Abstract:
BACKGROUND:Integrated care is the coordination of general and behavioral health and is a highly promising and practical approach to improving healthcare delivery and patient outcomes. While there is growing interest and investment in integrated care implementation internationally, there are no formal guidelines for integrated care implementation applicable to diverse healthcare systems. Furthermore, there is a complex interplay of factors at multiple levels of influence that are necessary for successful implementation of integrated care in health systems. METHODS:Guided by the Exploration, Preparation, Implementation, Sustainment (EPIS) framework (Aarons et al., 2011), a multiple case study design was used to address two research objectives: 1) To highlight current integrated care implementation efforts through seven international case studies that target a range of healthcare systems, patient populations and implementation strategies and outcomes, and 2) To synthesize the shared and unique challenges and successes across studies using the EPIS framework. RESULTS:The seven reported case studies represent integrated care implementation efforts from five countries and continents (United States, United Kingdom, Vietnam, Israel, and Nigeria), target a range of clinical populations and care settings, and span all phases of the EPIS framework. Qualitative synthesis of these case studies illuminated common outer context, inner context, bridging and innovation factors that were key drivers of implementation. CONCLUSIONS:We propose an agenda that outlines priority goals and related strategies to advance integrated care implementation research. These goals relate to: 1) the role of funding at multiple levels of implementation, 2) meaningful collaboration with stakeholders across phases of implementation and 3) clear communication to stakeholders about integrated care implementation. TRIAL REGISTRATION:Not applicable.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Stadnick NA,Sadler E,Sandall J,Turienzo CF,Bennett IM,Borkan J,Oladeji B,Gureje O,Aarons GA,Sklar Mdoi
10.1186/s12913-019-4661-5subject
Has Abstractpub_date
2019-11-27 00:00:00pages
899issue
1issn
1472-6963pii
10.1186/s12913-019-4661-5journal_volume
19pub_type
杂志文章abstract:BACKGROUND:Child delivery in a health facility is important to reduce maternal mortality. Bypassing nearby birthing facility to deliver at a hospital is common in developing countries including Nepal. Very little is known about the extent and determinants of bypassing the birthing centres in Nepal. This study measures ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1848-x
更新日期:2016-10-21 00:00:00
abstract:BACKGROUND:A number of studies in the past have looked at determinants of postnatal care. However, many of them do not distinguish between postnatal care (PNC) before discharge and after discharge for women delivering at health facilities. Conceptually and practically, factors associated with PNC before discharge and a...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-4958-4
更新日期:2020-02-24 00:00:00
abstract:BACKGROUND:The appropriate use of the Partograph allows early identification of labour related complications and prevents deaths. We, therefore, sought to determine the level of Partograph completion and healthcare worker perspectives towards its utilization. METHODS:This study had two components; a hospital-based cro...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-3934-3
更新日期:2019-02-07 00:00:00
abstract:BACKGROUND:Blood borne infectious agents such as hepatitis B virus (HBV), hepatitis C virus (HCV) and human immune deficiency virus (HIV) constitute a major occupational hazard for healthcare workers (HCWs). To some degree it is inevitable that HCWs sustain injuries from sharp objects such as needles, scalpels and spli...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-276
更新日期:2013-07-17 00:00:00
abstract:BACKGROUND:Assessing client and patient satisfaction towards a service is of programmatic importance. A study was conducted in Malawi between July and October 2013 to assess client satisfaction among women who had been screened for cervical cancer using Visual Inspection with Acetic acid test. METHODS:This was a cross...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-14-420
更新日期:2014-09-22 00:00:00
