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 Valentijn and colleagues' integrated care model. Our main objective was to explore the experiences with INA participation. We sought to increase our understanding of the challenges facing these partners and identify factors facilitating and inhibiting integration within and among multiple levels. METHODS:Twenty-one interviews with INA partners (including local health and social care organizations, older people, municipal officers, and a health insurer) were conducted and subjected to latent content analysis. RESULTS:This study showed that integrated care and support provision through an INA is a complex, dynamic process requiring multilevel alignment of activities. The INA achieved integration at the personal, service, and professional levels only occasionally. Micro-level bottom-up initiatives were not aligned with top-down incentives, forcing community workers to establish integration despite rather than because of meso- and macro-level contexts. CONCLUSIONS:Top-down incentives should be better aligned with bottom-up initiatives. This study further demonstrated the importance of community-level engagement in integrated care and support provision.
journal_name
Int J Integr Carejournal_title
International journal of integrated careauthors
van Dijk HM,Cramm JM,Nieboer APdoi
10.5334/ijic.1596subject
Has Abstractpub_date
2016-05-12 00:00:00pages
4issue
2issn
1568-4156journal_volume
16pub_type
杂志文章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:OBJECTIVES:The aim of follow-up visits by the general practitioner and district nurse (within a week after discharge from hospital) is to reduce hospital readmissions and improve the overall wellbeing of the patient. There is strong evidence that these programmes are effective, but are difficult to implement because of...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.649
更新日期:2011-07-01 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: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: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: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: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: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
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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: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
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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
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::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 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: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: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
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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: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: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
更新日期:2010-11-16 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: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: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::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
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更新日期:2020-11-19 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: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: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: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::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: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