Journal of Integrated Care最新文献_第10页

The patient experience of telehealth access and clinical encounters in Australian health care during COVID-19: implications for enhancing integrated care 2019冠状病毒病期间澳大利亚医疗保健的远程医疗访问和临床就诊的患者体验:对加强综合护理的影响

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Journal of Integrated Care Pub Date : 2022-02-04 DOI: 10.1108/jica-05-2021-0024

Jennifer White, J. Byles, T. Walley

{"title":"The patient experience of telehealth access and clinical encounters in Australian health care during COVID-19: implications for enhancing integrated care","authors":"Jennifer White, J. Byles, T. Walley","doi":"10.1108/jica-05-2021-0024","DOIUrl":"https://doi.org/10.1108/jica-05-2021-0024","url":null,"abstract":"PurposeTelehealth consultations are likely to continue while living with COVID-19 and the risk of other pandemics. Greater understanding of patient perceptions is important in order to inform future integrated care models involving telehealth.Design/methodology/approachAn interpretative qualitative study. Fifteen, in-depth qualitative interviews were conducted with diverse range of community dwelling patients who attended outpatient clinics at The John Hunter Hospital, Newcastle. Data were analysed using an inductive thematic approach.FindingsKey themes were identified: (1) telehealth is valuable in a pandemic; (2) telehealth accessibility can be challenging; (3) there are variations in care experiences, especially when visual feedback is lacking; (4) telehealth for acute and complex care needs may lead to gaps and (5) considerations towards the future of telehealth, beyond a pandemic.Research limitations/implicationsThere is a shortfall in evidence of the patient experience of integrated care within a telehealth framework. The results provided practical insights into how telehealth services can play a greater role in integrated care.Practical implicationsApart from the need for affordable access to high-speed data for basic Internet access, the author posit the need for patient and clinician training towards promoting communication that is underpinned by choice, trust and shared decision-making.Originality/valueTelehealth is important towards keeping patients safe during COVID-19. Key findings extend knowledge of the practical implications need to promote integrated telehealth systems. While there is a benefit in extending telehealth to more preventative activities, there is also a need for greater service coordination and sharing of information between treating clinicians. Overall the results highlight telehealth consultations to be an effective means of treating well-known conditions and for follow-up rather than for acute conditions.","PeriodicalId":51837,"journal":{"name":"Journal of Integrated Care","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87071238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Transferable learning about patient and public involvement and engagement in gambling support services from health and social care: findings from a narrative review and workshop with people with lived experience 关于病人和公众参与和参与保健和社会护理的赌博支助服务的可转移学习:与有亲身经历的人一起进行的叙述审查和讲习班的调查结果

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Journal of Integrated Care Pub Date : 2022-02-02 DOI: 10.1108/jica-06-2021-0030

C. Norrie, Stephanie Bramley, Valerie Lipman, J. Manthorpe

{"title":"Transferable learning about patient and public involvement and engagement in gambling support services from health and social care: findings from a narrative review and workshop with people with lived experience","authors":"C. Norrie, Stephanie Bramley, Valerie Lipman, J. Manthorpe","doi":"10.1108/jica-06-2021-0030","DOIUrl":"https://doi.org/10.1108/jica-06-2021-0030","url":null,"abstract":"PurposeThe involvement of patients or members of the public within public health, health and social care and addictions services is growing in the UK and internationally but is less common in gambling support services. The purpose of this study was to explore Patient and Public Involvement (PPI) infrastructures and engagement channels used in health and care services and debate their transferability to the gambling support sector (including research, education and treatment).Design/methodology/approachA narrative review examined data from six English language electronic databases, NHS evidence and grey literature covering the period 2007–2019. We identified 130 relevant items from UK literature. A workshop was held in London, England, with people with lived experience of gambling harm to seek their views on and applicability of the review findings to gambling services.FindingsSynthesis of literature and workshop data was undertaken. Main themes addressed “What works” in relation to: building infrastructures and organising involvement of people with lived experience; what people want to be involved in; widening participation and sustaining involvement and respecting people with lived experience.Practical implicationsExamination of the literature about involvement and engagement of patients, service users and the public in public health, health and social care and addiction services provides potentially useful examples of good practice which may be adopted by gambling services.Originality/valueThe involvement of people with lived experience of gambling harms in gambling support services is under-explored, with little published evidence of what constitutes good practice amongst self-organising groups/networks/grassroots organisations or rights-based/empowerment-based approaches.","PeriodicalId":51837,"journal":{"name":"Journal of Integrated Care","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79740138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Translating research into health practice: a case study of integrated palliative care system in Catalonia, Spain 将研究转化为卫生实践:西班牙加泰罗尼亚综合姑息治疗系统的案例研究

