International Journal of Integrated Care最新文献

{"title":"The Process of Integrating Family Planning Services with Other Reproductive Health Services in Low and Middle-Income Countries: A Scoping Review.","authors":"Farina Gul, Zohra S Lassi, Gizachew A Tessema, Jawaria Mukhtar Ahmed, Mohammad Afzal Mahmood","doi":"10.5334/ijic.8912","DOIUrl":"10.5334/ijic.8912","url":null,"abstract":"<p><strong>Introduction: </strong>In low-resource settings, fragmented family planning (FP) services limit contraceptive access, contributing to high unmet needs and unintended pregnancies. Integrating FP with existing reproductive health services can improve access and continuity of care. This review examines the integration strategies in low and middle-income countries (LMICs).</p><p><strong>Theory and methods: </strong>We conduct a scoping review across five databases for peer-reviewed literature and Google Scholar for grey literature, guided by Joanna Briggs Institute (JBI) and Arksey & O'Malley's frameworks. Data were charted study characteristics and details of integration process. Results were reported following PRISMA-ScR guidelines.</p><p><strong>Results: </strong>The total of 37 studies from LMICs were included. Only five studies provided explicit definitions of integration. Key strategies involved aligning FP with other services, promoting dual-method use in HIV care, and incorporating long-acting reversible contraception with post-abortion and postpartum care. Training was provided to various health workers to support services integration. Most Models used co-location of services within the same facility. Innovative approaches, such as; the Happy Client Model and private counselling spaces. Integration was influenced by provider skills, workload, communication dynamics, training gaps, and supply constraints.</p><p><strong>Conclusion: </strong>A review identified diverse methods and factors for integrating family planning services. Clear operational definitions and innovative services delivery models are critical for effective integration. Further research should inform context-adaptable frameworks for implementation in resource-constrained settings. These findings can inform integrated care policy by highlighting the need for coordinated service models, provider training, and context-sensitive strategies to optimise FP access in LMICs.</p>","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 3","pages":"2"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12227082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144575421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rhetoric Versus Reality - Embedding a New Relationship Within Integrated Care Systems for Third Sector Organisations.","authors":"Christopher Phillips","doi":"10.5334/ijic.8989","DOIUrl":"10.5334/ijic.8989","url":null,"abstract":"<p><strong>Introduction: </strong>Within the UK, NHS England has outlined the integral role of third sector organisations as a strategic partner in integrated care systems. This study sought to explore the embedding of a 'new relationship' in the co-design and delivery of 'local' services.</p><p><strong>Methods: </strong>Thirteen semi-structured interviews were conducted within a local authority area in England, with leaders from both the statutory and third sector. Interviews were analysed using framework analysis.</p><p><strong>Findings and discussion: </strong>Findings suggest there is a need to go beyond the rhetoric in embedding a 'new relationship' with the third sector. More needs to be done to change the narrative as to how the third sector is perceived, for sectoral stereotypes to be dispelled, to move beyond tokenistic engagement and focus on how improving health can be tackled together. Whilst place-based forms of governance will differ, a greater understanding by the statutory sector of 'local' organisational and individual dynamics, capabilities and perspectives is paramount.</p><p><strong>Conclusion: </strong>The study concludes that policy narratives are not underpinned with institutional structures and mechanisms. Without a concerted effort and commitment to meaningful engagement, there is a risk that third sector goodwill dissipates in the face of the latest iteration of policy rhetoric.</p>","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 2","pages":"20"},"PeriodicalIF":2.6,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12203916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144527884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How to Implement: The Need to Address a Fundamental Weakness in the Science of Integrated Care.","authors":"Nick Goodwin","doi":"10.5334/ijic.9852","DOIUrl":"10.5334/ijic.9852","url":null,"abstract":"","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 2","pages":"21"},"PeriodicalIF":2.6,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12203898/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144527883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"New Model of Integrated Care for Patients with Immune-Mediated Inflammatory Diseases.","authors":"Esther Chamorro-de-Vega, C M González, L Menchén, O Baniandrés, A Herranz, C Lobo-Rodríguez, R Romero-Jiménez, A Ais-Larisgoitia, E Lobato-Matilla, A López-Esteban, A López-Calleja, I Marín-Jiménez, I Monteagudo, P Morales de Los Ríos, J C Nieto, M Ferris-Villanueva, M J Lizcano, M P Simón Moreno, M Sanjurjo, S García de Sanjosé","doi":"10.5334/ijic.7741","DOIUrl":"10.5334/ijic.7741","url":null,"abstract":"<p><strong>Introduction: </strong>The complexity and transversality of the care for patients with immune-mediated inflammatory diseases (IMIDs) represents a challenge for the usual structure of health care services and requires a transformation of existing clinical management models. We describe the design, implementation and evaluation of a new collaborative care model for patients with IMIDs.