Abstract:
:This paper aims to identify problems in estimating and the interpretation of the magnitude of intervention-related change over time or responsiveness assessed with health outcome measures. Responsiveness is a problematic construct and there is no consensus on how to quantify the appropriate index to estimate change over time between baseline and post-test designs. This paper gives an overview of several responsiveness indices. Thresholds for effect size (or responsiveness index) interpretation were introduced some thirty years ago by Cohen who standardised the difference-scores (d) with the pooled standard deviation (d/SD(pooled)). However, many effect sizes (ES) have been introduced since Cohen's original work and in the formula of one of these ES, the mean change scores are standardised with the SD of those change scores (d/SD(change)). When health outcome questionnaires are used, this effect size is applied on a wide scale and is represented as the Standardized Response Mean (SRM). However, its interpretation is problematic when it is used as an estimate of magnitude of change over time and interpreted with the thresholds, set by Cohen for effect size (ES) which is based on SD(pooled). Thus, in the case of using the SRM, application of these well-known cut-off points for pooled standard deviation units namely: 'trivial' (ES < 0.20), 'small' (ES > or = 0.20 < 0.50), 'moderate' (ES > or = 0.50 < 0.80), or large (ES > or = 0.80), may lead to over- or underestimation of the magnitude of intervention-related change over time due to the correlation between baseline and outcome assessments. Consequently, taking Cohen's thresholds for granted for every version of effect size indices as estimates of intervention-related magnitude of change, may lead to over- or underestimation of this magnitude of intervention-related change over time.
journal_name
Int J Integr Carejournal_title
International journal of integrated careauthors
Middel B,van Sonderen Edoi
10.5334/ijic.65subject
Has Abstractpub_date
2002-01-01 00:00:00pages
e15issn
1568-4156journal_volume
2pub_type
杂志文章abstract::The WHO European Office for Integrated Health Care Services in Barcelona is an integral part of the World Health Organizations' Regional Office for Europe. The main purpose of the Barcelona office is within the integration of services to encourage and facilitate changes in health care services in order to promote heal...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:
更新日期:2001-01-01 00:00:00
abstract:PURPOSE:To investigate the circumstances as to why it is so difficult in the primary care sector to implement IT based infrastructures supporting shared care. CASE STUDY:The qualitative analysis includes two separate case studies of IT-supported shared care implemented in two different regions of Denmark throughout 20...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.187
更新日期:2007-05-30 00:00:00
abstract:BACKGROUND:Disease management programs (DMP) aim at improving coordination and quality of care and reducing healthcare costs for specific chronic diseases. This paper investigates to what extent total healthcare utilization of type 2 diabetes patients is actually related to diabetes and its implications for diabetes ma...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.675
更新日期:2011-10-01 00:00:00
abstract::The current demographic shift raises the demand for provision of health care tailored to the complex care needs for older adults. Given the growing number of national care plans and best practice models there is an urgent need to build evidence for inter- and multiprofessional care provision for older people when offe...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.4683
更新日期:2020-02-24 00:00:00
abstract::This article explores legislative provisions in relation to patient privacy in the context of integrated health and social care and the development of multidisciplinary health care teams that include practitioners from private sector and government agencies in the health, education, child protection, family welfare, d...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.5591
更新日期:2020-11-19 00:00:00
abstract:Background:Distributive leadership has been proposed as an effective means towards achieving integrated health services. This study draws from the case of Foundry, a network of integrated youth health centres in British Columbia, Canada, and explores the function and impact of distributive leadership in the context of ...
journal_title:International journal of integrated care
pub_type:
doi:10.5334/ijic.4709
更新日期:2020-12-01 00:00:00
abstract::The International Foundation for Integrated Care (IFIC) recently celebrated its 20th International Conference (ICIC20) through a virtual event that brought together patients and carers, academics, care professionals, NGOs, policy-makers and industry partners from across the global integrated care community [1]. The In...
