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

County-Level Integrated Healthcare Practice in China: A Kaiser Permanente-Inspired Approach. 中国县级综合医疗实践：Kaiser permanente的启发方法

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2024-12-31 eCollection Date: 2024-10-01 DOI: 10.5334/ijic.8610

Na Li, Yin Dong, Gaofeng Zhang

{"title":"County-Level Integrated Healthcare Practice in China: A Kaiser Permanente-Inspired Approach.","authors":"Na Li, Yin Dong, Gaofeng Zhang","doi":"10.5334/ijic.8610","DOIUrl":"https://doi.org/10.5334/ijic.8610","url":null,"abstract":"Introduction: China's rapidly aging population and rise in chronic diseases put immense strain on the country's healthcare system. To address these challenges, Yuhuan People's Hospital established County-level Integrated Health Organization (CIHO) as part of the Healthy China 2030 initiative.Description: Based on the Kaiser Permanente (KP) model, the CIHO takes a multi-disciplinary, collaborative approach to deliver integrated care. It brings together various medical specialties, collaborates with community organizations and companies, and implements reforms in information technology and payment models. Through these efforts, the CIHO has significantly improved healthcare delivery in Yuhuan county.Discussion: Population segmentation relies on data integration and segmentation tools to identify targeted healthcare needs. The allocation and collaboration of health workforce for residents with different health conditions are suggested to be dynamically designed according to both internal and external factors. Corresponding payment mechanism is also an important factor that needs to be taken into consideration.Conclusion: The CIHO's success has provided a model for integrated, efficient healthcare that could be replicated in other regions of China and offer insights for rural areas in other countries facing similar demographic and epidemiological pressures.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"24 4","pages":"18"},"PeriodicalIF":2.6,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11697616/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142931732","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

Implementing a General Practice-Based Link Worker Intervention for People with Multimorbidity During the Covid-19 Pandemic- a Mixed Methods Process Evaluation of the LinkMM RCT. 在2019冠状病毒病大流行期间对多重发病人群实施基于全科实践的链接工作者干预——对LinkMM随机对照试验的混合方法过程评估

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2024-12-20 eCollection Date: 2024-10-01 DOI: 10.5334/ijic.8586

Bridget Kiely, Ivana Keenan, Sonali Loomba, Natalie Mack, Vivienne Byers, Emer Galvin, Muireann O'Shea, Patrick O'Donnell, Fiona Boland, Barbara Clyne, Eamon O'Shea, Susan M Smith, Deirdre Connolly

{"title":"Implementing a General Practice-Based Link Worker Intervention for People with Multimorbidity During the Covid-19 Pandemic- a Mixed Methods Process Evaluation of the LinkMM RCT.","authors":"Bridget Kiely, Ivana Keenan, Sonali Loomba, Natalie Mack, Vivienne Byers, Emer Galvin, Muireann O'Shea, Patrick O'Donnell, Fiona Boland, Barbara Clyne, Eamon O'Shea, Susan M Smith, Deirdre Connolly","doi":"10.5334/ijic.8586","DOIUrl":"10.5334/ijic.8586","url":null,"abstract":"Background: Social prescribing link workers support patients to connect with community resources to improve their health and well-being. These roles are prominent in policy, but there is limited evidence on what support is provided by link workers and what factors influence implementation of link worker interventions.Methods: A convergent, mixed methods process evaluation of an exploratory randomised trial of a one-month general practice-based link worker intervention targeting adults with multimorbidity in deprived areas. Qualitative data from interviews with 25 patients, 10 general practitioners, 10 link workers and eight community resource providers were thematically analysed and integrated with quantitative data to explore implementation, adaptations, context and mediators.Results: GPs reported recruitment challenges related to complicated research documentation and COVID-19 related workload and restrictions. Despite most components of the intervention being delivered, the intervention was considered too short to support people with complex needs to connect with resources, particularly in the context of COVID-19 restrictions. Timing of the referral, location within general practice and link workers' person-centred approach facilitated the intervention.Conclusions: For future evaluations, recruitment procedures need to be simplified and integrated into everyday practice. For patients with multimorbidity, a longer intervention is indicated to achieve connection with community resources.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"24 4","pages":"16"},"PeriodicalIF":2.6,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11661012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877020","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