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Journal of Integrated Care Pub Date : 2022-02-01 DOI: 10.1108/jica-06-2021-0032

Meritxell Mondejar-Pont, X. Gómez-Batiste, Anna Ramon-Aribau

{"title":"Translating research into health practice: a case study of integrated palliative care system in Catalonia, Spain","authors":"Meritxell Mondejar-Pont, X. Gómez-Batiste, Anna Ramon-Aribau","doi":"10.1108/jica-06-2021-0032","DOIUrl":"https://doi.org/10.1108/jica-06-2021-0032","url":null,"abstract":"PurposeResearch findings provide the professional community with knowledge that enables to better understand healthcare interventions. Many authors point out that whilst these findings are valued, the findings are not always translated into healthcare practise. The purpose of the paper is to assess the applicability of the essential elements of an integrated palliative care system (IPCS) found in research into the practise of Osona Palliative Care System (OPCS).Design/methodology/approachThe study used a qualitative methodology with a case study design. In total, 24 health professionals were interviewed in Osona for the research, and the results were analysed using deductive content analysis.FindingsThe study concludes that research findings can better be translated into specific contexts by incorporating the needs and characteristics of the system. The process could be a strategy for bridging the research–practise gap.Originality/valueCombining the findings from the study and the findings found in the literature reviewed led to the creation of the IPCS-elements-blended model of research and practise. Such a kind of mixed model could be used in other studies seeking to overcome the research and practice gap.","PeriodicalId":51837,"journal":{"name":"Journal of Integrated Care","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90869743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Link workers, activities and target groups in social prescribing: a literature review 社会处方中工人、活动和目标群体的联系:文献综述

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Journal of Integrated Care Pub Date : 2022-02-01 DOI: 10.1108/jica-09-2021-0047

Denis Rothe, Raffael Heiss

{"title":"Link workers, activities and target groups in social prescribing: a literature review","authors":"Denis Rothe, Raffael Heiss","doi":"10.1108/jica-09-2021-0047","DOIUrl":"https://doi.org/10.1108/jica-09-2021-0047","url":null,"abstract":"Purpose Social prescribing is a model of integrated care, in which primary healthcare staff can link patients to the social care sector. However, social prescribing can occur in different forms. To better understand the concept of social prescribing, this literature review examines the role of the link workers, activities and target groups.Design/methodology/approach A literature review was conducted. Studies before May 2020 were considered. In total, 1,700 studies were identified using the databases Pubmed, PsycInfo, Cinahl, Web of Science and Cochrane Library. After eligibility checks, 16 studies were included in the final analysis.Findings A few studies warned of a deeper engagement of the link worker due to service dependency, but most studies encouraged an active and supportive role of the link worker. Participants engaged in social, physical and counseling activities. The majority of studies emphasized the importance of linking group activities with personal preferences and identity needs. The main target groups were composed of individuals with psychosocial needs, but some studies also included patients with physical or mental illnesses.Originality/value Social prescribing is widely advocated as an innovative model of integrated care. However, few studies have looked into the complex system of social prescribing. This study analyzes the linking processes, activities and target groups in extant social prescribing programs.","PeriodicalId":51837,"journal":{"name":"Journal of Integrated Care","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73265193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

The European Health Data Space: a step towards digital and integrated care systems 欧洲卫生数据空间:迈向数字化和综合保健系统的一步

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Journal of Integrated Care Pub Date : 2022-01-10 DOI: 10.1108/jica-11-2021-0059

Stefano Genovese, R. Bengoa, J. Bowis, M. Harney, Bastian Hauck, Michel Pinget, Mike Leers, Tarja Stenvall, N. Guldemond

引用次数: 5

Auditing integrated stroke care to support quality improvement activities: development of a peer-to-peer audit framework 审计综合中风治疗以支持质量改进活动:建立点对点审计框架

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Journal of Integrated Care Pub Date : 2022-01-06 DOI: 10.1108/jica-06-2021-0033

