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 complexity in Primary Care. Design:Cross-sectional population-based study. Scope:Patients who have one or more chronic health conditions from three Primary Care urban centres of a reference population of 43.647 inhabitants older than 14 years old. Methodology:Data will be obtained from the review of electronical medical records. Complexity will be defined by: 1) the independent clinical judgment of primary care physicians and nurses and 2) the aid of three complexity domains (clinical and social). Patients with advanced chronic disease and limited life prognosis will be also described. Conclusions:This research protocol intends to describe and analyse complex care needs from a primary care professional perspective in order to improve knowledge of complexity beyond multimorbidity and previous consumption of health resources. Knowing about health and social complexity with a more robust empirical basis could help for a better integration of social and health policies and a more proactive and differentiated care approach in this most vulnerable population.
journal_name
Int J Integr Carejournal_title
International journal of integrated careauthors
Iglesias FH,Celada CA,Navarro CB,Morales LP,Visus NA,Valverde CC,Dorado VM,Martínez Muñoz ML,Pueyo CB,Ramírez EL,Villaroel RM,Jordana NM,Bonet Simó JM,SABCOMP group.doi
10.5334/ijic.3292subject
Has Abstractpub_date
2018-05-25 00:00:00pages
16issue
2issn
1568-4156journal_volume
18pub_type
杂志文章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: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
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更新日期:2010-06-30 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
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doi:10.5334/ijic.4709
更新日期:2020-12-01 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
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更新日期:2009-04-20 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
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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: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
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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: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:Aim:To explore health professionals' perspectives on communication, continuity and between-service coordination for improving cancer care for Indigenous people in Queensland. Methods:Semi-structured interviews were conducted in a purposive sample of primary health care (PHC) services in Queensland with Indigenous and ...
journal_title:International journal of integrated care
pub_type: 杂志文章
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journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.4683
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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: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: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: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: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
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更新日期:2020-04-01 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
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更新日期:2019-09-09 00:00:00
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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::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: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: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
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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
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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
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journal_title:International journal of integrated care
pub_type: 杂志文章
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更新日期:2009-12-22 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: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::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: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: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: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