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

Navigating the Labyrinth: Organizational Challenges in Integrated Diabetes Care for Individuals with Type 2-Diabetes and Schizophrenia: A Qualitative Exploration from the Healthcare Professionals' Perspective. 导航迷宫：2型糖尿病和精神分裂症患者综合糖尿病护理的组织挑战：从医疗保健专业人员的角度进行定性探索。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2025-10-31 eCollection Date: 2025-10-01 DOI: 10.5334/ijic.8621

Tanja Juhl Mikkelsen, Dorte Moeller Jensen, Elsebeth Stenager, Mette Juel Rothmann

{"title":"Navigating the Labyrinth: Organizational Challenges in Integrated Diabetes Care for Individuals with Type 2-Diabetes and Schizophrenia: A Qualitative Exploration from the Healthcare Professionals' Perspective.","authors":"Tanja Juhl Mikkelsen, Dorte Moeller Jensen, Elsebeth Stenager, Mette Juel Rothmann","doi":"10.5334/ijic.8621","DOIUrl":"10.5334/ijic.8621","url":null,"abstract":"Introduction: This study explores the challenges faced by healthcare professionals in providing integrated care for individuals living with co-occurring schizophrenia and type 2 diabetes in Denmark. Despite the increased complexity of managing both conditions, little research has focused on healthcare professionals experiences and the organizational challenges involved in delivering integrated care.Description: Using a qualitative exploratory design, the study involved semi-structured interviews with four healthcare professionals, 17 field observations of outpatient consultations, and one focus group interview, conducted between August 2020 and February 2021. Ricoeur's interpretive philosophy was used for data analysis, focusing on the healthcare practices and challenges identified by healthcare professionals.Discussion: Three key themes emerged: (1) Specialization leads to lack of knowledge and fragmented care, (2) The need for guiding in a complex healthcare system, and (3) The missing link - a lack of overview of healthcare services. These challenges impact integrated care delivery, as discussed in the context of Denmark's healthcare system and international evidence.Conclusion: The study highlights the need for a more integrated, holistic approach to care, including improved collaboration between specialized and general healthcare professionals, better care coordination, and policy improvements. Further research is needed to identify effective strategies for overcoming these barriers and to create more integrated care pathways for patients with complex conditions.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 4","pages":"4"},"PeriodicalIF":2.6,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12577554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145431314","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

Community Specialist Teams for Older People Consensus Development: A Real-Time Delphi Approach. 老年人共识发展的社区专家团队：实时德尔菲方法。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2025-10-21 eCollection Date: 2025-10-01 DOI: 10.5334/ijic.8781

Christine FitzGerald, Christina Hayes, Aoife Whiston, Jennifer Hardiman, Marian Mullaney, P J Harnett, Patrice Reilly, Brian Condon, Alison Holmes, Íde O'Shaughnessy, Collette Devlin, Louise Barry, Katie Robinson, Emer Ahern, Rose Galvin

{"title":"Community Specialist Teams for Older People Consensus Development: A Real-Time Delphi Approach.","authors":"Christine FitzGerald, Christina Hayes, Aoife Whiston, Jennifer Hardiman, Marian Mullaney, P J Harnett, Patrice Reilly, Brian Condon, Alison Holmes, Íde O'Shaughnessy, Collette Devlin, Louise Barry, Katie Robinson, Emer Ahern, Rose Galvin","doi":"10.5334/ijic.8781","DOIUrl":"10.5334/ijic.8781","url":null,"abstract":"Background: This study aimed to develop consensus on the core elements of the Community Specialist Teams for Older People (CST OP) service model.Methods: This study utilised a modified Delphi approach. World Café Focus Groups (n = 97) were facilitated to develop and refine statements which were included in a Real-Time Delphi survey.Results: Four key themes were produced from the World Café Focus Groups data: Fundamentals of service design, Access and transitions of care, Team Functions and Quality improvement. Themes produced informed the CST OP Real-Time Delphi survey, which was completed by 77 participants, representing a response rate of 78%.Conclusion: The modified Delphi approach has resulted in the refinement and agreement of a set of core CST OP statements that outline the key components of the CST OP service model which will guide future implementation and delivery of the CST OP model of care, ensuring consistency in the design and implementation of the CST OP model.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 4","pages":"3"},"PeriodicalIF":2.6,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12551642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145377215","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

Mentoring the Next Generation of Integrated Care Stakeholders: Lessons Learned from the ERPIC Mentorship Program. 指导下一代综合护理利益相关者：从ERPIC指导计划中学到的经验教训。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2025-10-13 eCollection Date: 2025-10-01 DOI: 10.5334/ijic.9844