B. Buijck, B. Vrijhoef, Monique Bergsma, D. Dippel

{"title":"Auditing integrated stroke care to support quality improvement activities: development of a peer-to-peer audit framework","authors":"B. Buijck, B. Vrijhoef, Monique Bergsma, D. Dippel","doi":"10.1108/jica-06-2021-0033","DOIUrl":"https://doi.org/10.1108/jica-06-2021-0033","url":null,"abstract":"PurposeTo organize stroke care, multiple stakeholders work closely together in integrated stroke care services (ISCS). However, even a well-developed integrated care program needs a continuous quality improvement (CQI) cycle. The current paper aims to describe the development of a unique peer-to-peer audit framework, the development model for integrated care (DMIC), the Dutch stroke care standard and benchmark indicators for stroke.Design/methodology/approachA group of experts was brought together in 2016 to discuss the aims and principles of a national audit framework. The steering group quality assurance (SGQA) consisted of representatives of a diversity of professions in the field of stroke care in the Netherlands, including managers, nurses, medical specialists and paramedics.FindingsAuditors, coordinators and professionals evaluated the framework, agreed on that the framework was easy to use and valued the interesting and enjoyable audits, the compliments, feedback and fruitful insights. Participants consider that a quality label may help to overcome necessity issues and have health care insurers on board. Finally, a structured improvement plan after the audit is needed.Originality/valueAn audit offers fruitful insights into the functioning of an ISCS and the collaboration therein. Best practices and points of improvement are revealed and can fuel collaboration and the development of partnerships. Innovative cure and care may lead to an increasing area of support among professionals in the ISCS and consequently lead to improved quality of delivered stroke care.","PeriodicalId":51837,"journal":{"name":"Journal of Integrated Care","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90272879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Challenges and chances for local health and social care integration – Lessons from Greater Manchester, England 地方卫生和社会保健一体化的挑战和机遇——来自英格兰大曼彻斯特的经验教训

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Journal of Integrated Care Pub Date : 2021-12-28 DOI: 10.1108/jica-07-2021-0040

Ming Chang

{"title":"Challenges and chances for local health and social care integration – Lessons from Greater Manchester, England","authors":"Ming Chang","doi":"10.1108/jica-07-2021-0040","DOIUrl":"https://doi.org/10.1108/jica-07-2021-0040","url":null,"abstract":"PurposeSustainability and transformation partnerships (STPs) were introduced to England, asking 44 local areas to submit their health and social care plans for the period from October 2016 to March 2021. This study aims to offer a deeper understanding of the complex structure in the local practice, and to discuss the associated challenges and chances.Design/methodology/approachDocumentary analysis, qualitative interviews and questionnaire survey are used for this study. Findings have been compared and analysed thematically.FindingsThe study participants reported that apart from pooled budgets, past collaborative experience and local leadership are crucial elements for transforming health and social care integration in Greater Manchester (GM). Also, this study provides policy recommendations to promote effective collaborative partnerships in local practices and mitigate local inequity of funding progress.Research limitations/implicationsThe findings of this paper cannot be extrapolated to all stakeholders due to the limited samples. Meanwhile, some of the discussions about the case of GM may not be transferrable to other STPs.Originality/valueThis study argues that the success of pooled budgets is the result, rather than the cause, of effective negotiations between various stakeholders; and therefore, there is no evidence suggesting that pooled budgets can resolve the discoordination of health and social care. Moreover, due to the bottom-up approach adopted by STPs, more effective boroughs tend to receive additional funding, resulting in an increasing gap of development between effective and ineffective boroughs.","PeriodicalId":51837,"journal":{"name":"Journal of Integrated Care","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89779100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patient experience and satisfaction with admission to an acute geriatric community hospital in the Netherlands: a mixed method study 患者的经验和满意度入院急性老年社区医院在荷兰:一项混合方法研究

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Journal of Integrated Care Pub Date : 2021-11-30 DOI: 10.1108/jica-04-2021-0018

M. Ribbink, Catharina C. Roozendaal, J. MacNeil-Vroomen, R. Franssen, B. Buurman

{"title":"Patient experience and satisfaction with admission to an acute geriatric community hospital in the Netherlands: a mixed method study","authors":"M. Ribbink, Catharina C. Roozendaal, J. MacNeil-Vroomen, R. Franssen, B. Buurman","doi":"10.1108/jica-04-2021-0018","DOIUrl":"https://doi.org/10.1108/jica-04-2021-0018","url":null,"abstract":"PurposeThe acute geriatric community hospital (AGCH) in an intermediate care facility is an alternative to conventional hospitalization. A comprehensive geriatric assessment and rehabilitation are integrated into acute medical care for older patients. This study aims to evaluate patient experience and satisfaction with the AGCH.Design/methodology/approachThis is a mixed method observational study including a satisfaction questionnaire and qualitative interviews with AGCH patients or informal caregivers.FindingsA total of 152 participants filled in the questionnaire, and thirteen semi-structured interviews were conducted. Twelve categories and four overarching themes emerged in the analysis. In general, study participants experience the admission to the AGCH as positive and are satisfied with the care they received; there were also suggestions for improvement.Research limitations/implicationsLimitations of this study include possible participation bias. The results show that patients value this type of care indicating that it should be implemented elsewhere. Further research will focus on health outcomes, readmission rates and cost effectiveness of the AGCH.Originality/valueThis is the first study to evaluate care satisfaction with the AGCH. It shows that hospitalized older adults positively value the AGCH as an alternative to hospitalization.","PeriodicalId":51837,"journal":{"name":"Journal of Integrated Care","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89866736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Importance of telephone follow-up and combined home visit and telephone follow-up interventions in reducing acute healthcare utilization 电话随访及家访和电话随访联合干预在减少急性医疗保健利用中的重要性

