International Journal of Integrated Care最新文献_第4页

The Nine Pillars of Integrated Care, Revisited. 综合护理的九大支柱，重访。

IF 2.7 3区医学

International Journal of Integrated Care Pub Date : 2026-06-09 eCollection Date: 2026-04-01 DOI: 10.5334/ijic.11118

Niamh Lennox-Chhugani

引用次数: 0

The Barriers and Enablers to Implementing Child and Family Health Hubs for Migrant Families. 实施移民家庭儿童和家庭保健中心的障碍和推动因素。

IF 2.7 3区医学

International Journal of Integrated Care Pub Date : 2026-06-08 eCollection Date: 2026-04-01 DOI: 10.5334/ijic.9847

Michael Hodgins, Katarina Ostojic, Karen Edwards, Kenny Lawson, Nan Hu, Kim Lyle, Michelle Jubelin, Amit Arora, Kathleen Baird, Ann Dadich, Valsamma Eapen, Amanda Henry, Nick Hopwood, Jane Kohlhoff, Grainne O'Loughlin, Raghu Lingam, Helen Rogers, Shanti Raman, Tania Rimes, Sue Woolfenden

{"title":"The Barriers and Enablers to Implementing Child and Family Health Hubs for Migrant Families.","authors":"Michael Hodgins, Katarina Ostojic, Karen Edwards, Kenny Lawson, Nan Hu, Kim Lyle, Michelle Jubelin, Amit Arora, Kathleen Baird, Ann Dadich, Valsamma Eapen, Amanda Henry, Nick Hopwood, Jane Kohlhoff, Grainne O'Loughlin, Raghu Lingam, Helen Rogers, Shanti Raman, Tania Rimes, Sue Woolfenden","doi":"10.5334/ijic.9847","DOIUrl":"10.5334/ijic.9847","url":null,"abstract":"Migrant women and children can face significant barriers when accessing child and family health services. Child and family health hubs (hubs) represent a potential solution to simplify pathways between maternity, child, and social care services for migrant populations. However, how these hubs operate specifically for migrants remains underexplored. Our study addresses this gap by exploring what helps and hinders the establishment and delivery of hubs across three different contexts in New South Wales, Australia for migrant populations using a case study approach. While all sites found the hub model appropriate and acceptable, its feasibility varied. Challenges included limited resources, particularly the absence of a dedicated hub coordinator, governance issues, and personnel turnover. Success depended on clear leadership, dedicated coordination, systematic referral pathways, cultural sensitivity, and community engagement. The evidence from this study can be used within other contexts to plan and deliver hubs for migrant and potentially other priority population families with young children.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"26 1","pages":"16"},"PeriodicalIF":2.7,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148251504","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

Evaluation of the Impact of a Coordinated Intervention Model for Complex Older Patients with Dementia. 评价一种协调干预模式对复杂老年痴呆患者的影响。

IF 2.7 3区医学

International Journal of Integrated Care Pub Date : 2026-05-26 eCollection Date: 2026-04-01 DOI: 10.5334/ijic.10026

Matilde Barneto-Soto, Núria Molist-Brunet, Emma Puigoriol-Juvanteny, Anna Ribera Nadal, Rosa María Torres Allepuz, Joan Espaulella-Panicot

{"title":"Evaluation of the Impact of a Coordinated Intervention Model for Complex Older Patients with Dementia.","authors":"Matilde Barneto-Soto, Núria Molist-Brunet, Emma Puigoriol-Juvanteny, Anna Ribera Nadal, Rosa María Torres Allepuz, Joan Espaulella-Panicot","doi":"10.5334/ijic.10026","DOIUrl":"10.5334/ijic.10026","url":null,"abstract":"Introduction: Person centred care planning and models of care coordination across levels of care reduce fragmentation and unnecessary resource use. Our objectives were to assess the impact of implementing a coordinated care model between intermediate care and primary care, as determined by the identification of complex patients, and recording their individualized care plans in the shared medical record and to assess its effectiveness in relation to the use of health resources.Methods: A pre-post quasi-experimental study of 160 complex patients with dementia who were discharged from intermediate care between April 2022 and July 2024.Results: A 31.4% (from 63 to 106 patients) increase in the identification of complex patients with dementia and a 23.6% (from 19 to 44 patients) increase in the development of care plans were found at 3 months of discharge. Of the patients who had visited emergency department in the six months preceding hospitalisation, 54.4% (n = 31) did not visit it in the six months post-discharge (p = 0.026).Conclusion: Our coordinated care model may have contributed to improved identification of patients with dementia and complex conditions, the development of individualized care plans, and reduced emergency department use.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"26 2","pages":"15"},"PeriodicalIF":2.7,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13220736/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148138178","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 and Validation of a People-Centred Scale for Evaluating Care Pathway Experiences. 以人为中心的护理路径经验评估量表的开发和验证。

