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 practice. METHODS:A practitioner action research approach is taken using an autoethnographic account kept over six months. The research question was, to what extent is this group collaborating? RESULTS:When the architecture of practice was revealed, differences between espoused and real practice could be seen. Whilst understanding and displaying the outward signs of an effective multi professional group, the individuals did not trust one another. This was exhibited by covert interprofessional issues. As a result, collaborative inertia was achieved. This realisation prompted them to participate in further developmental and participative action research. CONCLUSION:The paper concludes that trust and relational agency are central to effective leadership of multi professional teams.
journal_name
Int J Integr Carejournal_title
International journal of integrated careauthors
Stuart Kdoi
10.5334/ijic.750subject
Has Abstractpub_date
2012-01-01 00:00:00pages
e1issn
1568-4156journal_volume
12pub_type
杂志文章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: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: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::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: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: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: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: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:PURPOSE:Description and analysis of the effects and side-effects of integrated mental health care in the Netherlands. CONTEXT OF CASE:Due to a number of large-scale mergers, Dutch mental health care has become an illustration of integration and coherence of care services. This process of integration, however, has not ...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.198
更新日期:2007-08-27 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: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: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: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: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: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: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: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::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:BACKGROUND:Although the need for integrated neighborhood approaches (INAs) is widely recognized, we lack insight into strategies like INA. We describe diverse Dutch INA partners' experiences to provide integrated person- and population-centered support to community-dwelling older people using an adapted version of Vale...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.1596
更新日期:2016-05-12 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: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:INTRODUCTION:The objective of this study was to assess a model for improving healthcare integration for patients with multiple chronic diseases in an integrated healthcare organisation in the Basque Country and to propose areas for improvement. METHODS:We organised four nominal groups composed of representatives from ...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.1975
更新日期:2016-08-19 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::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::In March 2009 members of the research, policy and practice communities in the fields of ageing and disability came together in Barcelona for the first international conference on bridging knowledge in long-term care and support. This paper presents a brief snapshot of some of the key themes and ideas that emerged duri...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.387
更新日期:2009-06-22 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: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:Background:Political and public health leaders increasingly recognize the need to take urgent action to address the problem of chronic diseases and multi-morbidity. European countries are facing unprecedented demand to find new ways to deliver care to improve patient-centredness and personalization, and to avoid unnece...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.3096
更新日期:2017-09-25 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::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