International Journal of Integrated Care最新文献_第9页

Health and Social Care Integration in Scotland: Evidence vs Rhetoric. 苏格兰的医疗与社会护理一体化：证据与说辞。

IF 2.4 3区医学

International Journal of Integrated Care Pub Date : 2024-01-30 eCollection Date: 2024-01-01 DOI: 10.5334/ijic.7759

Cam Donaldson, Peter Knight, Alastair L Noble, Sandy Strathearn

引用次数: 0

Integrated Youth Service Preferences of Caregivers of Justice-Involved Youth: A Discrete Choice Conjoint Experiment. 涉案青少年照顾者对青少年综合服务的偏好：离散选择联合实验》。

IF 2.4 3区医学

International Journal of Integrated Care Pub Date : 2024-01-29 eCollection Date: 2024-01-01 DOI: 10.5334/ijic.7044

Deanna F Klymkiw, David M Day, J L Henderson, Lisa D Hawke

{"title":"Integrated Youth Service Preferences of Caregivers of Justice-Involved Youth: A Discrete Choice Conjoint Experiment.","authors":"Deanna F Klymkiw, David M Day, J L Henderson, Lisa D Hawke","doi":"10.5334/ijic.7044","DOIUrl":"10.5334/ijic.7044","url":null,"abstract":"Introduction: Mental health and/or substance use (MHS) challenges affect approximately 95% of youth in the criminal justice system, with only three in ten justice-involved youth receiving treatment. Caregivers of justice-involved youth have identified fragmented care as a barrier to youth accessing MHS services. One suggested solution to this problem is the implementation of integrated youth services (IYS). However, it is unknown which IYS components caregivers of justice-involved youth prioritize.Methods: Using a discrete choice conjoint experiment (DCE), n = 46 caregivers of justice-involved youth, and n = 204 caregivers of non-justice-involved, completed thirteen choice tasks representing different combinations of IYS.Results: Both caregiver groups exhibited preferences for involvement and access to information regarding their youth's treatment, and fast access to broad range of core health and additional services, in a community setting, with the incorporation of e-health services. Caregivers of justice-involved youth showed a unique preference for involvement in family counseling with their youth. The incorporation of this service feature may help to engage caregivers of justice-involved youth in their youths' MHS treatment 3-fold.Conclusion: Data gleaned from this analysis provides an understanding of what components of IYS models may help to engage caregivers of justice-involved youth.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"24 1","pages":"2"},"PeriodicalIF":2.4,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10836161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681087","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 Models for Older Adults with Depression and Physical Comorbidity: A Scoping Review 针对患有抑郁症和躯体疾病的老年人的综合护理模式：范围审查

IF 2.4 3区医学

International Journal of Integrated Care Pub Date : 2024-01-10 DOI: 10.5334/ijic.7576

Laura Tops, Simon Gabriël Beerten, Mathieu Vandenbulcke, M. Vermandere, Mieke Deschodt

{"title":"Integrated Care Models for Older Adults with Depression and Physical Comorbidity: A Scoping Review","authors":"Laura Tops, Simon Gabriël Beerten, Mathieu Vandenbulcke, M. Vermandere, Mieke Deschodt","doi":"10.5334/ijic.7576","DOIUrl":"https://doi.org/10.5334/ijic.7576","url":null,"abstract":"Objective: Multimorbidity is a growing challenge in the care for older people with mental illness. To address both physical and mental illnesses, integrated care management is required. The purpose of this scoping review is to identify core components of integrated care models for older adults with depression and physical comorbidity, and map reported outcomes and implementation strategies. Methods: PubMed, EMBASE, CINAHL and Cochrane Library were searched independently by two reviewers for studies concerning integrated care interventions for older adults with depression and physical comorbidity. We used the SELFIE framework to map core components of integrated care models. Clinical and organisational outcomes were mapped. Results: Thirty-eight studies describing thirteen care models were included. In all care models, a multidisciplinary team was involved. The following core components were mainly described: continuity, person-centredness, tailored holistic assessment, pro-activeness, treatment interaction, individualized care planning, and coordination tailored to complexity of care needs. Twenty-seven different outcomes were evaluated, with more attention given to clinical than to organisational outcomes. Conclusion: The core components that comprise integrated care models are diverse. Future studies should focus more on implementation aspects of the intervention and describe financial parts, e.g., the cost of the intervention for the healthcare user, more transparently.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"6 12","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139439983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Observational Data for Integrated Maternity Care: Experiences with a Data-Infrastructure for Parents and Children in the Netherlands 产妇综合护理观察数据：荷兰父母和儿童数据基础设施的经验

IF 2.4 3区医学

International Journal of Integrated Care Pub Date : 2023-12-20 DOI: 10.5334/ijic.7012

Zoë T. M. Scheefhals, E. F. de Vries, J. Molenaar, M. E. Numans, Jeroen N. Struijs