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Journal of Integrated Care Pub Date : 2021-11-02 DOI: 10.1108/jica-04-2021-0019

Yuan Ying Lee, L. H. Tiew, Yee Kian Tay, J. Wong

{"title":"Importance of telephone follow-up and combined home visit and telephone follow-up interventions in reducing acute healthcare utilization","authors":"Yuan Ying Lee, L. H. Tiew, Yee Kian Tay, J. Wong","doi":"10.1108/jica-04-2021-0019","DOIUrl":"https://doi.org/10.1108/jica-04-2021-0019","url":null,"abstract":"PurposeTransitional care is increasingly important in reducing readmission rates and length of stay (LOS). Singapore is focusing on transitional care to address the evolving care needs of a multi-morbid ageing population. This study aims to investigate the impact of transitional care programs (TCPs) on acute healthcare utilization.Design/methodology/approachA retrospective, longitudinal, interventional study was conducted. High-risk patients were enrolled into a transitional care program of local tertiary hospital. Patients received either telephone follow-up (TFU) or home-based intervention (HBI) with TFU. Readmission rates and LOS were assessed for both groups.FindingsThere was no statistically significant difference in readmissions or LOS between TFU and HBI. After excluding demised patients, TFU had statistically significant lower LOS than HBI. Both interventions demonstrated statistically significant reductions in readmissions and LOS in pre–post analyses.Research limitations/implicationsTFU may be more effective than HBI in patients with lower clinical severity, despite both interventions showing statistically significant reductions in acute healthcare utilization. Study findings may be used to inform transitional care practices. Future studies should continue to examine the comparative effectiveness of transitional care interventions and the patient populations most likely to benefit.Originality/valuePrevious studies demonstrated promising outcomes for TFU and HBIs, but few have evaluated their comparative effectiveness on acute healthcare utilization and specific patient populations most likely to benefit. This study evaluated interventional effectiveness of both, which might be useful for informing allocation of resources based on clinical complexity and care needs.","PeriodicalId":51837,"journal":{"name":"Journal of Integrated Care","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83715744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Teaming up for more comprehensive care: case study of the Geriatric flying squad and emergency responders (Ambulance, Police, Fire and Rescue) 联合起来提供更全面的护理:老年飞行队和紧急救援人员(救护车、警察、消防和救援)的案例研究

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Journal of Integrated Care Pub Date : 2021-09-22 DOI: 10.1108/jica-05-2021-0025

Lynda Elias, Genevieve Maiden, Julie Manger, Patricia Reyes

{"title":"Teaming up for more comprehensive care: case study of the Geriatric flying squad and emergency responders (Ambulance, Police, Fire and Rescue)","authors":"Lynda Elias, Genevieve Maiden, Julie Manger, Patricia Reyes","doi":"10.1108/jica-05-2021-0025","DOIUrl":"https://doi.org/10.1108/jica-05-2021-0025","url":null,"abstract":"PurposeThe purpose of this paper is to describe the development, implementation and initial evaluation of the Geriatric Flying Squad's reciprocal referral pathways with emergency responders including New South Wales Ambulance, Police and Fire and Rescue. These innovative pathways and model of care were developed to improve access to multidisciplinary services for vulnerable community dwelling frail older people with the intent of improving health and quality of life outcomes by providing an alternative to hospital admission.Design/methodology/approachThis is a case study describing the review of the Geriatric Flying Squad's referral database and quality improvement initiative to streamline referrals amongst the various emergency responders in the local health district. The implementation and initial evaluation of the project through online survey are further described.FindingsSustainable cross-sector collaboration can be achieved through building reciprocal pathways between an existing rapid response geriatric outreach service and emergency responders including Ambulance, Police, Fire and Rescue. Historically, emergency services would have transferred this group to the emergency department. These pathways exemplify person-centred care, underpinned by a multidisciplinary, rapid response team, providing an alternative referral pathway for first responders, with the aim of improving whole of health outcomes for frail older people.Practical implicationsEnablers of these pathways include a single point of contact for agencies, extended hours to support referral pathways, education to increase capacity and awareness, comprehensive and timely comprehensive assessment and ongoing case management where required and contemporaneous cross-sector collaboration to meet the medical and psychosocial needs of the client.Originality/valueThe Geriatric Flying Squad reciprocal pathways are a unique model of care with a multi-agency approach to addressing frail older people's whole of health needs.","PeriodicalId":51837,"journal":{"name":"Journal of Integrated Care","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75955814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1