Behavioural health consultants in integrated primary care teams: a model for future care

Significant challenges exist within primary care services in the United Kingdom (UK). These include meeting current demand, financial pressures, an aging population and an increase in multi-morbidity. Phychological services also struggle to meet waiting time targets and to ensure increased access to phychological therapies. Innovative ways of delivering effective primary care and phychological services are needed to improve health outcomes.

Patient perceptions of innovative longitudinal integrated clerkships based in regional, rural and remote primary care: a qualitative study

Medical students at the University of Wollomgong experience continuity of patien care and clinical supervision during an innovative year-long integrated (community and hospital) clinical clerkship. In this model of clinical education, students are base in a general practice "teaching microsystem" and participate in patient care as part of this community of practice (CoP). This study evaluates patient´s preceptions of the clerkship initiative, and their perspectives in this approach to training´much needed´doctors in their community. 

Exploring Integration of Care for Children Living with Complex Care Needs Across the European Union and European Economic Area

The United Nations Convention on the Rights of the Child (to which all european Union (EU) and European Economic Area (EEA) Member States are signatories) defines the highest attainable standard of healthcare as a fundamental right of every child. This study is embedded in the various peculiarities of national healthcare systems and the ethical and legal concerns bound to the sharing of child health data, being his aim to report on the development of surveys to explore integration of care for children living with complex needs across the European Union (EU) and European Economic Area (EEA)

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. 

People powered primary care: learning from Halton

A community-centred approach to health called Community Wellbeing Practices (CWP) is being to patients at all 17 GP Practices in Halton in order to respond more appropriately to patients´social needs which are often an underlying reason for their presentation at primary care services. 

Early findings from the evaluation of the integrated care and support pioneers in England

Integrating health and social care is priority in England, although there is little evidence that previous iniciatives have reduce hospitals admissions or costs. Twenty-five Integrated Care Pioneers have been established to drive change "at scale and place". The early phases of their evaluation (April 2014-June 2016) aimed to identify their objetives, plans ans activities, and to assess the extend to which they have overcome barriers to integration. In the longer-term, we will assess whether integrated care leads to improved outcomes and quality of care and at what cost. 

Feasibility of an implementation strategy for the integration of health promotion in routine primary care: a quantitative process evaluation

Process evaluation is recommended to improve the understanding of underlying mechanisms related to clinicians, patients, contect and intervention delivery that may impact on trial or program results, feasibility and transferability to practice. The aim of this study was to assess the feasibility of the Prescribe Healthy Life (PVS from the Spanish "Prescribe Vida Saludable") implementation strategy for enhancing the adoption and implementation of an evidence-based health promotion intervention in primary health care. 

Space, time and demographic change: A geographical approach to integrating health and social care

The purpose of this paper is to explore the potential value of applying spatial science and technology to the issue of care integration across what are the often fragmented domains of health and social care provision. The issue of focus for this purpose is population ageing because it challenges existeing information and practice silos. Better integration, the author proposes, needs to adopt a geographic approach to deal with the challenges that population ageing present to health and social care as they currently function in many countries. 

Tenacious assumptions of person-centred care? Exploring tensions and variations in practice.

In recent decades, the ‘tenacious assumptions’ of biomedicine regarding the neutrality and universality of its knowledge claims have been significantly challenged by the growth of new collaborative and patient-focused models of Healthcare delivery. In this article, we discuss and critically reflect upon one such alternative Healthcare model developed at the University of Gothenburg Centre for Person-Centred Care in Sweden. This centre uses three clinical routines of narrative, partnership and documentation to provide Healthcare to people recognized as unique individuals rather than patients. Person-centred care in Gothenburg and more broadly is based on the assumption that a person is independently capable ...

Barriers and facilitators to the implementation of person-centred care in different healthcare contexts

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