{"title":"Observational Data for Integrated Maternity Care: Experiences with a Data-Infrastructure for Parents and Children in the Netherlands","authors":"Zoë T. M. Scheefhals, E. F. de Vries, J. Molenaar, M. E. Numans, Jeroen N. Struijs","doi":"10.5334/ijic.7012","DOIUrl":"https://doi.org/10.5334/ijic.7012","url":null,"abstract":"Introduction: Observational data are increasingly seen as a valuable source for integrated care research. Especially since the growing availability of routinely collected data and quasi-experimental methods. The aim of this paper is to describe the potentials and challenges when using observational data for integrated maternity care research, based on our experience from developing and working with the Data-InfrAstructure for ParEnts and childRen (DIAPER). Methods and Results: We provide a description of DIAPER, which is a linked data-infrastructure on the individual level based on maternity care claims data, quality and utilization of maternity care and data from municipal registries, covering the life course from preconception to adulthood. We then discuss potentials and practical applications of DIAPER such as to evaluate alternative payment models for integrated maternity care, to set the policy agenda regarding postpartum care, to provide insights into value of care and into provider variation, and to evaluate (policy) interventions designed to promote and support integrated maternity care. This is relevant for several stakeholders: policy makers, payers, providers and clients/patients. Based on experiences with DIAPER, we identify remaining challenges: missing data sources (especially self-reported outcomes), suboptimal quality of data, privacy concerns and potential biases introduced during data linkage, and describe how these challenges were tackled within the applications of DIAPER. Conclusions: With DIAPER we demonstrated that using observational data can be of added value for integrated care research, but also that challenges remain. It is essential to keep exploring and developing the possibilities of observational data and continue the discussions in the scientific community. Learning from each other’s successes and failures will be critical.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"5 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138954882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ngaramadhi Space: An Integrated, Multisector Model of Care for Students Experiencing Problematic Externalising Behaviour. Ngaramadhi 空间：为有问题的外化行为学生提供多部门综合关爱的模式。

IF 2.4 3区医学

International Journal of Integrated Care Pub Date : 2023-12-14 eCollection Date: 2023-10-01 DOI: 10.5334/ijic.7612

Santuri Rungan, Susan Gardner, Huei-Ming Liu, Susan Woolfenden, Jennifer Smith-Merry, John Eastwood

{"title":"Ngaramadhi Space: An Integrated, Multisector Model of Care for Students Experiencing Problematic Externalising Behaviour.","authors":"Santuri Rungan, Susan Gardner, Huei-Ming Liu, Susan Woolfenden, Jennifer Smith-Merry, John Eastwood","doi":"10.5334/ijic.7612","DOIUrl":"https://doi.org/10.5334/ijic.7612","url":null,"abstract":"Introduction: Behavioural and emotional disorders are a significant cause of morbidity for young people aged 10-19 years. School-based health care (SBHC) provides an innovative approach to addressing these issues within Australia.Description: We describe an innovative and integrative SBHC model called Ngaramadhi Space (NS) based at a specialised behavioural school called Yudi Gunyi school (YGS) in metropolitan Sydney, Australia. NS was developed in partnership with the Aboriginal community to provide holistic, integrated, multidisciplinary child and family centred care to students experiencing problematic externalising behaviour. We contextualise the historical factors leading to the development of NS, highlighting the importance of effective partnerships between sectors, and providing the theoretical framework and key components underpinning the model of care.Discussion: In Australia, schools are an under-utilised resource for the delivery of health and support alongside education. Collaboration between sectors can be challenging but allows a more coordinated approach to the management of complex social and health issues. By forming effective partnerships with schools and communities, the health sector has an opportunity to improve access to health and social care in a culturally safe and acceptable way. This is in line with national and international frameworks for improving health service delivery and addressing inequity.Conclusion: The health sector can play a pivotal role in improving the wellbeing of children by forming effective partnerships with schools and communities. The NS model is a practice-based example of this.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"23 4","pages":"19"},"PeriodicalIF":2.4,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10723013/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138799841","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

Evaluating Person-Centred Integrated Care to People with Complex Chronic Conditions: Early Implementation Results of the ProPCC Programme. 评估以人为本的慢性病患者综合护理：ProPCC 计划的早期实施结果。

IF 2.4 3区医学

International Journal of Integrated Care Pub Date : 2023-12-13 eCollection Date: 2023-10-01 DOI: 10.5334/ijic.7585