Country-Specific Roadmaps for Scaling Up Integrated Care in Belgium, Slovenia, and Cambodia - Lessons Learned from the SCUBY Project. 在比利时、斯洛文尼亚和柬埔寨推广综合护理的国别路线图——从SCUBY项目中吸取的经验教训。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2024-12-20 eCollection Date: 2024-10-01 DOI: 10.5334/ijic.8618

Martin Heine, Monika Martens, Daniel Boateng, Grace Marie Ku, Roy Remmen, Edwin Wouters, Srean Chhim, Por Ir, Antonjia Poplas Susič, Wim van Damme, Josefien van Olmen, Kerstin Klipstein-Grobusch

{"title":"Country-Specific Roadmaps for Scaling Up Integrated Care in Belgium, Slovenia, and Cambodia - Lessons Learned from the SCUBY Project.","authors":"Martin Heine, Monika Martens, Daniel Boateng, Grace Marie Ku, Roy Remmen, Edwin Wouters, Srean Chhim, Por Ir, Antonjia Poplas Susič, Wim van Damme, Josefien van Olmen, Kerstin Klipstein-Grobusch","doi":"10.5334/ijic.8618","DOIUrl":"10.5334/ijic.8618","url":null,"abstract":"Introduction: The SCUBY project aimed to provide knowledge on the scaling-up of an Integrated Care Package (ICP) for type 2 diabetes and hypertension across three distinct health systems (Cambodia, Slovenia, and Belgium). Here, we analyse the different elements of the country-specific scale-up roadmaps to identify similarities and differences, and share lessons learned.Methods: Thematic analysis was used to derive crucial roadmap elements from key SCUBY documents (n = 20), including policy briefs, interim reports, research outputs, and consortium meeting notes.Results: Roadmap elements differed according to priority needs, features of the (health) systems, and partly reflected the position of the SCUBY research team within each country. Common cross-country elements were: task-shifting to patients themselves, nurses and community health workers; strengthening monitoring and evaluation; and creating an enabling environment for ICP implementation.Discussion: Scale-up of complex interventions requires continuous engagement of multiple stakeholders and contextualization of action plans. The linkage of research teams with key implementation stakeholders and policy makers creates change-teams, allowing advancement from formative research to implementation of roadmap strategies and full scale-up in due time.Conclusion: The development processes and contents of the roadmaps provided essential and reciprocal learnings. These learnings help shape future policy dialogues and best practices to tackle chronic disease in each participating country.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"24 4","pages":"17"},"PeriodicalIF":2.6,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11661016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877059","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

Development of a Transcultural Social Ethical and Integrated Care Model, for Dependent and Older People Populations at Risk of Exclusion in the Mediterranean Sea Basin (TEC-MED): A Research Protocol. 地中海盆地（TEC-MED）面临被排斥风险的依赖者和老年人群体的跨文化社会伦理和综合护理模式的发展：一项研究方案。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2024-12-19 eCollection Date: 2024-10-01 DOI: 10.5334/ijic.7782

Ana María Porcel-Gálvez, Elena Fernández-García, Soledad Vázquez-Santiago, Sergio Barrientos-Trigo, María Dolores Mateos-Garcia, Mercedes Bueno-Ferrán, Jalila El Ati, Hajer Aounallah-Skhiri, Marta Lima-Serrano

