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

Critical Components for Participation and Personal Recovery in the Flexible Assertive Community Treatment (FACT) Model: A Case Study of the Delivery Process. 灵活自信社区治疗（FACT）模式中参与和个人康复的关键组成部分：交付过程的案例研究。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2026-03-06 eCollection Date: 2026-01-01 DOI: 10.5334/ijic.9814

Madeleine Borgh, Ulrika Bejerholm, Elisabeth Argentzell, Sonya Girdler, Annika Lexén

{"title":"Critical Components for Participation and Personal Recovery in the Flexible Assertive Community Treatment (FACT) Model: A Case Study of the Delivery Process.","authors":"Madeleine Borgh, Ulrika Bejerholm, Elisabeth Argentzell, Sonya Girdler, Annika Lexén","doi":"10.5334/ijic.9814","DOIUrl":"10.5334/ijic.9814","url":null,"abstract":"Introduction: Flexible Assertive Community Treatment (FACT) is implemented in Swedish general Mental Health Services. While FACT focuses on supporting the participation and personal recovery of individuals with complex mental health needs, critical components enabling these aspects are poorly understood. The aim of this study was to understand the critical components of FACT delivery supporting participation in everyday life and personal recovery in general Mental Health Services, and to understand how these critical components relate to the focus areas in FACT.Methods: A single-case study design with two embedded units of analysis was conducted. Data was collected through two focus groups, ten fidelity assessments and eight interviews between 2020 to 2024. The data was analysed using qualitative content analysis and pattern matching.Results: Critical components were related to Placing service users at the centre through an integrated multiprofessional team, Targeting service users' needs through continuity and flexibility and Empowering service users in their everyday life. Most critical components included several focus areas in FACT.Conclusion: An integrated multiprofessional team providing individualised and flexible care and support can support service users in participating in everyday life and promoting their personal recovery.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"26 1","pages":"9"},"PeriodicalIF":2.6,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12985940/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147463155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correction: First of Its Kind Feasibility Study to Work Out the Delivery of Preventive Oral Healthcare by a Hygienist-Nurse Team During Routine Home Care Visits. 更正：首次在常规家庭护理访视期间，由卫生师-护士团队提供预防性口腔保健的可行性研究。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2026-03-04 eCollection Date: 2026-01-01 DOI: 10.5334/ijic.10808

Carrie Beltzner

引用次数: 0

Typology of Public-Private Partnerships in Integrated Care: Evidence from a Municipality in Seoul, Korea. 综合护理中公私伙伴关系的类型：来自韩国首尔市的证据。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2026-02-27 eCollection Date: 2026-01-01 DOI: 10.5334/ijic.9045

Il-Ho Kim, Cheong-Seok Kim, Bon Kim, Dong Hee Joo

{"title":"Typology of Public-Private Partnerships in Integrated Care: Evidence from a Municipality in Seoul, Korea.","authors":"Il-Ho Kim, Cheong-Seok Kim, Bon Kim, Dong Hee Joo","doi":"10.5334/ijic.9045","DOIUrl":"https://doi.org/10.5334/ijic.9045","url":null,"abstract":"Objectives: Despite the significant advantages of public-private partnerships (PPPs), understanding of the organisational roles that shape partnership functioning within integrated care networks remains limited. This study investigated the structural characteristics of PPPs and identified organisational roles within an integrated care network in a Seoul district, Korea.Methods: Using the 2020 Integrated Care Network Survey, this study analyzed modularity, eigenvector centrality, and brokerage in 82 public and private organisations across five different types: district offices, public health centres, healthcare institutions, social welfare institutions, and community organisations.Results: Our results reveal that integrated care organisations are predominantly divided into two major networks: disability care and elderly care. The highest centrality in the elderly care network is occupied by the dementia relief centre and social welfare institutions, while the disability care network is dominated by public institutions, the Health and Welfare Cooperative, and a social service centre for the disabled. Regarding organisational roles, social welfare institutions function primarily as coordinators, representatives, and gatekeepers, whereas public institutions-including district offices, public health centres, and community service centres-serve as consultants and liaisons. Notably, public institutions assume more prominent roles and private organisations demonstrate less involvement in the disability care network compared to the elderly care network.Conclusion: These findings underscore the importance of defining clear organisational roles and interaction mechanisms between public and private sectors, offering valuable insights for policy design aimed at enhancing coordination, accountability, and sustainability within PPP-based integrated care systems.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"26 1","pages":"7"},"PeriodicalIF":2.6,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12947818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147325903","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

