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.

Case management service quality and patient-centered care

Providing care that is patient-centered is an important objective in the modern healthcare industry. Despite this objective, hospital inpatient case managers and the services they provide are evaluated routinely without including patients' perspectives. Therefore, the purpose of this study is to fill this research gap by using patient expectations and perceptions to assess the overall quality of and patient satisfaction with hospital case management services.

Towards an Integrated Care Organisation from a CEO Perspective

Many experimental projects towards Person-Centred Care (PCC) are successful in the early stages, but founder when the attempt is made to scale them up to encompass the whole organisation. This case study therefore focusses on one manager’s attempts to extend the successes of a preliminary project ‘Etxean Ondo’ that aimed to provide adequate support for the elderly living at home or in nursing homes, as well as for their families and care professionals.

Collaborative Experience Success Stories in Integrated Care of Older People: A Narrative Analysis

Inter-organisational collaboration is crucial in the care of older people, as is the development of integrated care. Storytelling in organisations is one way of understanding how to achieve successful collaboration. This article provides insights into the ways in which storytelling in collaborative experiences contributes to a collective identity instrumental in the successful collaborations involved in integrated care for older people.

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 ...