{"title":"Development of a Transcultural Social Ethical and Integrated Care Model, for Dependent and Older People Populations at Risk of Exclusion in the Mediterranean Sea Basin (TEC-MED): A Research Protocol.","authors":"Ana María Porcel-Gálvez, Elena Fernández-García, Soledad Vázquez-Santiago, Sergio Barrientos-Trigo, María Dolores Mateos-Garcia, Mercedes Bueno-Ferrán, Jalila El Ati, Hajer Aounallah-Skhiri, Marta Lima-Serrano","doi":"10.5334/ijic.7782","DOIUrl":"10.5334/ijic.7782","url":null,"abstract":"Background: Higher life expectancy has produced a higher older people porpulation, not necessarily with a consistent quality of life, showing a high rate of vulnerability and dependence. The current social and health crisis situation has highlighted the need to create new integrated models of care that could be translated into social and health policies.Objective: The present study aims to develop, test, and validate an innovative integrated care model for older people with dependence and at risk of social exclusion and their caregivers.Methods: The TEC-MED project participants are nine project partners and six associated partners, with geographic coverage from six countries in the Mediterranean basin, Spain, Tunisia, Italy, Lebanon, Egypt, and Greece. Project coordination will take place at three different levels, macro, meso and micro, through six work packages. The pilot phase uses qualitative-quantitative method to assess the impact of the TEC-MED project, it is expected to train 36 Training Agents, six per country, who apply to a total of 28,200 people (mainly elders and their caregivers).Conclusion: The study proposes a new social integrated care organizational model focused on the integration of social and health care, comprising the governance model; the organization structure and the skills profiles for the caring personnel.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"24 4","pages":"14"},"PeriodicalIF":2.6,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11661011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877064","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

Navigating COVID-19 Surges: A Case Study of a Hospital-at-Home Implementation. 应对COVID-19激增：家庭医院实施的案例研究。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2024-12-19 eCollection Date: 2024-10-01 DOI: 10.5334/ijic.8749

Jin Wee Ng, Milawaty Nurjono, Michelle Mong Nee Kee, Hong Choon Oh, Qin Yong See

{"title":"Navigating COVID-19 Surges: A Case Study of a Hospital-at-Home Implementation.","authors":"Jin Wee Ng, Milawaty Nurjono, Michelle Mong Nee Kee, Hong Choon Oh, Qin Yong See","doi":"10.5334/ijic.8749","DOIUrl":"10.5334/ijic.8749","url":null,"abstract":"This study documents the experience of implementing an adaptation of the Hospital-at-Home (HaH) model to alleviate the constraints in available hospital beds and manpower amid a surge in infection rates in Singapore during the Omicron and XBB COVID waves, addressing challenges and proposing insights for scalable implementation. HaH substitutes inpatient hospitalizations by leveraging existing community healthcare services and remote healthcare technologies. This HaH adaptation was designed to be activated in during surges and deactivated when bed and manpower demands stabilize, making it less intensive on hospital resources. HaH demonstrated success in facilitating safe early discharge and admission avoidance for high-risk patients, reducing hospital bed utilization without reducing care quality. However, challenges including lack of technological literacy, language barriers, and miscommunications resulting from clerical errors were experienced. Our findings suggest that hospitals with internal resource constraints can make adaptations to leverage existing providers and assets within the community where necessary. We also observed that HaH shifts many aspects of healthcare responsibility to patients and their caregivers, which may be beyond their expected capabilities. Clear communication of expectations and limitations from all parties involved is paramount to upholding the quality of care in HaH.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"24 4","pages":"15"},"PeriodicalIF":2.6,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11661406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877074","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

Policy Versus Practice: Facilitators and Barriers of Chronic Care Integration in Dutch General Practice - a Survey Study. 政策与实践：促进和障碍的慢性护理整合在荷兰全科医生-一项调查研究。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2024-12-18 eCollection Date: 2024-10-01 DOI: 10.5334/ijic.8443

Toine E P Remers, Simone A Van Dulmen, Erik W M A Bischoff, Florien M Kruse, Marcel G M Olde Rikkert, Patrick P T Jeurissen