IF 2.7 3区医学

International Journal of Integrated Care Pub Date : 2026-05-22 eCollection Date: 2026-04-01 DOI: 10.5334/ijic.9134

Vittoria Sturlese, Gerardo Petruzziello, Stefano Benini, Lucetta Nisticò, Davide Allegri, Anna Pavani, Carlo Descovich, Sergio Cinocca, Federica Lugaresi, Elisa Mazzini, Luca Ghirotto, Domenica Gazineo, Loredana Cerullo

{"title":"Development and Validation of a People-Centred Scale for Evaluating Care Pathway Experiences.","authors":"Vittoria Sturlese, Gerardo Petruzziello, Stefano Benini, Lucetta Nisticò, Davide Allegri, Anna Pavani, Carlo Descovich, Sergio Cinocca, Federica Lugaresi, Elisa Mazzini, Luca Ghirotto, Domenica Gazineo, Loredana Cerullo","doi":"10.5334/ijic.9134","DOIUrl":"10.5334/ijic.9134","url":null,"abstract":"Introduction: Care pathways (CPs) are essential for ensuring coordinated, high-quality healthcare, yet patient-reported experiences remain underexplored. In Italy, no validated tool exists to systematically assess persons' perspectives on CPs. This study aimed to develop and validate a scale to measure patient-reported experiences with CPs.Methods: A mixed-method approach was used. First, a literature review, a Delphi study involving healthcare professionals, and focus groups with persons and interest-holders informed the generation of items. Next, a pilot test with 218 persons diagnosed with breast cancer refined the scale. Finally, a quantitative study involving 12 CPs across three healthcare organisations assessed the scale's properties using exploratory and confirmatory factor analyses.Results: Factor analysis revealed a four-factor structure encompassing person-centrality, responsiveness, integration, and organisation. The scale demonstrated good internal validity, with satisfactory reliability for most factors. Correlations with overall CP evaluation, satisfaction, and self-reported health provided support for external validity. However, the organisational factor showed lower reliability, requiring further refinement.Discussion: This study provides a robust, multidimensional tool for assessing patients' reported experiences with CPs. Its findings highlight the importance of person-centred care and integrated service delivery.Conclusion: The newly developed scale offers a validated measure to enhance CP evaluation, supporting people-centred healthcare practice and policy improvements.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"26 2","pages":"13"},"PeriodicalIF":2.7,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13196679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148015411","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 Community-Up Approach to Improve Health and Wellbeing in a Dutch Neighbourhood. A Case Study. 以社区为中心改善荷兰社区的健康和福祉。案例研究。

IF 2.7 3区医学

International Journal of Integrated Care Pub Date : 2026-05-22 eCollection Date: 2026-04-01 DOI: 10.5334/ijic.9811

Leendert J Guijt, Petra C Siemonsma, Arlette E Hesselink, Suzan Van Der Pas

{"title":"A Community-Up Approach to Improve Health and Wellbeing in a Dutch Neighbourhood. A Case Study.","authors":"Leendert J Guijt, Petra C Siemonsma, Arlette E Hesselink, Suzan Van Der Pas","doi":"10.5334/ijic.9811","DOIUrl":"10.5334/ijic.9811","url":null,"abstract":"Introduction: This case study describes a novel community-up approach designed to gain insight into the needs and aspirations of both residents and professionals in a Dutch neighbourhood, aiming to enhance health and wellbeing. The Integrated People-Centred Health Care Services (IPCHS) framework served as the theoretical lens for evaluating the findings.Method: A total of 150 residents and 50 professionals from sectors, including health care, social services, and municipal governance participated. Using participatory action research (PAR), researchers explored local needs and aspirations through a variety of methods, including participatory observations, (in-depth) interviews, transect walks, two world café meetings, and desk research.Results: Needs, aspirations, and opportunities were synthesized into an Atlas of the Neighbourhood and a Treasure Map. Beyond these outcomes, several valuable unintended effects emerged, including stronger relationships, increased community engagement, and improvements aligned with the IPCHS framework.Discussion: This study illustrates the potential of a novel community-up, PAR-based approach, integrating diverse, generative methods to foster meaningful connections among residents and professionals. It also underscores the added value of applied research, particularly the role of University of Applied Sciences researchers as critical allies in engaging residents, local professionals, and stakeholders such as directors and policymakers.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"26 2","pages":"14"},"PeriodicalIF":2.7,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13196685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148015471","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