Process and Outcome Evaluation of Integrating Primary Eye Care into Primary Healthcare: A Quasi-Experimental Study in Rural China. 中国农村地区将初级眼保健纳入初级卫生保健的过程与结果评价：一项准实验研究。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2026-02-13 eCollection Date: 2026-01-01 DOI: 10.5334/ijic.8972

Xiaodong Dong, Ziyin Zhao, Jin Xu, Xiaochen Ma

{"title":"Process and Outcome Evaluation of Integrating Primary Eye Care into Primary Healthcare: A Quasi-Experimental Study in Rural China.","authors":"Xiaodong Dong, Ziyin Zhao, Jin Xu, Xiaochen Ma","doi":"10.5334/ijic.8972","DOIUrl":"10.5334/ijic.8972","url":null,"abstract":"Introduction: Visual impairment is a critical issue in low- and middle-income countries (LMICs), where unmet eye care needs are significant. The WHO's 2019 World Report on Vision recommends integrating primary eye care (PEC) into primary healthcare (PHC). This study evaluates the integration of PEC into PHC within County-wide Tight Medical Alliances (CTMAs) in rural China.Methods: From 2021 to 2023, we implemented the Eye CARE Model, focusing on Capacity building, Awareness raising, and Referral system Establishment (CARE). We used the Medical Research Council (MRC) process evaluation framework and a quasi-experimental difference-in-differences (DID) method to assess the impact on eye care utilization in three pilot counties in Yunnan Province.Results: The Eye CARE Model increased primary and secondary eye care visits by 76 and 52 per 10,000 people, respectively. It also improved community-based eye health education and established a three-tiered referral system. The intervention had high fidelity and reach, supported by local government and CTMAs, though challenges in sustaining incentives and integrating PEC indicators into health systems were noted.Conclusions: The Eye CARE Model successfully increased eye care utilization and demonstrated the feasibility of integrating PEC into PHC in rural China, emphasizing the importance of contextual factors in LMICs.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"26 1","pages":"6"},"PeriodicalIF":2.6,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12904124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146201594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Balancing Act: Partnership Dynamics in Practice When Organising and Developing Integrated Care Initiatives. 平衡行为：在组织和发展综合护理倡议时，实践中的伙伴关系动态。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2026-02-06 eCollection Date: 2026-01-01 DOI: 10.5334/ijic.9359

H C Heek, Laura A Nooteboom, Anne Marie Barnhoorn-Bos, Robert R J M Vermeiren, Eva A Mulder

{"title":"A Balancing Act: Partnership Dynamics in Practice When Organising and Developing Integrated Care Initiatives.","authors":"H C Heek, Laura A Nooteboom, Anne Marie Barnhoorn-Bos, Robert R J M Vermeiren, Eva A Mulder","doi":"10.5334/ijic.9359","DOIUrl":"10.5334/ijic.9359","url":null,"abstract":"Introduction: Integrated care for families provides tailored, coordinated support across various life domains. It relies on partnerships between families, professionals, organisations, and policymakers, navigating diverse perspectives, cultures, and structures. These differences make partnerships complex and not a given. While much is known about partnerships, the dynamics between stakeholders in practice remains underexplored. Therefore, this study examines the dynamics of partnerships in the organisation and development of integrated care initiatives, identifying important aspects, facilitators and barriers.Method: This qualitative study explored partnership by following five integrated care teams over two years, through interviews (n = 54), observations of clinical case discussions (n = 40) and four learning sessions, incorporating perspectives of families, professionals, managers and local policymakers on partnership.Results: Four aspects of partnership were identified: shared vision among stakeholders; roles and responsibilities; monitoring and evaluation; and funding. Facilitators included inclusive participation, transparent communication, and flexible approaches. Barriers were conflicting interests, undefined roles and leadership, and fragmented systems that may hinder collaboration.Conclusion/discussion: Balancing relational and organisational aspects of integrated care is complex yet essential to provide person-centred care. Continuous stakeholder involvement, along with evaluation and reflection, is crucial for fostering shared learning and ensuring the development and sustainability of partnerships within these initiatives.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"26 1","pages":"5"},"PeriodicalIF":2.6,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12880003/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146142364","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 Evaluation of the Structure of an Integrated Regional Remote Care Management Program for Patients with Selected Chronic Diseases in Canada. 对加拿大选定慢性病患者的综合区域远程护理管理方案结构的评价。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2026-02-05 eCollection Date: 2026-01-01 DOI: 10.5334/ijic.8629