</p><p><strong>Description: </strong>A group of multidisciplinary professionals including specialists from the rheumatology, gastroenterology, dermatology and pharmacy services designed and implemented an innovative health care model for patients with IMIDs that has changed the traditional model of care. One of the main challenges is the transversal leadership system in collaboration with all the hospital services involved, including the Medical Directorate of the hospital and patients, which promotes greater responsibility and empowerment.</p><p><strong>Discussion: </strong>Although IMID patient care by a multidisciplinary team is widely recommended, guidelines for IMID-specific models are lacking and few authors have reported controversial results of this strategy.</p><p><strong>Conclusions: </strong>CEIMI is a pioneering collaborative and multidisciplinary care model for patients with immune-mediated inflammatory diseases. This new model is integrated by physicians, pharmacists and specialised nurses and is oriented to meet the needs and expectations of the patients.</p>","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 2","pages":"19"},"PeriodicalIF":2.6,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12164760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient and Healthcare Worker Perspectives on the Integration of Mental Health Services Into Routine ART Services in Windhoek, Namibia: A Qualitative Study.","authors":"Ndeshiteelela Kaleinasho Conteh, Ozayr Mahomed","doi":"10.5334/ijic.8951","DOIUrl":"10.5334/ijic.8951","url":null,"abstract":"<p><strong>Purpose: </strong>Mental health illnesses are more common in people living with HIV (PLHIV) than in the general population, and mental health issues can make it more difficult for individuals to stay engaged in HIV care, which can negatively affect treatment outcomes. Therefore, integrating mental health services into routine HIV care can improve treatment outcomes for PLHIV. This study assessed patients' and healthcare workers' perceptions of enablers and barriers to integrating mental health interventions in routine Antiretroviral treatment (ART) services in Windhoek, Namibia.</p><p><strong>Design/methodology: </strong>In-depth interviews were conducted to explore the perspectives of PLHIV, healthcare providers providing ART services, and health managers supporting the national HIV program on integrated mental health services. To assist with data organization, data analysis software (NVivo V.12) was used. Colaizzi's (1978) inductive thematic analysis was then applied to explore key concepts.</p><p><strong>Findings: </strong>The Barriers reported were the lack of awareness of mental illnesses among PLHIV, healthcare worker attitudes, limited physical space at health facilities, insufficient financial resources to address staff shortages, and lack of training for healthcare workers. The enablers reported were integrated screening of mental illnesses, training of Healthcare workers, management support, integration policies and guidelines, and community sensitization and awareness on mental health issues.</p>","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 2","pages":"18"},"PeriodicalIF":2.6,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12124246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How the Collaborative Arrangement with CPCLW Facilitated the Efforts of VCS Teams to Support the Wellbeing of Persons Living with Dementia and their Caregivers in their Local Alberta Communities.","authors":"Aleksandra Tymczak, Helen Lightfoot, Blair Wold","doi":"10.5334/ijic.9061","DOIUrl":"10.5334/ijic.9061","url":null,"abstract":"<p><p>The work of the 2020-2023 Connecting People & Community for Living Well Health Canada grant initiative focused on determining what contributes to the wellbeing of those living with dementia and their caregivers, across rural Alberta communities, as well as determining what supports the work of the voluntary and community sector (VCS) teams who seek to better support them. These VCS teams included representatives from across local health, social and community sector partners, including local collaboratives. Evaluation findings highlighted the need to support VCS teams to sustain collaborative community-based work and to build and enhance individual and community wellbeing.</p>","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 2","pages":"17"},"PeriodicalIF":2.6,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12124260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Volunteer-supported Care Transition Interventions for People Living with Dementia: A Secondary Analysis of a Scoping Review.","authors":"Sidra Bharmal, Michelle Nelson, Marianne Saragosa","doi":"10.5334/ijic.9056","DOIUrl":"10.5334/ijic.9056","url":null,"abstract":"<p><strong>Introduction: </strong>Rising dementia rates can worsen the strain on the healthcare system and increase hospital admissions. Hospitals decondition persons living with dementia (PLWD), for which volunteers can offer support. We reviewed existing literature on volunteer-led/supported care transition services available to PLWD, assessing PLWD representation and the extent to which their needs are addressed.</p><p><strong>Methods: </strong>We conducted a secondary analysis of a scoping review examining volunteer and third-sector personnel providing post-discharge support. Of the review's 49 articles, we considered services offered to PLWD and persons with cognitive impairment (PWCI). The Camberwell Assessment of Needs for the Elderly (CANE) guided the thematic analysis.