Using Personas as a Tool for People-Centred Segmentation and Health Systems Planning in Ontario, Canada. 在加拿大安大略省使用人物角色作为以人为中心的分割和卫生系统规划的工具。

IF 2.7 3区医学

International Journal of Integrated Care Pub Date : 2026-05-21 eCollection Date: 2026-04-01 DOI: 10.5334/ijic.9002

Casey Chu, Kerry Kuluski, Arija Birze, Junhee Baek, Louis Wong, Catherine Donnelly, Brianne Wood, Jessica Logozzo, Laura Rosella

{"title":"Using Personas as a Tool for People-Centred Segmentation and Health Systems Planning in Ontario, Canada.","authors":"Casey Chu, Kerry Kuluski, Arija Birze, Junhee Baek, Louis Wong, Catherine Donnelly, Brianne Wood, Jessica Logozzo, Laura Rosella","doi":"10.5334/ijic.9002","DOIUrl":"10.5334/ijic.9002","url":null,"abstract":"Introduction: Health systems are increasingly using population segmentation for planning to organise populations into segments with similar health characteristics. However, given that these data-driven approaches rely on available data, they fail to encompass important social determinants of health, thereby making decision-making challenging. Segmentation is powerful, but little is known about how missing information could be incorporated to more accurately characterise segments.Description: We demonstrate a process that uses personas [i.e., fictional stories] to apply the outputs of population segmentation in Ontario, Canada. First, we created personas using available data to represent individuals in a population segment. Second, we conducted focus groups with service users, caregivers, and providers to understand what information was missing from the persona. We conducted two iterative rounds of focus groups with 27 participants to test and assess this process on the frailty population segment.Results: Findings revealed the preferred design and types of information to present in a persona to represent individuals from a segment. Participants also identified what information was pertinent or missing to better understand the frailty population segment in Ontario.Conclusion: Personas can be useful for health system planners as a mechanism to incorporate community perspectives to enhance data-driven segments for planning.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"26 2","pages":"12"},"PeriodicalIF":2.7,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13196677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148015319","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

Partners in Recovery: A Case Study of a National Support Coordination Program for People with Severe and Persistent Mental Illness. 康复中的伙伴：对患有严重和持续性精神疾病的人的国家支持协调计划的案例研究。

IF 2.7 3区医学

International Journal of Integrated Care Pub Date : 2026-05-20 eCollection Date: 2026-04-01 DOI: 10.5334/ijic.9129

Jennifer Smith-Merry, Joel Hollier, Nicola Hancock, Bill Gye, Luis Salvador-Carulla, Kieran Halloran, William Campos, Sebastian Rosenberg

{"title":"Partners in Recovery: A Case Study of a National Support Coordination Program for People with Severe and Persistent Mental Illness.","authors":"Jennifer Smith-Merry, Joel Hollier, Nicola Hancock, Bill Gye, Luis Salvador-Carulla, Kieran Halloran, William Campos, Sebastian Rosenberg","doi":"10.5334/ijic.9129","DOIUrl":"10.5334/ijic.9129","url":null,"abstract":"Objective: Partners in Recovery (PIR) was an Australian Commonwealth Government-funded program supporting 35,000 people with complex needs, who experienced severe and persistent mental illness (SPMI). The program was designed to foster integrated care to address fragmented and missing supports. Internationally it is a rare example of a national coordination program evaluated in multiple local contexts, from multiple stakeholder perspectives. This paper examines factors that contributed to the program's strengths and weaknesses, contextualising this in relation to the limits of subsequent supports.Methods: This case study draws together 30 program evaluation papers, identified through a range of search strategies. Utilising Arksey and O'Malley's review framework we collaboratively developed a synthesis of themes and findings.Results: The support facilitator role was essential to implementation as was organisational environment. As a cornerstone of care for people with SPMI, support coordination required effective collaboration; strong communication; individualised, flexible, and recovery-oriented support; and a well-equipped workforce.Conclusions: Data from multiple evaluations of PIR demonstrate the importance of care coordination for SPMI which is underpinned by a recovery-oriented key worker, localised approaches and flexible funding. These are key attributes of integrated support which can inform practice and policy development for this group internationally.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"26 2","pages":"11"},"PeriodicalIF":2.7,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13196689/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148015313","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 Oral Healthcare Model for Dependent Older Adults: An Experience-Based Co-Design Approach. 依赖老年人的综合口腔保健模型：基于经验的协同设计方法。