Diedron Lewis, Karin Swift, Sarah Weberman

{"title":"An Evaluation of the Structure of an Integrated Regional Remote Care Management Program for Patients with Selected Chronic Diseases in Canada.","authors":"Diedron Lewis, Karin Swift, Sarah Weberman","doi":"10.5334/ijic.8629","DOIUrl":"10.5334/ijic.8629","url":null,"abstract":"Background: Since the onset of the COVID-19 pandemic, the number of Remote Care Management (RCM) programs in Ontario has increased; however, many have not been objectively evaluated based on their structure and performance.Objective: This study demonstrates how the core structure of the RCM model, developed by the Connected Care Halton Ontario Health Team (CCHOHT) with Halton Healthcare Services and Ontario Health atHome, aligns with the RCM recommendations and evaluation tool from the Ontario Ministry of Health (OMH). The focus is specifically on the CCHOHT's RCM program for chronic diseases.Method: This study presents the CCHOHT's RCM model to demonstrate the degree to which it is consistent with the recommendations for developing RCM programs forwarded by the OMH. It also evaluates the CCHOHT's current chronic diseases RCM program using the OMH's RCM evaluation taxonomy tool and an amended version of this tool proposed by the authors. The taxonomy is based on four foundational criteria: technology, touch, integration and equity.Results: The CCHOHT's chronic diseases RCM program meets the OMH's four RCM taxonomy criteria. The program is a digital solution that remotely manages patients, provides follow-up communication, and escalates critical cases through a more patient-centred, connected clinical pathway of services and care partners.Conclusion: The CCHOHT's RCM model and its chronic diseases RCM program are built on intersecting principles of RCM and integrated care as articulated by the OMH. The adaptable nature of the RCM model allows it to be extended to other clinical conditions.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"26 1","pages":"4"},"PeriodicalIF":2.6,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12880051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146142367","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 Clinician-Supported Peer Health Navigation on Hospital Resource Utilisation amongst High Risk Adults: A Pragmatic Propensity-Score Matching Study. 临床医生支持的同伴健康导航对高危成人医院资源利用的影响：一项实用倾向-得分匹配研究。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2026-02-04 eCollection Date: 2026-01-01 DOI: 10.5334/ijic.9105

Rebecca L Jessup, Keith Stockman, Cilla Haywood, Daniel Nguyen, Mark Tacey, Sarah Thomas, Donald Campbell

{"title":"Impact of Clinician-Supported Peer Health Navigation on Hospital Resource Utilisation amongst High Risk Adults: A Pragmatic Propensity-Score Matching Study.","authors":"Rebecca L Jessup, Keith Stockman, Cilla Haywood, Daniel Nguyen, Mark Tacey, Sarah Thomas, Donald Campbell","doi":"10.5334/ijic.9105","DOIUrl":"10.5334/ijic.9105","url":null,"abstract":"Introduction: The Northern Patient Watch (NPW) program aimed to reduce hospital resource use by providing proactive support through peer health navigators working alongside health professionals. This study assessed the impact of NPW on hospital admissions, bed-days, emergency department presentations, and outpatient non-attendance rates, compared to propensity score-matched controls.Research method: A propensity score matching design compared NPW enrolees with controls over 3-, 6-, and 12-month follow-up periods. Hospital resource utilisation was the primary outcome, with secondary outcomes including outpatient appointment non-attendance rates. Statistical methods addressed both normally and non-normally distributed variables.Results: NPW enrolees used fewer hospital bed-days at all time points compared to matched controls, with the greatest effect at 12 months (median 2.00 [CI 0.00, 8.00] vs. 4.00 [CI 1.00, 14.00]). Admissions were significantly lower at all time points, halving at 12 months (median 1.00 [CI 0.00, 4.00] vs. 2.00 [CI 1.00, 4.00]). Emergency presentations were lower in the NPW group but not statistically significant. Outpatient non-attendance rates were significantly reduced (12 months: 44.8% vs. 55.6%), showing improved healthcare engagement.Conclusion: The NPW programme reduced admissions, bed-days, and outpatient non-attendance, suggesting peer health navigators supported by health professionals improve resource use and patient engagement.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"26 1","pages":"3"},"PeriodicalIF":2.6,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12879996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146142298","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

