Abstract：
BACKGROUND:Joint training for interagency working is carried out by Local Safeguarding Children Boards in England to promote effective local working to safeguard and promote the welfare of children. PURPOSE:This paper reports on the findings of the outputs and outcomes of interagency training to safeguard children in eight Local Safeguarding Children Boards. METHODS:A review of Local Safeguarding Children Board documentation, observations of Local Safeguarding Children Board training sub-group meetings and a series of interviews with training key stakeholders in each Local Safeguarding Children Board were used to assess how partner agencies in the Local Safeguarding Children Boards carried out their statutory responsibilities to organise interagency training. 'Realistic Evaluation' was used to evaluate the mechanisms by which a central government mandate produced particular inter-agency training outputs (number of courses, training days) and joint working outcomes (effective partnerships), within particular Local Safeguarding Children Board contexts. RESULTS:The 'mandated partnership' imposed on Local Safeguarding Children Boards by central government left little choice but for partner agencies to work together to deliver joint training, which in turn affected the dynamics of working partnerships across the various sites. The effectiveness of the training sub group determined the success of the organisation and delivery of training for joint working. Despite having a central mandate, Local Safeguarding Children Boards had heterogeneous funding and training arrangements. These resulted in significant variations in the outputs in terms of the number of courses per 'children in need' in the locality and in the cost per course. CONCLUSIONS:Interagency training which takes account of the context of the Local Safeguarding Children Board is more likely to produce better trained staff, effective partnership working, and lead to better integrated safeguarding children services.
journal_name
Int J Integr Carejournal_title
International journal of integrated careauthors
Patsios D,Carpenter Jdoi
10.5334/ijic.548subject
Has Abstractpub_date
2010-11-16 00:00:00pages
e61issn
1568-4156journal_volume
10pub_type
杂志文章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: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：CONTEXT:In 2006 the Labour Government in England published its long awaited White Paper on 'community services', following on from the 2005 Green Paper on the future of social care. The policy envisages an unprecedented shift of activity and resources from acute care to community settings, along with a much stronger fo...
journal_title：International journal of integrated care
pub_type： 杂志文章
doi：10.5334/ijic.158
更新日期：2006-08-17 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:Not surprisingly given their multi-component nature, initiatives to improve integrated care often evolve to find the best way to bring about change. This paper provides an example of how an evaluation evolved alongside such an initiative designed to better integrate care across primary, community and hospi...
journal_title：International journal of integrated care
pub_type： 杂志文章
doi：10.5334/ijic.4183
更新日期：2019-04-05 00:00:00
abstract：OBJECTIVE:We analysed the integrated planning model adopted by the Italian region Emilia Romagna in year 2000 to cover the entire range of treatment of cardiovascular disease. This model, called "hub and spoke", provides for the transfer of patient care and treatment from peripheral units (the spokes) to central units ...
journal_title：International journal of integrated care
pub_type： 杂志文章
doi：10.5334/ijic.82
更新日期：2003-01-01 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：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:To meet the needs of vulnerable people, the integration of services across different sectors is important. This paper presents a preliminary review of service integration across sectors in Europe. Examples of service integration between social services, health, employment and/or education were studied. A f...
journal_title：International journal of integrated care
pub_type： 杂志文章
doi：10.5334/ijic.3107
更新日期：2018-04-19 00:00:00
abstract：Introduction:Integrated care systems as well as accountable care organisations (ACOs) in the US and similar concepts in other countries are advocated as an effective method of improving the performance of healthcare systems. These systems outline a payment and care delivery model that intends to tie provider reimbursem...
journal_title：International journal of integrated care
pub_type： 杂志文章
doi：10.5334/ijic.3615
更新日期：2018-01-12 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：BACKGROUND:Improving the healthcare for patients with depression is a priority health policy across the world. Roughly, two major problems can be identified in daily practice: (1) the content of care is often not completely consistent with recommendations in guidelines and (2) the organization of care is not always int...
journal_title：International journal of integrated care
pub_type： 杂志文章
doi：10.5334/ijic.314
更新日期：2009-06-15 00:00:00
abstract：:The annual amount spent on healthcare per capita is higher and expected to grow in the U.S. compared to healthier level 4 countries (e.g., United Kingdom, Canada, Germany, Australia, Japan, Sweden, Netherlands), while health outcomes continue to be suboptimal [123]. Therefore, healthcare is slowly shifting from a fee-...
journal_title：International journal of integrated care
pub_type： 杂志文章
doi：10.5334/ijic.5431
更新日期：2020-06-25 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: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：: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：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: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：INTRODUCTION:A growing number of people are living with complex care needs characterized by multimorbidity, mental health challenges and social deprivation. Required is the integration of health and social care, beyond traditional health care services to address social determinants. This study investigates key care com...
journal_title：International journal of integrated care
pub_type： 杂志文章
doi：10.5334/ijic.2944
更新日期：2017-07-21 00:00:00
abstract：Introduction:The Healthy Homes and Neighbourhoods (HHAN) Integrated Care Program seeks to enhance vulnerable family engagement with health and social services through a care coordination model. Besides servicing families in Sydney, HHAN has also established place-based initiatives (PBIs) in areas of disadvantage such a...
journal_title：International journal of integrated care
pub_type： 杂志文章
doi：10.5334/ijic.5422
更新日期：2020-09-28 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：BACKGROUND:Integration involves the coordination of services provided by autonomous agencies and improves the organization and delivery of multiple services for target patients. Current measures generally do not distinguish between agencies' perception and expectation. We propose a method for quantifying the agencies' ...
journal_title：International journal of integrated care
pub_type： 杂志文章
doi：10.5334/ijic.835
更新日期：2012-09-18 00:00:00
abstract：INTRODUCTION:Increasing continuity of care has been identified as a strategy to improve patient outcomes, but previous studies of integrated care have tended to focus on pilot areas, which limit their generalisability and the ability to determine in which contexts integrated care was most successful. OBJECTIVE:This st...
journal_title：International journal of integrated care
pub_type： 杂志文章
doi：10.5334/ijic.2450
更新日期：2016-03-31 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：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：: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：Introduction:Dyspnea is a common complaint and in 70 to 90% the origin is pulmonary or cardiovascular. However, referral to the "wrong" specialism could result in diagnostic- and treatment delay. Integrated care by a cardiologist and a pulmonologist could improve this. The aim of the present study was to evaluate wheth...
journal_title：International journal of integrated care
pub_type： 杂志文章
doi：10.5334/ijic.3983
更新日期：2018-12-31 00:00:00
abstract：:HealthOne was part of a state-wide initiative to invest in new community-based facilities for collocating services. The HealthOne Mount Druitt is a virtual hub and spoke organisation established in 2006 in a socially disadvantaged part of Western Sydney based out of a new community health hub. The model is based on 'v...
journal_title：International journal of integrated care
pub_type： 杂志文章
doi：10.5334/ijic.2243
更新日期：2015-09-23 00:00:00
