysis was applied to identify the challenges.Results: Dementia-friendly communities, Dementia Screening Program, Medical Consortia, and Long-term care services were the main programs in dementia three-level prevention services. This study identified 32 challenges, including four at system level, ten at organizational level, seven each at professional and clinical levels, and four additional challenges.Conclusions: Enriching the diversity of programs and strengthening primary prevention services will be beneficial for improving the dementia three-level services. The challenges identified in this study can provide valuable insights to guide targeted interventions, inform policy, and optimize service delivery for relevant stakeholders.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"26 3","pages":"8"},"PeriodicalIF":2.7,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13475528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148758961","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

Leveraging a Province-Wide Electronic Health Record System to Integrate Health Promotion into Routine Hospital-based Care in Alberta, Canada- A Research Protocol for Evaluation. 利用全省电子健康记录系统将健康促进整合到加拿大阿尔伯塔省的常规医院护理中——一项评估研究方案。

IF 2.7 3区医学

International Journal of Integrated Care Pub Date : 2026-08-07 eCollection Date: 2026-07-01 DOI: 10.5334/ijic.9697

Kamala Adhikari, Gary F Teare

{"title":"Leveraging a Province-Wide Electronic Health Record System to Integrate Health Promotion into Routine Hospital-based Care in Alberta, Canada- A Research Protocol for Evaluation.","authors":"Kamala Adhikari, Gary F Teare","doi":"10.5334/ijic.9697","DOIUrl":"10.5334/ijic.9697","url":null,"abstract":"Objective: The Integrating Prevention into Connect Care for Health (IPiC-Health) initiative embeds a Screening, Brief Intervention, and Referral (SBIR) approach for health promotion into routine inpatient and ambulatory care, facilitated by the province-wide, EPIC™-based, electronic clinical information system in Alberta. The SBIR approach supports patients in achieving behaviour change regarding tobacco and alcohol use and physical inactivity. This methodological article describes the research plan to evaluate the implementation and effectiveness of SBIR intervention.Methods: This effectiveness-implementation hybrid study includes a quasi-experimental design for quantitative assessment of SBIR implementation (adoption/coverage) and effectiveness (behaviour change and health service use) outcomes. Each participating site recruits control patients for 6 months, followed by 15 months intervention. Patients are followed up for 12 months after recruitment to assess effectiveness outcomes. Mixed methods are used to assess implementation uptake, process, and experience.Expected results and implications: Recruitment and data collection activities are ongoing in participating sites. This effectiveness-implementation research will strengthen evidence and implementation guidance to inform spread and scale up of the approach across Alberta's hospitals and beyond. An electronic record of patient's risk factors can improve patients' care and population health by making these data readily available to support care decisions.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"26 3","pages":"7"},"PeriodicalIF":2.7,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13450330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148697437","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

Measuring What Matters: Using Participatory Choice Modelling to Understand Preferences for Homelessness Integrated Care. 衡量什么是重要的：使用参与式选择模型来理解对无家可归者综合护理的偏好。

IF 2.7 3区医学

International Journal of Integrated Care Pub Date : 2026-08-05 eCollection Date: 2026-07-01 DOI: 10.5334/ijic.9846

Michela Tinelli, Gopika Rajeendar, Michelle Cornes, Jess Harris, Raphael Wittenberg, Michael Clark

{"title":"Measuring What Matters: Using Participatory Choice Modelling to Understand Preferences for Homelessness Integrated Care.","authors":"Michela Tinelli, Gopika Rajeendar, Michelle Cornes, Jess Harris, Raphael Wittenberg, Michael Clark","doi":"10.5334/ijic.9846","DOIUrl":"10.5334/ijic.9846","url":null,"abstract":"Introduction: People with experience of homelessness (PEH) often have multiple inter-related needs and for support rely on various services working together. To improve Out-of-Hospital Care (OOHC), it is crucial to understand their preferences. This study used a Discrete-Choice Experiment (DCE) to identify what matters most to them, ensuring services align with real-life experiences.Methods: A mixed methods approach combined interviews, group discussions, and DCE data. Service users, providers, and planners participated in workshops. Researchers with lived experience of homelessness co-designed a user-friendly questionnaire and supported data collection, fostering trust. Preferences were analysed using logistic regression, with findings presented in clear, interactive dashboards.Results: A total of 112 PEH participated from 10 sites, with 108 valid responses (35% response rate). Participants preferred care delivered at home, delivered by trusted housing workers, with minimal behavioural restrictions. Accommodation type and behavioural rules significantly influenced service uptake. DCE outputs were shared with PEH, who confirmed that the findings accurately reflected their priorities and real-life experiences. In one locality, insights were used to reshape service modelling.Discussion & conclusion: This study highlights the importance of co-designing OOHC services with PEH. Stability, trust, and fewer restrictions encourage service engagement. These insights can guide policymakers and service providers in developing more effective, person-centred care models, ultimately improving access and outcomes for PEH.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"26 1","pages":"6"},"PeriodicalIF":2.7,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13450268/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148697421","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 Applicability of Case Study Research in Investigating Service Integration. 探索案例研究在服务集成研究中的适用性。

IF 2.7 3区医学

International Journal of Integrated Care Pub Date : 2026-07-14 eCollection Date: 2026-07-01 DOI: 10.5334/ijic.9818

Dominika Lisiecka, Edelweiss Aldasoro, Niamh Lennox-Chhugani, Ingo Meyer, Adriana Poppe, Áine Carroll

{"title":"Exploring the Applicability of Case Study Research in Investigating Service Integration.","authors":"Dominika Lisiecka, Edelweiss Aldasoro, Niamh Lennox-Chhugani, Ingo Meyer, Adriana Poppe, Áine Carroll","doi":"10.5334/ijic.9818","DOIUrl":"10.5334/ijic.9818","url":null,"abstract":"Introduction: The primary focus of this paper is the application of case study design to investigate the integration of complex health services.Description: This paper presents a co-created case study research project that examined the integration of a regional palliative care service. It outlines the study's design including the mixed-methods approach to data collection and the processes used for analysis and triangulation. The paper also details the tools and strategies implemented across the macro, meso, and micro levels of the service, offering practical insights into how case study research can be applied to explore the dynamics of integrated care.Discussion: Case study methodology enables comprehensive, context-rich data collection and supports theory development through real-world observation. Its adaptability makes it particularly suited for evaluating complex systems. Co-creation added significant value by fostering interest-holders' engagement and enhancing the relevance and applicability of the findings. The iterative and flexible design also allowed the study to respond effectively to challenges such as COVID-19 restrictions and a national cyber-attack.Conclusion: Case study research is a robust and flexible approach that provides deep insights into the integration of complex healthcare systems. Its co-creation potential and adaptability make it particularly useful in real-world health service evaluations.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"26 3","pages":"5"},"PeriodicalIF":2.7,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13378430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578549","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