Paul Wankah, Mark Derks, Sebastian Lindblom

引用次数: 0

Community Cancer Champions' Project: Learning From the Design and Implementation of an Integrated Health and Voluntary and Community Sector (VCS) Asset-Based Community Development Project - A Case Study From Plymouth, England. 社区癌症冠军项目：从基于资产的综合健康、志愿和社区部门（VCS）社区发展项目的设计和实施中学习-以英国普利茅斯为例。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2025-10-10 eCollection Date: 2025-10-01 DOI: 10.5334/ijic.9054

Katy Stevenson, Felix Gradinger, Niqui Bond, Debbie Freeman, Richard Byng

{"title":"Community Cancer Champions' Project: Learning From the Design and Implementation of an Integrated Health and Voluntary and Community Sector (VCS) Asset-Based Community Development Project - A Case Study From Plymouth, England.","authors":"Katy Stevenson, Felix Gradinger, Niqui Bond, Debbie Freeman, Richard Byng","doi":"10.5334/ijic.9054","DOIUrl":"10.5334/ijic.9054","url":null,"abstract":"Background: Cancer survival rates vary significantly between low and high-income areas. By leveraging community assets, healthcare inequities may be addressed. Nationally, Macmillan Cancer Support (Macmillan) (a national cancer charity) is working with local Voluntary and Community Sector (VCS) organisations to improve cancer care.In Plymouth, where cancer mortality is above average, Macmillan has partnered with the Zebra Collective (Zebra) (a community cooperative), Age UK Plymouth (a local charity), The Wolseley Trust (Social Prescribing team), and General Practice (GP) surgeries. In Spring 2024, the Plymouth Cancer Champions' Project (PCCP) launched to address these inequities through community-led approaches via peer-to-peer community engagement and volunteer recruitment.Approach: This Integrated Care Case is a practice-based account of how through an embedded ethnographic action research approach, a small community cooperative (Zebra) is influencing its' local low-income community's understanding of and engagement with cancer care services from an asset-based community development approach.Findings: The PCCP prioritises involving individuals with lived experience, including those from lower socio-economic status backgrounds, minoritised ethnic groups, and cancer-affected backgrounds, in leadership roles. This collaborative, community-driven approach fosters inclusivity, empowerment, and engagement, and a deep contextual understanding of the community context including barriers and strengths. Through an innovative asset-based community development approach, the deficit narrative is countered- enabling people-led change, influence and learning within cancer care inequity and integrated care.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 4","pages":"1"},"PeriodicalIF":2.6,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12513352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145280269","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

What Works, for Whom, in What Circumstances and Why, When Integrating Voluntary and Statutory Community Mental Health Services: A Realist Evaluation Case Study. 什么有效，为谁，在什么情况下，为什么，当整合自愿和法定社区精神卫生服务：现实主义评估案例研究。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2025-09-30 eCollection Date: 2025-07-01 DOI: 10.5334/ijic.9060

Charley Hobson-Merrett, Rebecca Hardwick, Jane Yeandle, Beccy Wardle, Catherine Connor, John Gibson, Vanessa Pinfold, Alex Stirzaker, Richard Byng

{"title":"What Works, for Whom, in What Circumstances and Why, When Integrating Voluntary and Statutory Community Mental Health Services: A Realist Evaluation Case Study.","authors":"Charley Hobson-Merrett, Rebecca Hardwick, Jane Yeandle, Beccy Wardle, Catherine Connor, John Gibson, Vanessa Pinfold, Alex Stirzaker, Richard Byng","doi":"10.5334/ijic.9060","DOIUrl":"10.5334/ijic.9060","url":null,"abstract":"Background: Integration of voluntary and statutory mental health services may address gaps in mental health care. The Community Mental Health Framework for Adults and Older Adults 2019 provided impetus for integration within England. It was unknown how, why, or under what circumstances integration would occur.Methods: A realist evaluation of Framework implementation in Somerset was undertaken. The extent of change, and how, why and under what circumstances change occurred were evaluated. Embedded researchers collected observational and interview data, and reviewed internal records. Realist qualitative analysis created and tested a programme theory exploring the extent, cause, and impact of change.Results: Services worked together to create an integrated mental health service using a cultural change model: new language prompted new ways of thinking and working. Programme theory testing demonstrated good extent of change. Voluntary sector integration helped address treatment gaps: all service users were offered a service. Mechanisms of change included: new language, relationship building, flexible working, and valuing voluntary sector services. Contextual factors affecting the extent of change included: balances of power, rigidity of statutory services, and trusting management.Conclusions: Integrating services using a culture change model addresses gaps in mental health care. Optimal implementation requires addressing contextual barriers.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 3","pages":"31"},"PeriodicalIF":2.6,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12493028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145232447","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