journal_title:International journal of integrated care
pub_type: 社论
doi:10.5334/ijic.5627
更新日期:2020-10-21 00:00:00
abstract:PURPOSE:To evaluate the feasibility of regional physical therapy networks including continuing education in rheumatology. The aim of these networks was to improve care provided by primary care physical therapists by improving specific knowledge, technical and communicative skills and the collaboration with rheumatologi...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.108
更新日期:2004-01-01 00:00:00
abstract::By the introduction of a public, mandatory program of Long-Term Care Insurance (LTCI) on April 1, 2000, Japan has moved towards a system of social care for the frail and elderly. The program covers care that is both home-based and institutional. Fifty percent of the insurance is financed from the general tax and the o...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.39
更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:The literature on integration indicates the need for an enhanced theorization of institutional integration. This article proposes path dependence as an analytical framework to study the systems in which integration takes place. PURPOSE:PRISMA proposes a model for integrating health and social care services ...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.544
更新日期:2010-06-30 00:00:00
abstract:INTRODUCTION:The 2004 Children Act in the UK saw the introduction of integrated working in children's services. A raft of change followed with processes designed to make joint working easier, and models and theories to support the development of integrated work. This paper explores the links between key concepts and pr...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.750
更新日期:2012-01-01 00:00:00
abstract:Introduction:The aim of this review is to systematically assess the methodological quality of economic evaluations in integrated care and to identify challenges with conducting such studies. Theory and methods:Searches of grey-literature and scientific papers were performed, from January 2000 to December 2018. A check...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.4675
更新日期:2019-09-09 00:00:00
abstract:BACKGROUND:As the prevalence of long-term and multimorbid conditions is increasing, patients increasingly require consultations with multiple health care professionals and coordination of their care needs. METHODS:This study is based on a 2011 survey of older Australians which draws on sub-populations of people with d...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.1598
更新日期:2015-05-14 00:00:00
abstract:Background:Frail older people living in the community require multidisciplinary care. Despite the fact that patient participation is high on the public agenda, studies into multidisciplinary care mainly focus on the viewpoints of professionals. Little is known about frail older patients' experiences with care delivered...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.4721
更新日期:2020-04-01 00:00:00
abstract:INTRODUCTION:The variable success of integrated care initiatives has led experts to recommend tailoring design and implementation to the organizational context. Yet, organizational contexts are rarely described, understood, or measured with sufficient depth and breadth in empirical studies or in practice. We thus lack ...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.2502
更新日期:2017-06-27 00:00:00
abstract:PURPOSE:This paper reports on some of the findings of a literature review commissioned to explore integrated care for older people. METHODS:The process of revising included finding and selecting literature from multidisciplinary sources, and encompassed both published papers and 'grey' literature, i.e. material which ...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.119
更新日期:2005-01-01 00:00:00
abstract:THEME:Two central themes permeate this paper-the interplay between structure and agency in integration processes and the extent to which this is mediated through sensemaking by individual actors. CASE STUDY:The empirical base for the paper is provided by case study research from Wales which draws on examples of differ...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.509
更新日期:2009-12-22 00:00:00
abstract:INTRODUCTION:Miscommunication and lack of coordination can compromise care quality and patient safety during transitions in care, especially for medically complex older adults. Little research has been done to investigate care transitions from the perspective of those receiving and providing care. METHODS:This study e...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.1103
更新日期:2013-06-26 00:00:00
abstract:Introduction:Current U.S. policy and payment initiatives aim to encourage health care provider accountability for population health and higher value care, resulting in efforts to integrate providers along the continuum. Providers work together through diverse organizational structures, yet evidence is limited regarding...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.4635
更新日期:2020-01-20 00:00:00
abstract:Background:Chronicity, and particularly complex care needs for people with chronic diseases is one of the main challenges of health systems. Objective:To determine the population prevalence of people with chronic diseases and complex care needs and to characterize these needs considering features of health and social ...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.3292
更新日期:2018-05-25 00:00:00
abstract:INTRODUCTION:Collaboration between welfare organizations is an important strategy for integrating different health and welfare services. This article reports a review of the international literature on vocational rehabilitation, focusing on different organizational models of collaboration as well as different barriers ...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.670
更新日期:2011-10-01 00:00:00
abstract:BACKGROUND:The use of case studies in health services research has proven to be an excellent methodology for gaining in-depth understanding of the organisation and delivery of health care. This is particularly relevant when looking at the complexity of integrated healthcare programmes, where multifaceted interactions o...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.1980
更新日期:2014-12-15 00:00:00
abstract:Background:Most current care models are disease- or symptom-focused and mostly do not account for the individual needs of patients with chronic diseases. The aim of this study was to develop an innovative, evidence-based and expert-based practice model for the management of patients with type 2 diabetes mellitus. Meth...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.4646
更新日期:2020-04-22 00:00:00
abstract:Introduction:Primary care is increasingly being confronted with complex health care demands stemming from both biomedical and psychosocial problems of people with chronic diseases. Interprofessional collaboration is needed to enhance person-centredness and coordinate care provision in an efficient manner, which should ...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.4179
更新日期:2018-12-13 00:00:00
abstract:OBJECTIVE:To develop an in-depth understanding of a shared care model from primary mental health and nutrition care practitioners with a focus on program goals, strengths, challenges and target population benefits. DESIGN:Qualitative method of focus groups. SETTING/PARTICIPANTS:The study involved fifty-three practiti...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.164
更新日期:2006-10-09 00:00:00
abstract:PROBLEM STATEMENT:Health care delivery in Germany is highly fragmented, resulting in poor vertical and horizontal integration and a system that is focused on curing acute illness or single diseases instead of managing patients with more complex or chronic conditions, or managing the health of determined populations. Wh...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.311
更新日期:2009-04-20 00:00:00
abstract:Introduction:China has adopted a people-centred integrated care model to reform its severely hospital-centric and fragmented delivery system. As a template of this model in urban China, the Luohu Hospital Group has generated considerable public and academic interest to scale it up. Methods:Guided by a policy triangle ...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.4673
更新日期:2020-03-16 00:00:00
abstract:Introduction:Many care organisations claim to employ multidisciplinary teams, but the term is used to describe quite different forms of collaboration. A systemic view of the work organisation of care delivery is presented and applied in this article that allows to identify and understand often overlooked yet important ...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.3745
更新日期:2018-07-05 00:00:00
abstract:Introduction:In March 2014, the New South Wales (NSW) Government (Australia) announced the NSW Integrated Care Strategy. In response, a family-centred, population-based, integrated care initiative for vulnerable families and their children in Sydney, Australia was developed. The initiative was called Healthy Homes and ...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.4217
更新日期:2019-07-25 00:00:00
abstract:INTRODUCTION:In 2002 the Republika Srpska of Bosnia and Herzegovina adopted goals for reducing the burden of chronic disease through a new screening program in its publicly funded health centers ("Dom Zdravljas"). This study evaluated the first year of program implementation. METHODS:The evaluation used in-depth inter...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.227
更新日期:2008-02-11 00:00:00