abstract:BACKGROUND:Industry partnerships can help leverage resources to advance HIV/AIDS vaccine research, service delivery, and policy advocacy goals. This often involves capacity building for international and local non-governmental organizations (NGOs). International volunteering is increasingly being used as a capacity bui...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-378
更新日期:2013-10-02 00:00:00
abstract:BACKGROUND:HIV testing and counseling (HTC) remains critical in the global efforts to reach a goal of universal access to prevention and timely human immunodeficiency virus (HIV) treatment and health care. Routine HIV testing has been shown to be cost-effective and life-saving by prolonging the life expectancy of HIV p...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-14-267
更新日期:2014-06-19 00:00:00
abstract:BACKGROUND:In 2008, the Swedish government introduced a National Rehabilitation Program, in which the government financially reimburses the county councils for evidence-based multimodal rehabilitation (MMR) interventions. The target group is patients of working age with musculoskeletal disorders (MSD), expected to retu...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1948-7
更新日期:2017-01-07 00:00:00
abstract:BACKGROUND:'Failure to rescue' of hospitalized patients with deteriorating physiology on general wards is caused by a complex array of organisational, technical and cultural failures including a lack of standardized team and individual expected responses and actions. The aim of this study using a learning collaborative...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2288-y
更新日期:2017-05-08 00:00:00
abstract:BACKGROUND:Qualitative synthesis approaches are increasingly used in healthcare research. One of the most commonly utilised approaches is meta-ethnography. This is a systematic approach which synthesises data from multiple studies to enable new insights into patients' and healthcare professionals' experiences and persp...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-06049-w
更新日期:2021-01-08 00:00:00
abstract:BACKGROUND:Reimbursement systems provide incentives to health care providers and may drive physician behaviour. This review assesses the impact of reimbursement system on socioeconomic and racial inequalities in access, utilization and quality of primary care. METHODS:A systematic search was performed in Web of Scienc...
journal_title:BMC health services research
pub_type: 杂志文章,评审
doi:10.1186/s12913-016-1805-8
更新日期:2016-10-04 00:00:00
abstract:BACKGROUND:In the past decade the provision of home care services in Canada has doubled; with this increase there has been a growing interest in improving quality and safety. National-level data are captured in the Home Care Reporting System (HCRS), using the interRAI-HC tools. Data in the HCRS provide decision-makers ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-5018-9
更新日期:2020-03-25 00:00:00
abstract:BACKGROUND:The World Health Organization (WHO) Surgical Safety Checklist (SSC) has demonstrated beneficial impacts on a range of patient- and team outcomes, though variation in SSC implementation and staff's perception of it remain challenging. Precisely how frontline personnel integrate the SSC with pre-existing perio...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-4965-5
更新日期:2020-02-12 00:00:00
abstract:BACKGROUND:India has the distinction of financing its healthcare mainly through out-of-pocket expenses by individual families contributing to catastrophic health expenditure and impoverishment. Nearly 70 % of the expenditure is on medicines purchased at private pharmacies. Patients with chronic ailments are especially ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1680-3
更新日期:2016-08-22 00:00:00
abstract:BACKGROUND:Globally, female sex workers (FSWs) are considered a key population group due to the high HIV prevalence. Studies show that there are various factors in some contexts that render FSWs marginalised, which limits their access to sexual reproductive health (SRH) services. Access to SRH services are particularly...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/s12913-019-4552-9
更新日期:2019-10-24 00:00:00
abstract:BACKGROUND:Since the beginning of the HIV epidemic, numerous behavior change, risk-reduction, and biomedical interventions have been developed and tested. While some of these interventions have shown to be efficacious in randomized trials, it often takes almost two decades for an intervention to be translated into prac...