Developing Collaborative Practices in Co-Located Health and Social Services: An Observational Study of a Multidisciplinary Development Group. 在同一地点的卫生和社会服务中发展合作实践：多学科发展小组的观察性研究。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2025-09-22 eCollection Date: 2025-07-01 DOI: 10.5334/ijic.8939

Kaisa Pasanen

{"title":"Developing Collaborative Practices in Co-Located Health and Social Services: An Observational Study of a Multidisciplinary Development Group.","authors":"Kaisa Pasanen","doi":"10.5334/ijic.8939","DOIUrl":"10.5334/ijic.8939","url":null,"abstract":"Introduction: Despite ongoing efforts to integrate health and social services, achieving integration in front-line practice remains challenging. This study explored collaboration in a multidisciplinary development group aimed at improving collaboration in one co-located health and social services centre in Helsinki, Finland. Drawing on the notion of knowledge practices as means for solving complex issues, the study analysed how collaboration and co-development are enacted within the group.Description: Observational data collected from 11 development workshops were analysed using an abductive approach. The analysis identified three modes of collaboration: 1) one-sided knowledge sharing, 2) collaborative knowledge sharing, and 3) collaborative knowledge creation.Discussion: Shared concepts and a new multidisciplinary service process supported collaborative modes for working, while some facilitation practices seemed to hinder them. The findings revealed a gap between the ideal of bottom-up development and the organisational conditions influencing it. A clear mandate and purposeful facilitation are critical to achieving the intended goals of such development initiatives.Conclusion: Stronger theoretical foundations and explicit theories of change could enhance development efforts. This study identified theoretical concepts that illuminate collaboration as a contextually shaped set of social practices. These insights can contribute to the design and facilitation of practice-based development efforts.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 3","pages":"30"},"PeriodicalIF":2.6,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12466119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145185735","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

Voluntary & Community Organisations: Not the Third but the First Sector of Integrated Care? 志愿和社区组织：不是综合护理的第三部门，而是第一部门？

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2025-09-19 eCollection Date: 2025-07-01 DOI: 10.5334/ijic.10183

Robin Miller, Michelle Nelson, Ivette Fullerton, Felix Gradinger, James Rees, Marianne Saragosa

引用次数: 0

Enhancing Collaboration and Integrated Vision on Health: Key Strategies for Addressing Knee Osteoarthritis. 加强协作和健康的综合视野：解决膝骨关节炎的关键策略。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2025-09-16 eCollection Date: 2025-07-01 DOI: 10.5334/ijic.8969

Melissa J J Voorn, Tim A E J Boymans, Albère J A Köke, Marion A C de Mooij, Clemens G M Rommers, Jascha de Nooijer, Marielle J E B Goossens, Ivan P J Huijnen, Jeanine A M C F Verbunt

{"title":"Enhancing Collaboration and Integrated Vision on Health: Key Strategies for Addressing Knee Osteoarthritis.","authors":"Melissa J J Voorn, Tim A E J Boymans, Albère J A Köke, Marion A C de Mooij, Clemens G M Rommers, Jascha de Nooijer, Marielle J E B Goossens, Ivan P J Huijnen, Jeanine A M C F Verbunt","doi":"10.5334/ijic.8969","DOIUrl":"10.5334/ijic.8969","url":null,"abstract":"Background: Persons with knee osteoarthritis suffer from a prevalent chronic condition requiring comprehensive treatment approaches. To effectively cater to their needs, healthcare professionals must adopt an integrated health perspective and collaborate across disciplines. This study aimed to understand the viewpoints of patients and healthcare professionals and identify factors influencing collaborative care for persons with knee osteoarthritis.Methods: Semi-structured interviews were conducted with knee osteoarthritis persons and healthcare professionals involved in their care. Data analysis involved identifying common themes, patterns, and discrepancies among stakeholders. Interviews were coded using NVivo, and inductive analysis was employed to determine themes.Results: Nine healthcare professionals from various disciplines and eight patients with knee osteoarthritis participated. Five main themes emerged: diagnostics, communication, training conditions, integrated health perspective, and Perceived collaboration and support from healthcare professionals. Persons with knee osteoarthritis sought comprehensive diagnoses and expressed satisfaction. Healthcare professionals faced barriers like limited integrated health perspective and time constraints, stressing the need for interdisciplinary training and collaboration.Conclusion: Implementing an integrated healthcare vision is crucial for personalized care in chronic conditions like knee osteoarthritis. Continuous training and curriculum integration for healthcare professionals are necessary to prioritize integrated health perspectives and collaboration, thus better meeting the diverse needs of persons.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 3","pages":"28"},"PeriodicalIF":2.6,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12447795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145112858","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

