Patient-centredness in primary care walk-in clinics for refugees in Hamburg

The huge increase of refugees to Germany caused a great challenge to the health system. We aimed to examine the level of patient-centredness in medical consultations with refugee patients, aided by video interpreters in primary care walk-in clinics (PCWC) in Hamburg.

Exploring the Evidence: Using Technology to Improve Integrated Care Coordination

A transition of care is defined as a change in level of health care services, as patient care needs change from one location to another during acute or chronic illness. The location of services can vary from the hospital, skilled nursing facility, an outpatient setting, a primary care provider's office, or home health. Care coordination gaps can occur due to a lack of information exchange through the electronic health record, a lack of evidence-based standards, and poor communication among providers. Often, clinicians work with a silo mentality, resulting in poor health outcomes and negatively impacting the patient care experience ...

Primary care: the sleeping giant of research delivery

A sustainable NHS requires a shift from reactive acute care to proactive ambulatory care, from secondary care to primary care, with a focus on health creation by empowering people and communities. This will require evaluation of transformed models of care to create a new evidence base, which in turn requires a strong primary care research delivery infrastructure.

Learning from long COVID: integrated care for multiple long-term conditions

Long COVID is a multisystem condition requiring a range of medical, therapeutic, and psychological inputs. Given the complexity of the illness affecting multiple organ systems, often impacting physical and mental health, individuals can be heavy healthcare users across primary, secondary, and emergency services.

The long COVID clinics commissioned in England have provided an opportunity to innovate within a complex care pathway, bringing multiple providers together to meet needs broader than has been historically possible for many other complex conditions. Designing these new services from a blank page has enabled teams to co-create services with patient groups and work more effectively ...

Patient-Centered Integrated Model of Home Health Care Services in South Korea (PICS-K)

As South Korea is fast becoming an aging society, the need for integrated care of the elderly has increased. ‘Community Integrated Care Initiatives’ have been implemented by the Ministry of Health and Welfare. However, home healthcare is insufficient to meet this need.

Diagnostic performance analysis of the ICOPE screening tool for identifying decline in intrinsic capacity

Intrinsic capacity (IC) is a comprehensive indicator of an individual's positive attributes. The World Health Organization (WHO) recommends a two-step approach to assess IC decline among older people. The first step involved using the Integrated Care for Older People (ICOPE) screening tool to identify potential issues, and the second step involved using detailed assessments for confirmation. This study aimed to assess the diagnostic performance of ICOPE screening tool as a simple preliminary screening to identify IC decline among community-dwelling older adults, which was rarely reported in China.

Components and Outcomes in Under-and Postgraduate Medical Education to Prepare for the Delivery of Integrated Care for the Elderly: A Scoping Review

The ageing society requires physicians who can deliver integrated care, but it is unclear how they should be prepared for doing so. This scoping review aims to create an overview of educational programmes that prepare (future) physicians to deliver integrated care while addressing components and outcomes of the interventions.

Barriers and challenges to integrated care

Integrated care is critical to the successful delivery of modern day health and social care services, however the implementation into practice poses many barriers and challenges. This article seeks to identify these barriers and present methods through which to aim to address and overcome these.

8 Elements of person-centred care of older people in primary healthcare: a systematic literature review with thematic analysis

Higher life expectancy in the ageing population and, consequently, anincrease in the older population bring additional challenges for healthcare pro-viders, especially in primary healthcare. The person-centred care of older people isdefined as an approach that puts older people at the centre of care and recognizesthe importance of their needs. The chapter aims to identify the key elements of per-son-centred care for older people, in primary healthcare.

The impact of artificial intelligence on the person-centred, doctor-patient relationship: some problems and solutions

Artificial intelligence (AI) is often cited as a possible solution to current issues faced by healthcare systems. This includes the freeing up of time for doctors and facilitating person-centred doctor-patient relationships. However, given the novelty of artificial intelligence tools, there is very little concrete evidence on their impact on the doctor-patient relationship or on how to ensure that they are implemented in a way which is beneficial for person-centred care. Given the importance of empathy and compassion in the practice of person-centred care, we conducted a literature review to explore how AI impacts these two values. Besides empathy and compassion ...