Which Inter-Organisational Characteristics Supported More Effective Implementation of a New Zealand Falls and Fractures Prevention Programme? Applying and Adapting the Context and Capabilities for Integrated Care Framework. 哪些跨组织特征支持更有效地实施新西兰跌倒和骨折预防计划？应用和调整综合护理框架的背景和能力。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2026-01-30 eCollection Date: 2026-01-01 DOI: 10.5334/ijic.8924

Maryam Pirouzi, Vanessa Selak, Tim Tenbensel

{"title":"Which Inter-Organisational Characteristics Supported More Effective Implementation of a New Zealand Falls and Fractures Prevention Programme? Applying and Adapting the Context and Capabilities for Integrated Care Framework.","authors":"Maryam Pirouzi, Vanessa Selak, Tim Tenbensel","doi":"10.5334/ijic.8924","DOIUrl":"10.5334/ijic.8924","url":null,"abstract":"Introduction: Why do integrated care programmes succeed in some settings but not others, even when national leadership and funding are aligned? This persistent question shaped our examination of the New Zealand Falls and Fracture Prevention Programme (FFPP), a complex, cross-sector initiative targeting older adults. We applied and extended the Context and Capabilities for Integrating Care (CCIC) framework to explore how organisational and inter-organisational factors contributed to variation in implementation and outcomes.Method: We conducted a qualitative comparative case study of four large districts with differences in FFPP implementation including 28 semi-structured interviews. Thematic analysis was primarily deductive, using the CCIC framework, but remained open to emergent, context-specific themes.Results: We identified 43 organisational and implementation factors, of which five had a particularly important effect on FFPP implementation and outcomes: a well-structured governance team, collaborative leadership, engagement with primary care and private organisations, positive prior collaboration experience, and applying a population-based approach. We modified the CCIC framework to more fully reflect our observations by adding prior collaboration experience and a life-cycle approach (from pre-engagement to establishment).Conclusion: The CCIC framework captured most key organisational dynamics but was enhanced by incorporating temporal and historical dimensions of collaboration.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"26 1","pages":"2"},"PeriodicalIF":2.6,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12857623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146105428","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 Critical Role of Logistics for Ageing-in-Place: Insights from Active Ageing Initiatives. 物流对就地老龄化的关键作用：来自积极老龄化计划的见解。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2026-01-28 eCollection Date: 2026-01-01 DOI: 10.5334/ijic.10176

Huay Ling Tay

引用次数: 0

Preconditions Contributing to Interprofessional Collaboration in the Management of COPD in Primary Care: A Scoping Review. 促进初级保健COPD管理的跨专业合作的先决条件：范围综述。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2025-12-26 eCollection Date: 2025-10-01 DOI: 10.5334/ijic.8991

F L De Zwart, E W M A Bischoff, L Van Den Bemt, M Perry, B Van Den Borst, M De Man, M Van Den Heuvel, M A Spruit, A J Van 't Hul

{"title":"Preconditions Contributing to Interprofessional Collaboration in the Management of COPD in Primary Care: A Scoping Review.","authors":"F L De Zwart, E W M A Bischoff, L Van Den Bemt, M Perry, B Van Den Borst, M De Man, M Van Den Heuvel, M A Spruit, A J Van 't Hul","doi":"10.5334/ijic.8991","DOIUrl":"10.5334/ijic.8991","url":null,"abstract":"Introduction: Interprofessional collaboration (IPC) has been proven effective for COPD patients, however an overview on how to develop and sustain IPC in primary care is lacking. The objective of this review was to identify preconditions for IPC in primary care COPD management. Secondary objectives were to study if the identified preconditions differed from those found in the general primary care setting and secondary and tertiary COPD setting.Methodology: Three separate searches were executed in four databases for publications reporting preconditions for IPC. The identified preconditions were categorised into the domains of the Rainbow Model for Integrated Care (RMIC).Results: The first search revealed 32 preconditions and covered all RMIC domains. In the second search, 12 additional preconditions were found, with 90% of preconditions overlapping with the first search. The third search revealed only one study and no extra preconditions were identified.Conclusion: Many preconditions need to be considered when developing IPC for COPD in primary care. However, these are not setting or disease specific. This makes it possible to develop IPC in primary care for multiple chronic conditions and using knowledge gained from other healthcare settings.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 4","pages":"24"},"PeriodicalIF":2.6,"publicationDate":"2025-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12742380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145850049","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