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 whether integrated care for patients with dyspnea is more efficient and effective than regular care. Methods:Consecutive patients (n = 235) seen at our dyspnea clinic after June 2014 were included. Two patient groups were compared: 1) patients with an integrated consultation and 2) patients with a non-integrated consultation, who were seen by the cardiologist and the pulmonologist on separate occasions. Results:The median time until first diagnosis, final diagnosis and time needed for diagnostic workup was shorter for patients evaluated by a integrated consultation compared with patients with a non-integrated consultation for dyspnea (16 days vs. 37 days, p < 0.001; 51 days vs. 78 days, p < 0.001; 35 days vs. 67 days, p < 0.001). There were no significant differences in the majority of diagnostic tests used and final medical conclusions. Conclusions:Patients with dyspnea evaluated using integrated care were diagnosed almost one month faster than patients in regular care without affecting the type of medical conclusions made. This study supports the start of a dyspnea clinic as an efficient way to provide integrated care to patients with dyspnea. Take home message:Patients with dyspnea evaluated using integrated care where diagnosed one month faster than patients in regular care.
journal_name
Int J Integr Carejournal_title
International journal of integrated careauthors
Rietbroek MV,Slats AM,Kiès P,de Grooth GJ,Chavannes NH,Taube C,Bonten TNdoi
10.5334/ijic.3983subject
Has Abstractpub_date
2018-12-31 00:00:00pages
15issue
4issn
1568-4156journal_volume
18pub_type
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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：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：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：: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：: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
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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：:This paper aims to identify problems in estimating and the interpretation of the magnitude of intervention-related change over time or responsiveness assessed with health outcome measures. Responsiveness is a problematic construct and there is no consensus on how to quantify the appropriate index to estimate change ov...
journal_title：International journal of integrated care
pub_type： 杂志文章
doi：10.5334/ijic.65
更新日期：2002-01-01 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：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：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
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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
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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：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
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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：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：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：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：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: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: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
doi：10.5334/ijic.5456
更新日期：2020-06-08 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
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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: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：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：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：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
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更新日期：2011-07-01 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: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