IF 2.7 3区医学

International Journal of Integrated Care Pub Date : 2026-05-19 eCollection Date: 2026-04-01 DOI: 10.5334/ijic.9275

Chanapol Kraitroudpol, Narumanas Korwanich, Kanyarat Korwanich

{"title":"Integrated Oral Healthcare Model for Dependent Older Adults: An Experience-Based Co-Design Approach.","authors":"Chanapol Kraitroudpol, Narumanas Korwanich, Kanyarat Korwanich","doi":"10.5334/ijic.9275","DOIUrl":"10.5334/ijic.9275","url":null,"abstract":"Objective: To co-develop a stakeholder-informed oral healthcare model for dependent older adults that can be integrated into Thailand's existing Community-Based Long-Term Care (CBLTC) system using an Experience-Based Co-Design (EBCD) approach.Materials and methods: A Participatory Action Research (PAR) approach was employed using Experience-Based Co-Design (EBCD). The process involved five iterative steps: baseline assessment, in-depth interviews, stakeholder-specific focus group discussions, a joint co-design session, and validation of the model. Participants included dependent older adults, formal and informal caregivers, family care teams, local authorities, and private-sector actors (N = 22). Data were collected through qualitative methods and analysed using inductive content analysis to derive the model components and assess stakeholder consensus.Results: The findings revealed a critical gap in oral healthcare within the current CBLTC framework, despite existing coordination across medical and social care. Participants identified barriers such as a lack of trained personnel, inadequate referral systems, and insufficient caregiver capacity. Through a structured co-design process, a community-specific oral healthcare model was developed. The model defines stakeholder roles, referral pathways, and action plans for implementation.Conclusion: The co-designed model offers a practical, equity-driven solution to a long-standing gap in Thailand's long-term care landscape. By embedding oral healthcare into the existing CBLTC infrastructure, the model elevates oral health as a critical component of holistic ageing care. Although further implementation and evaluation are required, this framework sets a precedent for inclusive, community-informed innovation that may inspire broader policy adoption and system-wide integration.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"26 2","pages":"10"},"PeriodicalIF":2.7,"publicationDate":"2026-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13196688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148015124","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 Facing VCFSEs in Integrated Care Systems: A Qualitative Case Study of a Unitary Authority in England. vcfse在综合护理系统中面临的挑战：英国单一权威定性案例研究。

IF 2.7 3区医学

International Journal of Integrated Care Pub Date : 2026-05-14 eCollection Date: 2026-04-01 DOI: 10.5334/ijic.9072

Catherine Leyshon, Michael Leyshon, Shukru Esmene, Miriam Leyshon, Olly Clabburn

{"title":"The Challenges Facing VCFSEs in Integrated Care Systems: A Qualitative Case Study of a Unitary Authority in England.","authors":"Catherine Leyshon, Michael Leyshon, Shukru Esmene, Miriam Leyshon, Olly Clabburn","doi":"10.5334/ijic.9072","DOIUrl":"10.5334/ijic.9072","url":null,"abstract":"Introduction: Integrated Care Systems (ICSs) in England seek ever-closer collaborative relationships between health and social care providers, local authorities, and the Voluntary, Community, Faith and Social Enterprise (VCFSE) sector to deliver public services in place. However, ICSs present significant challenges for VCFSEs.Methods: In-depth qualitative case study of VCFSEs in an ICS contiguous with a Unitary Authority in England.Results and discussion: i) the role of the 'microbiome' of smallest VCFSE in the ICS is unclear; ii) current commissioning models work against the effective participation of VCFSEs in ICSs; iii) short-term and under-funded contracts threaten VCFSEs; iv) substitution and appropriation represent tangible threats to VCFSEs through increased demand and bureaucratisation; v) the degree to which ICS support a vibrant, heterogeneous, and sustainable VCFSE sector depends on 'system maturity'.Conclusions: Integration is a process, not an event. The evolving landscape of service design presents both opportunities and challenges for VCFSEs, requiring careful management to harness strategic advantages while addressing operational risks.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"26 2","pages":"9"},"PeriodicalIF":2.7,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13178605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147963450","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

Reply - RE: Policy Versus Practice: Facilitators and Barriers of Chronic Care Integration in Dutch General Practice - a Survey Study. 回复- RE：政策与实践：荷兰全科实践中慢性护理整合的促进因素和障碍-一项调查研究。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2026-05-05 eCollection Date: 2026-04-01 DOI: 10.5334/ijic.11051

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

引用次数: 0