Feasibility of a Reablement Programme in Community Care in the Netherlands; A Qualitative Study. 荷兰社区护理康复方案的可行性；定性研究。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2025-09-10 eCollection Date: 2025-07-01 DOI: 10.5334/ijic.9005

Lise Elisabeth Buma, Stan Vluggen, Ines Mouchaers, Sandra M G Zwakhalen, Silke F Metzelthin

{"title":"Feasibility of a Reablement Programme in Community Care in the Netherlands; A Qualitative Study.","authors":"Lise Elisabeth Buma, Stan Vluggen, Ines Mouchaers, Sandra M G Zwakhalen, Silke F Metzelthin","doi":"10.5334/ijic.9005","DOIUrl":"10.5334/ijic.9005","url":null,"abstract":"Introduction: Many older individuals face complex health and social care issues that require an integrated care approach. However, current health and social care services are often fragmented in terms of financing, organisation, and delivery, and therefore do not fit the needs of older individuals. Reablement is an innovative integrated approach that aims to 'help individuals to help themselves' by providing goal-oriented, person-centred care. An interdisciplinary team works intensively with individuals towards their goals, while considering their capabilities and contextual factors.Description: The aim of this study was to assess the feasibility of a Dutch reablement programme in terms of acceptability, implementation, practicality, adaptation, integration, and limited efficacy. Using qualitative methods, six clients, three informal caregivers, eight care professionals, and one programme director were interviewed, complemented by data from electronic care files. Findings indicated positive stakeholder experiences.Discussion: Despite positive experiences, three key challenges emerged: 1) behaviour change; 2) in- and external interprofessional collaboration; and 3) enrolment. The study underscores the complexity of implementing and integrating reablement in community care.Conclusion: Our findings offer critical insights that could guide future efforts to implement reablement programmes more effectively.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 3","pages":"27"},"PeriodicalIF":2.6,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12427612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145064392","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

Potentials for Improving Support and Care to Survivors of Sexual Violence - a Case Study Within a Multiorganizational Setting in Sweden. 改善对性暴力幸存者的支持和照顾的潜力-瑞典多组织环境中的案例研究。

IF 2.6 3区医学

International Journal of Integrated Care Pub Date : 2025-09-09 eCollection Date: 2025-07-01 DOI: 10.5334/ijic.8995

Helena Kilander, Caroline Lyssarides, Cecilia Fredlund, Bertil Lindenfalk, Sofi Fristedt, Annika Nordin

{"title":"Potentials for Improving Support and Care to Survivors of Sexual Violence - a Case Study Within a Multiorganizational Setting in Sweden.","authors":"Helena Kilander, Caroline Lyssarides, Cecilia Fredlund, Bertil Lindenfalk, Sofi Fristedt, Annika Nordin","doi":"10.5334/ijic.8995","DOIUrl":"10.5334/ijic.8995","url":null,"abstract":"Introduction: Worldwide, exposure to sexual violence has widespread consequences for survivors' health and for their communities. There is still insufficient understanding of how to design support and care services for survivors in a multiorganizational context. This study aims to map and explore support and care for survivors of sexual violence from a multiorganizational perspective in Sweden, to identify and understand common improvement areas.Method: This study was conducted within a larger project called Survive which aims to improve support and care for survivors of sexual violence in Jönköping County in Sweden. This case study integrates qualitative data from interviews (n = 34) and an electronic survey (n = 95) with participants from eight organizations that provide support and care to survivors of sexual violence. Qualitative data was analysed using thematic analysis. The quantitative data from the electronic survey was evaluated to map the 'organizations' involvement in support and care provision by using descriptive statistics.Results: The findings encompass four themes to improve support and care: 1) Systematic approaches to identifying exposure to sexual violence; 2) A need to improve the integration of existing supportive resources; 3) Need for an interlinked process for trauma therapy and long-term support; 4) The potential of developing capacity, competence and teamwork in trauma care.Conclusion: It is essential to improve support and care for survivors of sexual violence by developing systematic approaches for identification of sexual violence, interlinked support and care processes as well as improved access and competence in trauma care.","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 3","pages":"26"},"PeriodicalIF":2.6,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12427615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145064371","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