{"title":"Policy Versus Practice: Facilitators and Barriers of Chronic Care Integration in Dutch General Practice - a Survey Study.","authors":"Toine E P Remers, Simone A Van Dulmen, Erik W M A Bischoff, Florien M Kruse, Marcel G M Olde Rikkert, Patrick P T Jeurissen","doi":"10.5334/ijic.8443","DOIUrl":"10.5334/ijic.8443","url":null,"abstract":"Introduction: Multimorbidity challenges quality and sustainability of healthcare systems. Care groups were introduced in the Netherlands to promote integration of chronic primary care, but it remains unknown to which degree they facilitate this. This study therefore aims to determine whether Dutch general practices perceive themselves to be capable of delivering integrated chronic care and uncover the role of care groups.Methods: We performed a survey study amongst 39 care groups and 65 healthcare providers within general practices (GPs and nurse practitioners).Results: 43% of healthcare providers within general practices are (very) dissatisfied with capabilities for chronic care to patients and 56% do not feel capable of delivering integrated care. Care groups and providers show alignment in their perception of some of the most important facilitators and barriers such as motivation and lack of time, but other factors are valued differently at both levels.Discussion: Our findings show inability of general practices to deliver integrated chronic care despite a health system that is inherently supportive of care integration and point to a mismatch between barriers and facilitators amongst practices and care groups, resulting in providers partly relying on their motivation in accommodating integrated chronic care.Conclusion: General practices are not sufficiently supported by care groups and national policies in delivering integrated chronic care. The identified mismatch between policy and practice warrants redesign of support from care groups to align policies with identified barriers and facilitators at the provider level.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"24 4","pages":"13"},"PeriodicalIF":2.6,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11661053/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877091","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

Integrated Care Services for Dementia and Their Challenges from a Nursing Home Perspective: An Ethnographic Study. 从养老院角度看痴呆症综合护理服务及其挑战：人种学研究。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2024-12-13 eCollection Date: 2024-10-01 DOI: 10.5334/ijic.8592

Taomei Zhang, Xi Wen, Yuanyuan Jin, Lu Lin, Huiling Li

{"title":"Integrated Care Services for Dementia and Their Challenges from a Nursing Home Perspective: An Ethnographic Study.","authors":"Taomei Zhang, Xi Wen, Yuanyuan Jin, Lu Lin, Huiling Li","doi":"10.5334/ijic.8592","DOIUrl":"10.5334/ijic.8592","url":null,"abstract":"Background: The number of older adults living with dementia is increasing in China and worldwide. There is limited attention paid to dementia care in nursing homes, and this study aimed to explore the current situation and challenges of providing integrated care services in nursing home settings.Methods: A 3-month focused ethnographic study, including semi-participatory observations and in-depth interviews, was conducted in a nursing home in Suzhou, China, from June to August 2022. Twelve residents and sixteen caregivers were observed, and sixteen observed caregivers were interviewed. The Rainbow Model guided data collection. Deductive analysis was used to examine the integrated care services, and a combination of deductive and inductive analysis was applied to explore the challenges.Results: The Combination of Medical and Elderly care and Medical Consortia were two main integrated care services. Eighteen challenges that threatened integrated care were identified. The nursing homes mainly faced professional and clinical challenges, while Medical Consortia encountered challenges at all levels, especially the organizational level.Conclusions: The integrated care services of residents living with dementia should be further strengthened. Policymakers, caregivers, and researchers should make more precise efforts to address the challenges that threaten integrated care services, thereby promoting better services for residents.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"24 4","pages":"12"},"PeriodicalIF":2.6,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639704/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828405","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

An in-depth Analysis of the Degree of Implementation of Integrated Care for Diabetes in Primary Health Care in Cambodia. 柬埔寨初级卫生保健中糖尿病综合护理实施程度的深入分析

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2024-12-04 eCollection Date: 2024-10-01 DOI: 10.5334/ijic.7602

Vannarath Te, Sereyraksmey Long, Wim Van Damme, Por Ir, Edwin Wouters, Josefien van Olmen