journal_title:BMC health services research
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12913-017-2669-2
更新日期:2017-11-21 00:00:00
abstract:BACKGROUND:We conducted a national level assessment of the quality of clinical care practice in the Ukrainian healthcare system for two important causes of death and chronic disease conditions. We tested two hypotheses: a) quality of care is predicted by physician and facility characteristics and b) health status is pr...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-14-446
更新日期:2014-09-30 00:00:00
abstract:BACKGROUND:Measuring patient safety culture can provide insight into areas for improvement and help monitor changes over time. This study details the findings of a re-assessment of patient safety culture in a multi-site Medical City in Riyadh, Kingdom of Saudi Arabia (KSA). Results were compared to an earlier assessmen...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2461-3
更新日期:2017-08-02 00:00:00
abstract:BACKGROUND:Globally, almost 4 million newborns die during the first 4 weeks of life every year. By increased use of evidence-based knowledge in the healthcare system a large proportion of these neonatal deaths could be prevented. But there is a severe lack of knowledge on effective methods for successful implementation...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/1472-6963-11-239
更新日期:2011-09-27 00:00:00
abstract:BACKGROUND:Understanding the factors that influence the hospital length of stay (LOS) for patients with stroke will help in discharge planning and stroke unit management. We explored how intravenous thrombolysis (IVT) affects LOS in an acute-care hospital setting. METHODS:We analyzed adult patients with ischemic strok...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-1080-0
更新日期:2015-09-23 00:00:00
abstract:BACKGROUND:The inverse care law persists: people living in poverty have the greatest needs and face considerable challenges in getting the care they need. Evidence reveals that GPs encounter difficulties in delivering care to poor patients, while many of those patients feel stigmatized by healthcare professionals. Pati...
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pub_type: 杂志文章
doi:10.1186/1472-6963-10-320
更新日期:2010-11-30 00:00:00
abstract:BACKGROUND:Several approaches to medication optimisation by identifying drug-related problems in older people have been described. Although some interventions have shown reductions in drug-related problems (DRPs), evidence supporting the effectiveness of medication reviews on clinical and economic outcomes is lacking. ...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/s12913-020-5056-3
更新日期:2020-03-17 00:00:00
abstract:BACKGROUND:Cesarean section rates is often used as an indicator of quality of care in maternity hospitals. The assumption is that lower rates reflect in developed countries more appropriate clinical practice and general better performances. Hospitals are thus often ranked on the basis of caesarean section rates. The ai...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-6-100
更新日期:2006-08-15 00:00:00
abstract:BACKGROUND:The adherence pattern of antiepileptic drugs (AEDs) among patients with epilepsy is relatively lower in the United States and different European countries. However, adherence and cost analysis of AEDs in Asian countries have not been thoroughly studied. Therefore, the present study aimed to analyze the cost ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-021-06085-0
更新日期:2021-01-19 00:00:00
abstract:BACKGROUND:Electronic medical records contain valuable clinical information not readily available elsewhere. Accordingly, they hold important potential for contributing to and enhancing chronic disease registries with the goal of improving chronic disease management; however a standard for diagnoses of conditions such ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-10-347
更新日期:2010-12-23 00:00:00
abstract:BACKGROUND:The cost of dialysis in low and middle-Income countries has not been systematically reviewed. The objective of this article is to systematically review peer-reviewed articles on the cost of dialysis across low and middle-income countries. METHODS:PubMed and Embase databases were searched for the year 1998 t...
journal_title:BMC health services research
pub_type: 杂志文章,评审
doi:10.1186/s12913-015-1166-8
更新日期:2015-11-12 00:00:00
abstract:BACKGROUND:Electronic health (e-Health) interventions are emerging as an effective alternative model for improving secondary prevention of coronary artery disease (CAD). The aim of this study was to describe the effectiveness of different modes of delivery and components in e-Health secondary prevention programmes on a...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4106-1
更新日期:2019-06-10 00:00:00
abstract:BACKGROUND:The lack of availability of skilled providers in low- and middle- income countries is considered to be an important barrier to achieving reductions in maternal and child mortality. However, there is limited research on programs increasing the availability of skilled birth attendants in developing countries. ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2284-2
更新日期:2017-05-18 00:00:00
abstract:BACKGROUND:The decision to obtain a computed tomography CT scan in the emergency department (ED) is complex, including a consideration of the risk posed by the test itself weighed against the importance of obtaining the result. In patients with limited access to primary care follow up the consequences of not making a d...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-2958-4
更新日期:2018-03-02 00:00:00
abstract:BACKGROUND:While previous research establishes an association between social relations, health and use of healthcare services among older people, how to implement this knowledge in real-life settings has received much less attention. This study will explore the relationship between social relations, health and use of h...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2650-0
更新日期:2017-11-15 00:00:00