Measuring the degree of integration for an integrated service network.

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' service integration. Using the data from the Children's Treatment Network (CTN), we aimed to measure the degree of integration for the CTN agencies in York and Simcoe. THEORY AND METHODS:We quantified the integration by the agreement between perceived and expected levels of involvement and calculated four scores from different perspectives for each agency. We used the average score to measure the global network integration and examined the sensitivity of the global score. RESULTS:Most agencies' integration scores were <65%. As measured by the agreement between every other agency's perception and expectation, the overall integration of CTN in Simcoe and York was 44% (95% CI: 39%-49%) and 52% (95% CI: 48%-56%), respectively. The sensitivity analysis showed that the global scores were robust. CONCLUSION:Our method extends existing measures of integration and possesses a good extent of validity. We can also apply the method in monitoring improvement and linking integration with other outcomes.

journal_name

Int J Integr Care

authors

Ye C,Browne G,Grdisa VS,Beyene J,Thabane L

doi

10.5334/ijic.835

subject

Has Abstract

pub_date

2012-09-18 00:00:00

pages

e137

issn

1568-4156

journal_volume

12

pub_type

杂志文章
  • Evidence of Inter-Professional and Multi-Professional Interventions for Geriatric Patients: A Systematic Review.

    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

    authors: Platzer E,Singler K,Dovjak P,Wirnsberger G,Perl A,Lindner S,Liew A,Roller-Wirnsberger RE

    更新日期:2020-02-24 00:00:00

  • Research in Integrated Care: The Need for More Emergent, People-Centred Approaches.

    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

    authors: van der Vlegel-Brouwer W,van Kemenade E,Stein KV,Goodwin N,Miller R

    更新日期:2020-10-21 00:00:00

  • Does it matter who organises your health care?

    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

    authors: Dawda P,McRae IS,Yen L,Islam MM,Bagheri N,Jowsey T,Banfield M,Parkinson A

    更新日期:2015-05-14 00:00:00

  • Integrated primary care in Germany: the road ahead.

    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

    authors: Schlette S,Lisac M,Blum K

    更新日期:2009-04-20 00:00:00

  • Bridging knowledge: reflections on crossing the boundaries between long-term care and support.

    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

    authors: McDaid D,Cieza A,Gomez AR

    更新日期:2009-06-22 00:00:00

  • How To Build an Integrated Neighborhood Approach to Support Community-Dwelling Older People?

    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

    authors: van Dijk HM,Cramm JM,Nieboer AP

    更新日期:2016-05-12 00:00:00

  • How to Improve Integrated Care for People with Chronic Conditions: Key Findings from EU FP-7 Project INTEGRATE and Beyond.

    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

    authors: Borgermans L,Marchal Y,Busetto L,Kalseth J,Kasteng F,Suija K,Oona M,Tigova O,Rösenmuller M,Devroey D

    更新日期:2017-09-25 00:00:00

  • Suitability of a Programme for Improving Interprofessional Primary Care Team Meetings.

    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

    authors: van Dongen JJJ,van Bokhoven MA,Goossens WNM,Daniëls R,van der Weijden T,Beurskens A

    更新日期:2018-12-13 00:00:00

  • Effects and side-effects of integrating care: the case of mental health care in the Netherlands.

    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

    authors: Hutschemaekers GJ,Tiemens BG,de Winter M

    更新日期:2007-08-27 00:00:00

  • Quality improvement in depression care in the Netherlands: the Depression Breakthrough Collaborative. A quality improvement report.

    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

    authors: Franx G,Meeuwissen JA,Sinnema H,Spijker J,Huyser J,Wensing M,de Lange J

    更新日期:2009-06-15 00:00:00

  • Bridging the chronic care gap: HealthOne Mt Druitt, Australia.

    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

    authors: McNab J,Gillespie JA

    更新日期:2015-09-23 00:00:00

  • A Realist Evaluation of Local Networks Designed to Achieve More Integrated Care.

    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

    authors: Middleton L,Rea H,Pledger M,Cumming J

    更新日期:2019-04-05 00:00:00

  • Patient Privacy and Integrated Care: The Multidisciplinary Health Care Team.

    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

    authors: Eastwood J,Maitland-Scott I

    更新日期:2020-11-19 00:00:00

  • An evaluation of a chronic disease prevention program in the Republika Srpska (RS) of Bosnia and Herzegovina.