Miquel À Mas, Ramón Miralles, Maria J Ulldemolins, Ria Garcia, Sonia Gràcia, Josep M Picaza, Mercedes Navarro Fernández, Maria A Rocabayera, Montserrat Rivera, Núria Relaño, Mireia Torres Asensio, Pilar Laporta, Celia Morcillo, Laura Nadal, Ramona Hervás, Dolors Fuguet, Cristina Alba, Núria Miralles Banqué, Sònia Jimenez, Miriam Moreno Moreno, Carmen Nogueras, Helena Manjón Navarro, Rosa López, Guillem Hernández, Francesc López-Seguí, Laura Ricou Ríos, Arnau Pons, Nuria Prat, Jordi Ara Del Rey, Oriol Estrada

{"title":"Evaluating Person-Centred Integrated Care to People with Complex Chronic Conditions: Early Implementation Results of the ProPCC Programme.","authors":"Miquel À Mas, Ramón Miralles, Maria J Ulldemolins, Ria Garcia, Sonia Gràcia, Josep M Picaza, Mercedes Navarro Fernández, Maria A Rocabayera, Montserrat Rivera, Núria Relaño, Mireia Torres Asensio, Pilar Laporta, Celia Morcillo, Laura Nadal, Ramona Hervás, Dolors Fuguet, Cristina Alba, Núria Miralles Banqué, Sònia Jimenez, Miriam Moreno Moreno, Carmen Nogueras, Helena Manjón Navarro, Rosa López, Guillem Hernández, Francesc López-Seguí, Laura Ricou Ríos, Arnau Pons, Nuria Prat, Jordi Ara Del Rey, Oriol Estrada","doi":"10.5334/ijic.7585","DOIUrl":"https://doi.org/10.5334/ijic.7585","url":null,"abstract":"Introduction: The evaluation of integrated care programmes for high-need high-cost older people is a challenge. We aim to share the early implementation results of the ProPCC programme in the North-Barcelona metropolitan area, in Catalonia, Spain.Methods: We analysed the intervention with retrospective data from May 2018 to December 2021 by describing the cohort complexity and by showing its 6-months pre-post impact on time spent at home and resources used: primary care visits, emergency department visits, hospital admissions and hospital stay.Findings: 264 cases were included (91% at home; 9% in nursing homes). 6-month pre vs. 6-months post results were (mean, p-value): primary care visits 8.2 vs. 11.5 (p < 0.05); emergency department visits 1.4 vs. 0.9 (p < 0.05); hospital admissions 0.7 vs. 0.5 (p < 0.05); hospital stay 12.8 vs. 7.9 days (p < 0.05). Time spent at home was 169.2 vs.174.2 days (p < 0.05).Conclusion: Early implementation of the ProPCC programme results in an increase in time spent at home (up to 3%) and significant reductions in emergency department attendance (-37.2%) and hospital stays (-38.3%). The increased use of primary care resources is compensated by the hospital resources savings, with a result in the average total cost of -46.3%.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"23 4","pages":"18"},"PeriodicalIF":2.4,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10723011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138799502","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: A Person-Centered and Population Health Strategy for the COVID-19 Pandemic Recovery and Beyond. 综合护理：针对 COVID-19 大流行恢复期及其后的以人为本和人口健康战略。

IF 2.4 3区医学

International Journal of Integrated Care Pub Date : 2023-12-11 eCollection Date: 2023-10-01 DOI: 10.5334/ijic.7536

Ayodele Odutayo, Kevin Smith, Carolyn Gosse, Melissa Chang, Shiran Isaacksz, Christopher T Chan

引用次数: 0

Health System Enablers and Barriers to Continuity of Care for First Nations Peoples Living with Chronic Disease. 为患有慢性疾病的原住民提供持续护理的医疗系统促进因素和障碍。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2023-12-11 eCollection Date: 2023-10-01 DOI: 10.5334/ijic.7643

Maria Alejandra Pinero de Plaza, Lemlem Gebremichael, Shannon Brown, Chiung-Jung Wu, Robyn A Clark, Katharine McBride, Sonia Hines, Odette Pearson, Kim Morey

{"title":"Health System Enablers and Barriers to Continuity of Care for First Nations Peoples Living with Chronic Disease.","authors":"Maria Alejandra Pinero de Plaza, Lemlem Gebremichael, Shannon Brown, Chiung-Jung Wu, Robyn A Clark, Katharine McBride, Sonia Hines, Odette Pearson, Kim Morey","doi":"10.5334/ijic.7643","DOIUrl":"10.5334/ijic.7643","url":null,"abstract":"Introduction: Failings in providing continuity of care following an acute event for a chronic disease contribute to care inequities for First Nations Peoples in Australia, Canada, and Aotearoa (New Zealand).Methods: A rapid narrative review, including primary studies published in English from Medline, Embase, PsycINFO, and Cochrane Central, concerning chronic diseases (cancer, cardiovascular disease, chronic kidney disease, diabetes, and related complications), was conducted. Barriers and enablers to continuity of care for First Nations Peoples were explored considering an empirical lens from the World Health Organization framework on integrated person-centred health services.Results: Barriers included a need for more community initiatives, health and social care networks, and coaching and peer support. Enabling strategies included care adapted to patients' cultural beliefs and behavioural, personal, and family influences; continued and trusting relationships among providers, patients, and caregivers; and provision of flexible, consistent, adaptable care along the continuum.Discussion: The support and co-creation of care solutions must be a dialogical participatory process adapted to each community.Conclusions: Health and social care should be harmonised with First Nations Peoples' cultural beliefs and family influences. Sustainable strategies require a co-design commitment for well-funded flexible care plans considering coaching and peer support across the lifespan.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"23 4","pages":"17"},"PeriodicalIF":2.6,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10723014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138799679","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

