Evaluating Large-Scale Integrated Care Projects: The Development of a Protocol for a Mixed Methods Realist Evaluation Study in Belgium

The twelve Integrated Care Program pilot projects (ICPs) created by the government plan ‘Integrated Care for Better Health’ aim to achieve four outcome types (the Quadruple Aim) for people with chronic diseases in Belgium: improved population health, improved patient and provider experiences and improved cost efficiency. The Belgian plan is based on the model of integrated care by the World Health Organization. The objective of this study is to deliver policy recommendations on strategies and best practices to improve care integration in Belgium and to implement a sustainable monitoring system that serves both policy makers and the stakeholders within the ...

What Do Parents Expect in the 21st Century? A Qualitative Analysis of Integrated Youth Care

To provide integrated Youth Care responsive to the needs of families with multiple problems across life domains, it is essential to incorporate parental perspectives into clinical practice. The parental perspectives on integrated Youth Care in this study emphasize that parents have a strong desire for a family-centred approach and active participation in decision making over their own care process. However, since parental expectations regarding these key components of integrated Youth Care are somewhat opposing, professionals should be aware of potential confusion and explicitly discuss mutual expectations during a care process. 

Integrated older people care and advanced practice nursing: an evidence-based review.

The world's population is aging rapidly. This is a fact, and the demand for services adapted to this new reality is increasingly necessary. The World Health Organization has proposed an integrative strategy centered on people. Here present a systematic review of strategies that address the care of older adults with the integrated care-centered approach to people.

Connecting communities to primary care: a qualitative study on the roles, motivations and lived experiences of community health workers in the Philippines

Community health workers (CHWs) are an important cadre of the primary health care (PHC) workforce in many low- and middle-income countries (LMICs). The Philippines was an early adopter of the CHW model for the delivery of PHC. This study aims to address this gap by examining the lived experiences and roles of BHWs in urban and rural sites in the Philippines.

Exploring barriers and facilitators to integrated hypertension-HIV management in Ugandan HIV clinics using the Consolidated Framework for Implementation Research (CFIR)

Persons living with HIV receiving antiretroviral therapy have increased risk of cardiovascular disease. Integration of services for hypertension, the primary cardiovascular risk factor, into HIV clinics is recommended in Uganda. The investigator´s prior work was demonstrated multiple gaps in implementation of integrated Hypertension care along the HIV treatment cascade. In this study, they sought to explore barriers to and facilitators of integrating Hypertension screening and treatment into HIV clinics in Eastern Uganda.

Learning from Gothenburg model of person centred healthcare

Providing person centred care is a growing imperative across healthcare. The core component of person centred care is the co-creation of care through partnership between patients, their families and carers, and health professionals. While much of the recent literature has focused on why we need to change to a more person centred approach with greater involvement of patients and the public in health and healthcare, little information is available on how to do it and whether it makes any difference. Over the past 10 years a model of person centred care has been studied and implemented in Sweden and has ...

The context, strategy and performance of the American safety net primary care providers: a systematic review

The objective of this research is to synthesize evidence on the relationship between context, strategies and performance in the context of federally qualified health centers (FQHCs), a core safety net health services provider in the United States. The research also identifies prior approaches to measure contextual factors, FQHC strategy and performance. Gaps in the research are identified, and directions for future research are provided.

From Crisis to Coordination: Challenges and Opportunities for Integrated Care posed by the COVID-19 Pandemic

COVID-19 has accentuated the stark reality that, despite the efforts of the past 20 years, there remains a continued failure to embrace integrated care systems. It has also demonstrated how quickly systems, organisations and individuals can change, if they must. The uptake in telehealth, eHealth and other technological support systems is unprecedented, even though only a couple of months ago this was unthinkable on a broad scale in many countries. The swiftness of multi-disciplinary teams coming together to find flexible solutions to the day-today challenges during lockdown has shown how we can achieve effective communication and collaboration.

COVID-19 care in India: the course to self-reliance

Many times we think of the integration of health systems as an urgent need. However, there are cases (and realities) where it is necessary to centralize to homogenize the action in the face of a crisis such as the SARS-CoV2 pandemic. The public health response to COVID-19 in India has been highly centralised, resulting in a homogenous strategy applied across a sixth of the world’s population.

Integrated Care for Older People and the Implementation in the INSPIRE Care Cohort

Proposal based on the Integrated Care Manual for the Elderly (ICOPE),  has been developed by the World Health Organization (WHO) to meet the health needs and demands of rapidly aging populations around the world. The Manual helps to set person-centered goals and integrate approaches at the system, service, and clinical levels. The care plan can include multiple interventions to manage declining capacity, provide social and support, develop self-management skills, and support caregivers.

The main objective of the INSPIRE study is to build a Bio-resource Research Platform for Healthy Ageing gathering biological, clinical and digital resources in order to identify markers ...