Hospital-at-home Integrated Care Programme for the management of disabling health crises in older patients: comparison with bed-based Intermediate Care

This study analysed the clinical impact of a home-based intermediate Care model in the Catalan health system, comparing it with usual bed-based care to check if the extended CGA-based hospital-at-home programme has an association with shorter stay and favourable clinical outcomes and if is needed to do studies to test this intervention to the whole Catalan integrated care system. 

Why the biopsychosocial model needs to be the underpinning philosophy in rehabilitation pathways for patients recovering from COVID-19

The pandemic caused by COVID-19 has left many consequences, both social and health, on a social and individual level. In the face of individual sequelae, the need to address this need for care with an integrative approach becomes more important.The pandemic caused by COVID-19 has left many consequences, both social and health, on a social and individual level. In the face of individual sequelae, the need to address this need for care with an integrative approach becomes more important.

"For patients recovering from COVID-19, it will be impossible to separate the person and their personal circumstances from COVID-19, and to regard physical, psychological and social factors as independent entities. For this reason, we argue that the BPS model is needed with even more reason than before, and that it should be the philosophy of care to underpin rehabilitation in the recovery from COVID-19".

IFIC Ireland Webinar: Medium and Long-term Impact of COVID-19. Making Integrated Care Happen

The International Foundation for Integrated Care (IFIC) Ireland hosts and facilitates a series of webinars titled ‘Making Integrated Care Happen’ which forms one of the key delivery mechanisms enabling knowledge mobilisation across all stakeholders with an interest in developing and implementing integrated care within the healthcare systems on the island of Ireland.

The last session in IFIC Ireland 2020 series will focus on the medium and long term impacts of COVID-19 on the person and the implications for health and social care delivery.

Prof Lynne Turner-Stokes, King's College London, Northwick Park Hospital - Long-term impacts of COVID-19 and meeting the needs for Rehabilitation (40 minutes) will present research and clinical understanding of how COVID-19 may continue to impact those diagnosed long after the initial course of the disease.

Anne O'Connor, Chief Operations Officer at Health Service Executive (HSE) - Impacts of COVID-19 on service delivery, design and integration (30 minutes ...

How to Ensure Referral and Uptake for COPD Rehabilitation – Part 2: A Case of Integrated Care on How to Translate Findings of Cross- Sectorial Workflow to Improve Cross-Sectorial Rehabilitation

Patients with chronic obstructive pulmonary disease (COPD) can greatly benefit from rehabilitation initiatives, but referral to rehabilitation is sparse. Before we initiated activities to ensure hospital referrals for prevention initiatives at the municipality, we investigated referral patterns and relevant factors in the cross-sectorial workflow.

This study aims to ensure referral to municipality COPD rehabilitation, by simplifying the referral procedures, and by facilitating relational coordination across the two health care settings.

Transitional Care Experiences of Patients with Hip Fracture Across Different Health Care Settings

Transitions of care often result in fragmented care, leading to unmet patient needs and poor satisfaction with care, especially in patients with multiple chronic conditions.

This project aimed to understand how experiences of patients with hip fracture, caregivers, and healthcare providers differ across different points of transition.

Rehabilitation Workforce Challenges to Implement Person-Centered Care

There is an increasing emphasis on developing person-centered care in rehabilitation settings. However, this care practice has not been fully implemented due to several factors. This study explores rehabilitation workforce perspectives on the barriers and facilitators to implementing person-centered care (PCC). Participants described barriers such as an unsupportive organization and leadership, staff constraints, heavy workload, and resistance to change. Unique to this study, a patient’s clinical characteristics were identified as barriers to person-centered care. As facilitators, they described leadership, staff satisfaction, a positive physical environment, training and education, and shared decision-making. It is essential to understand the perceptions of the rehabilitation workforce, as they play an integral role in providing PCC. This study serves as a guide to facilitate person-centered care, as it provides an understanding of key barriers and facilitators for its implementation in rehabilitation settings.

Person-centred care in individuals with stroke: a qualitative study using in-depth interviews

Person-centred care (PCC) has considerable effects on the clinical practice of health professionals. The purpose of this study was to describe the perspectives and perceived barriers and enablers of individuals with stroke regarding the PCC model in stroke rehabilitation.

Reflecting on challenges and opportunities for the practice of person-centred rehabilitation

Developing an integrated model of care for vulnerable populations living with non-communicable diseases in Lebanon: an online theory of change workshop

The Syrian crisis, followed by a financial crisis, port explosion, and COVID-19, have put enormous strain on Lebanon’s health system. Syrian refugees and the vulnerable host population have a high burden of Non-communicable Diseases (NCD) morbidity and unmet mental health, psychosocial and rehabilitation needs. The International Committee of the Red Cross (ICRC) recently introduced integrated NCD services within its package of primary care in Lebanon, which includes NCD primary health care, rehabilitation, and mental health and psychosocial support services. We aimed to identify relevant outcomes for people living with NCDs from refugee and host communities in northern Lebanon, as well as to define the processes needed to achieve them through an integrated model of care. Given the complexity of the health system in which the interventions are delivered, and the limited practical guidance on integration, we considered systems thinking to be the most appropriate methodological approach.