Influence of Cooperation Work on Management Continuity of Ambulatory Cardiovascular Care: A Cross-Sectional Exploratory Study in Germany 合作工作对非住院心血管护理管理连续性的影响：德国一项横断面探索性研究

IF 2.4 3区医学

International Journal of Integrated Care Pub Date : 2023-12-06 DOI: 10.5334/ijic.7019

Christine Arnold, Patrick Hennrich, Frank Peters-Klimm, Michel Wensing

{"title":"Influence of Cooperation Work on Management Continuity of Ambulatory Cardiovascular Care: A Cross-Sectional Exploratory Study in Germany","authors":"Christine Arnold, Patrick Hennrich, Frank Peters-Klimm, Michel Wensing","doi":"10.5334/ijic.7019","DOIUrl":"https://doi.org/10.5334/ijic.7019","url":null,"abstract":"Introduction: A wide range of factors influence coordination and continuity of care. The aim of this study was to explore how management continuity of cardiovascular-related ambulatory care is influenced by the following network characteristics: presence of a case coordinator, network reciprocity, network composition and team climate. Methods: This cross-sectional observational study included three written surveys. The primary outcome management continuity of cardiovascular care was measured with the team/cross-boundary scale in the Nijmegen Continuity Questionnaire. The final analysis comprised a multivariate linear multilevel model with the predictors: presence of a case coordinator, network reciprocity, network composition and team climate. Results: Eighteen general practices with 83 health workers and 340 patients participated. The linear multilevel regression analysis showed a positive influence of team climate on cross-boundary continuity of care (b-coefficient 0.44, 95% confidence interval 0.09–0.78, p = 0.02). No statistically significant influence was measured for the other predictors. Discussion: To improve integrated care, therefore, emphasis should also be placed on promoting the team climate within individual practices. Regarding network characteristics, further research is needed, especially in larger practices. Conclusion: This study showed that team climate had an independent, relevant and statistically significant association with cross-boundary continuity of cardiovascular ambulatory care.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"57 12","pages":""},"PeriodicalIF":2.4,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138597095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Integrating Psychosocial Care into Orthopedic Settings: A Qualitative Study of Provider Perspectives 将社会心理护理融入骨科治疗：对提供者观点的定性研究

IF 2.4 3区医学

International Journal of Integrated Care Pub Date : 2023-12-06 DOI: 10.5334/ijic.7579

Mira Reichman, Ellie A Briskin, Brooke A. Duarte, A. Vranceanu, V. Grunberg

{"title":"Integrating Psychosocial Care into Orthopedic Settings: A Qualitative Study of Provider Perspectives","authors":"Mira Reichman, Ellie A Briskin, Brooke A. Duarte, A. Vranceanu, V. Grunberg","doi":"10.5334/ijic.7579","DOIUrl":"https://doi.org/10.5334/ijic.7579","url":null,"abstract":"Introduction: Approximately 50% of persons with orthopedic injuries experience psychosocial distress (e.g., depression, anxiety), which can predict chronic pain and disability. Offering psychosocial services in orthopedic settings can promote patient recovery. This study explores health care professionals’ perceptions of and recommendations regarding integrated psychosocial care for orthopedic settings. Methods: We conducted 18 semi-structured focus groups with 79 orthopedic health care professionals (e.g., surgeons, residents, nurses) across three Level I Trauma Centers. This secondary data analysis used the evidence-based Rainbow Model of Integrated Care framework to structure hybrid inductive-deductive qualitative data analysis. Results: Orthopedic health care professionals identified potential benefits to psychosocial service integration across all dimensions of integration (i.e., clinical, professional, organizational, system, functional, and normative). These benefits included increased patient satisfaction with care, decreased burden on medical providers to manage patient distress, and decreased healthcare utilization costs. They also identified barriers (e.g., fast-paced clinic flow, mental health stigma) and offered recommendations to address barriers across dimensions of integration. Conclusion: Integrated psychosocial care for orthopedic trauma patients has the potential to improve patient recovery and long-term physical and mental health outcomes. This work identifies strategies to inform the development and implementation of initiatives to integrate psychosocial services within orthopedic settings.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"10 9","pages":""},"PeriodicalIF":2.4,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138597126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0