</p><p><strong>Results: </strong>Four of our nine selected articles highlighted services supporting PLWD, though only one was developed explicitly for them. The most common themes of needs targeted or met were physical health (n = 7), company (n = 7), food (n = 6), medications (n = 6), and psychological distress (n = 6).</p><p><strong>Discussion: </strong>We described the characteristics and outcomes of these volunteer-led/supported care transition interventions. Comparing the leading PLWD needs against those the interventions primarily addressed revealed potential oversight of their most critical needs. However, volunteers remain valuable in supporting discharged community-dwelling PLWD.</p><p><strong>Conclusion: </strong>In hospital-to-home care transitions, volunteer-led/supported transitional care models benefit PLWD and their caregivers. However, few available interventions explicitly focus on this patient population. Therefore, this is an opportunity to understand better how volunteers and third-sector organizations could optimally support those living during care transitions through an integrated care approach.</p>","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 2","pages":"16"},"PeriodicalIF":2.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12101112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Integrating Social and Health Home Care Services in Catalonia: A Retrospective Cohort-Based Two-Year Study.","authors":"Emili Vela, Joan Carles Contel, Anna Vila, Sebastià J Santaeugènia, Rosa Suñol, Jordi Amblàs-Novellas, Conxita Barbeta, Aina Plaza, Pilar Hilarión","doi":"10.5334/ijic.8909","DOIUrl":"10.5334/ijic.8909","url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to evaluate the impact of integrating social and health home care services (HCSs) on institutionalization, survival, and utilization of health and social care services and associated expenditures.</p><p><strong>Methods: </strong>Retrospective study including all individuals who initiated social HCSs for dependent people in Catalonia during 2018-2019 with a paired case-control, pre/post design (differences-in-differences), using integrated data from the Autonomy and Dependency Care System database and the Catalan Health Surveillance System. Individuals were categorized based on their perceived level of integration in the residing areas (high level: Case Group, and low level: Control Group).</p><p><strong>Results: </strong>We included 4381 cases and 13143 matched controls. HCS integration decreased the risk of institutionalization in a nursing home by 19.5% and the length of stays in any center by 7.7%. Integration increased day centers' use by 23.7% and primary care service utilization by 3.0%, and also reduced associated social expenditures after HCS initiation by 19.1% and overall social and health expenditures by 2.6%.</p><p><strong>Conclusion: </strong>Integration of social and health HCSs resulted in a shift from institutionalization services to primary care services and day care centers, prolonging recipients' lives in their homes.</p>","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 2","pages":"15"},"PeriodicalIF":2.6,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12083072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144093698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Realising the Power of Academic-Voluntary Sector Partnerships to Integrated Care Research.","authors":"Kelly Hall, Darshini Ayton, Helen Skouteris, Robin Miller, Catherine Needham","doi":"10.5334/ijic.9101","DOIUrl":"10.5334/ijic.9101","url":null,"abstract":"<p><p>Voluntary Community and Social Enterprise organisations (VCSEs) bring valuable knowledge of local health and care needs and have skills in engaging underserved communities. This makes them ideal partners for integrated health and care researchers. Yet, they are often excluded from research. This paper reflects on the benefits and challenges of VCSE-researcher collaborations and shares examples from Australia and the UK of how these have been overcome in practice. We explore how integrated care researchers can work with VCSEs to empower the voice of lived experience, bring greater inclusivity in research methodologies and deliver meaningful findings within local and diverse contexts.</p>","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 2","pages":"14"},"PeriodicalIF":2.6,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12082444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144093722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing Integrated Care Through the Voluntary and Community Sector: A Lean Management and Dynamic Capabilities Perspective.","authors":"Huay Ling Tay","doi":"10.5334/ijic.9014","DOIUrl":"10.5334/ijic.9014","url":null,"abstract":"<p><p>The Voluntary and Community Sector (VCS) is a critical contributor to integrated care, bridging gaps between health and social care services. However, operational inefficiencies and challenges in adapting to dynamic care environments hinder its full potential. This paper clarifies the perspective-drawn from research and practice-on applying Lean Management principles and Dynamic Capabilities Theory to enhance VCS operations. Using practical vignettes, it illustrates how these frameworks can improve volunteer recruitment, retention, and resource allocation, fostering efficiency and adaptability. Recommendations focus on specific aspects of integrated care, including service coordination, crisis adaptability, and volunteer management, leading to better patient outcomes.</p>","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 2","pages":"13"},"PeriodicalIF":2.6,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12082445/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144093694","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}