{"title":"An in-depth Analysis of the Degree of Implementation of Integrated Care for Diabetes in Primary Health Care in Cambodia.","authors":"Vannarath Te, Sereyraksmey Long, Wim Van Damme, Por Ir, Edwin Wouters, Josefien van Olmen","doi":"10.5334/ijic.7602","DOIUrl":"10.5334/ijic.7602","url":null,"abstract":"Introduction: With the rising prevalence of type 2 diabetes (T2D), three care initiatives for T2D are being scaled-up in Cambodia to improve availability and accessibility of integrated care for T2D: (1) hospital-based care, (2) health centre-based care, and (3) community-based care. This case study aims to share learnings from an in-depth analysis of the level of integrated care implementation in these care initiatives for T2D in Cambodia.Description: Twenty public health facilities in five operational districts were assessed on six integrated care components: (1) early detection and diagnosis, (2) treatment in primary care services, (3) health education, (4) self-management support, (5) structured collaboration, and (6) organisation of care. Two raters independently scored each facility on a 0-5 scale based on multiple sources of data and reached a consensus.Discussion: The in-depth analysis showed that the three care initiatives were not implemented in an integrated manner, with low implementation scores (1 or 2 out of 5) in all selected settings. The presence of health centre-based care was associated with higher scores for early detection and diagnosis and treatment in primary care services, while the presence of community-based care was related to structured collaboration and organisation of care.Conclusion: The evidence suggests that while each care initiative has its potential contributions towards integrated care for T2D, the three care initiatives should be effectively implemented in an integrated manner in order to potentially produce the desired outcomes.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"24 4","pages":"11"},"PeriodicalIF":2.6,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11623098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142800681","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

Is There an Ideal Payment Model That Enables Integrated Care: Searching for the Impossible? 是否有一种理想的支付模式可以实现综合医疗？寻找不可能？

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2024-11-22 eCollection Date: 2024-10-01 DOI: 10.5334/ijic.9029

Volker Amelung, Jason Cheah

引用次数: 0

Lessons Learned From the Implementation of an Integrated Health and Social Care Child and Family Hub - a Case Study. 儿童与家庭综合保健中心实施过程中的经验教训--案例研究。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2024-11-15 eCollection Date: 2024-10-01 DOI: 10.5334/ijic.8631

Sarah Loveday, Natalie White, Leanne Constable, Anthony Gates, Lena Sanci, Sharon Goldfeld, Harriet Hiscock

{"title":"Lessons Learned From the Implementation of an Integrated Health and Social Care Child and Family Hub - a Case Study.","authors":"Sarah Loveday, Natalie White, Leanne Constable, Anthony Gates, Lena Sanci, Sharon Goldfeld, Harriet Hiscock","doi":"10.5334/ijic.8631","DOIUrl":"10.5334/ijic.8631","url":null,"abstract":"Introduction: Childhood adversity is associated with poor physical and mental health outcomes across the lifespan. Integration of health and social care may provide a solution to childhood adversity through practices of better detection and response. There is growing interest in the creation of child and family hubs that integrate health and social care but little literature that describes the development process.Description: We aimed to evaluate and describe the implementation of a co-designed health and social care child and family hub in Victoria, Australia. Rapid ethnographic methodology was used to iterate the hub components. Practitioners and researchers co-created solutions to barriers identified during implementation.Discussion: There were five key learnings: (i) Practice change takes time and intensive coaching, (ii) Lived experience is a powerful motivator for practice change, (iii) Integration of services requires more than co-location to break down silos, (iv) Reflective practice is a key driver of practice change, and (v) Using real time data enabled rapid implementation change and directly informed the development of solutions.Conclusions: Maintaining and developing practice change during implementation requires time and access to a broad range of data to enable iteration and the development of solutions.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"24 4","pages":"9"},"PeriodicalIF":2.6,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11568806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648014","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