    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

    authors: Rodic R,Krajnovic V,Howell EM,Vukovic V,Bomestar N

    更新日期:2008-02-11 00:00:00

  • Community Care for People with Complex Care Needs: Bridging the Gap between Health and Social Care.

    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

    authors: Kuluski K,Ho JW,Hans PK,Nelson M

    更新日期:2017-07-21 00:00:00

  • Population Health Management Approach: Integration of Community-Based Pharmacists into Integrated Care Systems: Reflections from the U.S., Achievements in Scotland and Discussions in Germany.

    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

    authors: Lyles LF,Hildebrandt H,Mair A

    更新日期:2020-06-25 00:00:00

  • "Just another fish in the pond": the transitional care experience of a hip fracture patient.

    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

    authors: Toscan J,Manderson B,Santi SM,Stolee P

    更新日期:2013-06-26 00:00:00

  • Distributive Leadership Within an Emerging Network of Integrated Youth Health Centres: A Case Study of Foundry.

    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

    authors: Salmon A,Fernando S,Berger M,Tee K,Gerty K,Helfrich W,Liversidge P

    更新日期:2020-12-01 00:00:00

  • Building a People-Centred Integrated Care Model in Urban China: A Qualitative Study of the Health Reform in Luohu.

    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

    authors: Liang D,Mei L,Chen Y,Zhou P,Yang X,Huang J

    更新日期:2020-03-16 00:00:00

  • The path dependency theory: analytical framework to study institutional integration. The case of France.

    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

    authors: Trouvé H,Couturier Y,Etheridge F,Saint-Jean O,Somme D

    更新日期:2010-06-30 00:00:00

  • Project INTEGRATE - a common methodological approach to understand integrated health care in Europe.

    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

    authors: Cash-Gibson L,Rosenmoller M

    更新日期:2014-12-15 00:00:00

  • Implementation, Mechanisms of Effect and Context of an Integrated Care Intervention for Vulnerable Families in Central Sydney Australia: A Research and Evaluation Protocol.

    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

    authors: Eastwood JG,Woolfenden S,Miller E,Shaw M,Garg P,Liu H,De Souza DE,Ettema RGA

    更新日期:2019-07-25 00:00:00

  • A collaborative chain out of phase.

    abstract:INTRODUCTION:The aim of this study is to explore the obstacles to collaborations between nurses in hospital and municipal care in the discharge of hospital patients who need continuing care. METHODS:First, we conducted in-depth interviews of nurses in hospitals and nurses in municipal care. Second, we developed questi...

    journal_title:International journal of integrated care

    pub_type: 杂志文章

    doi:10.5334/ijic.858

    authors: Paulsen B,Romøren TI,Grimsmo A

    更新日期:2013-03-14 00:00:00

  • Organizational approaches to collaboration in vocational rehabilitation-an international literature review.

    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

    authors: Andersson J,Ahgren B,Axelsson SB,Eriksson A,Axelsson R

    更新日期:2011-10-01 00:00:00

  • Faces of integration.

    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

    authors: Williams P,Sullivan H

    更新日期:2009-12-22 00:00:00

  • Organizational Context Matters: A Research Toolkit for Conducting Standardized Case Studies of Integrated Care Initiatives.

    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

    authors: Evans JM,Grudniewicz A,Gray CS,Wodchis WP,Carswell P,Baker GR

    更新日期:2017-06-27 00:00:00

  • The organisation of interagency training to safeguard children in England: a case study using realistic evaluation.

    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 ...

    journal_title:International journal of integrated care

    pub_type: 杂志文章

    doi:10.5334/ijic.548

    authors: Patsios D,Carpenter J

    更新日期:2010-11-16 00:00:00

  • Integrated care: a position paper of the WHO European Office for Integrated Health Care Services.

    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:

    authors: Gröne O,Garcia-Barbero M,WHO European Office for Integrated Health Care Services.

    更新日期:2001-01-01 00:00:00

  • Effect of Named, Accountable GPs on Continuity of Care: Protocol for a Regression Discontinuity Study of a National Policy Change.

    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

    authors: Lloyd T,Steventon A

    更新日期:2016-03-31 00:00:00

  • A literature review to explore integrated care for older people.

    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

    authors: Reed J,Cook G,Childs S,McCormack B

    更新日期:2005-01-01 00:00:00