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Integrated care

About: Integrated care is a research topic. Over the lifetime, 7318 publications have been published within this topic receiving 106960 citations. The topic is also known as: Integrated Delivery of Health Care & Delivery of Health Care, Integrated.


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Journal ArticleDOI
TL;DR: This paper aims to systematically rationalize and explore security–privacy related issues in providing anywhere, anytime healthcare services, survey the existing approaches and discuss health IT infrastructural governance, institutional and cross-national policy challenges to address the relevant security and privacy issues.
Abstract: A new paradigm, which is at the early stage of inception, is reshaping global healthcare services with emphasis shifting from sporadic acute health care to continuous and integrated health care—an approach being further perfected as anywhere, anytime healthcare services. Recent advances in e-health informatics, digital transformation and remote data exchange, mobile communication, and medical technologies are the enablers of this new paradigm. Monitoring and on-time intervention, integrated care, self-care, and social support are four value-added features of anywhere, anytime health care. The already precarious security and privacy conditions of healthcare domain are expected to aggravate in this new paradigm due to lot more monitoring, collection, storage, sharing, and retrieval of patient information as well as collaboration among many different caregivers, institutions and systems. This paper aims to systematically rationalize and explore security–privacy related issues in providing anywhere, anytime healthcare services. We survey the existing approaches and discuss health IT infrastructural governance, institutional and cross-national policy challenges to address the relevant security and privacy issues. We categorize these issues in relation to the users, applications, communications, and devices. A consolidated effort from technological, human factor, and social research communities can lead to an adequate response to key privacy and security issues in this nascent anytime, anywhere healthcare paradigm.

45 citations

Journal ArticleDOI
TL;DR: An evidence-informed theoretical model is built describing values, care strategies and service models that can be used in the design of interventions to enable people with dementia to live well and for longer at home.
Abstract: To build an evidence-informed theoretical model describing how to support people with dementia to live well or for longer at home. We searched electronic databases to August 2018 for papers meeting predetermined inclusion criteria in two reviews that informed our model. We scoped literature for theoretical models of how to enable people with dementia to live at home independently, with good life quality or for longer. We systematically reviewed Randomised Controlled Trials (RCTs) reporting psychosocial intervention effects on time lived with dementia at home. Two researchers independently rated risk of bias. We developed our theoretical model through discussions with experts by personal, clinical and academic experiences, informed by this evidence base. Our scoping review included 52 studies. We divided models identified into: values and approaches (relational and recovery models; optimising environment and activities; family carer skills and support); care strategies (family carer-focused; needs and goal-based; self-management); and service models (case management; integrated; consumer-directed). The 11 RCTs included in our systematic review, all judged at low risk of bias, described only two interventions that increased time people with dementia lived in their own homes. These collectively encompassed all these components except for consumer-directed and integrated care. We developed and revised our model, using review evidence and expert consultation to define the final model. Our theoretical model describes values, care strategies and service models that can be used in the design of interventions to enable people with dementia to live well and for longer at home. PROSPERO 2018 registration number: CRD42018099693 (scoping review). PROSPERO 2018 registration number: CRD42018099200 (RCT systematic review).

45 citations

Journal ArticleDOI
TL;DR: In this paper, the authors evaluated the impact of telehealth integration into antenatal care from March 23 to March 23, 2020, across low-risk and high-risk care models.

45 citations

Journal ArticleDOI
TL;DR: This paper systematizes and develops a framework for how service design can contribute to healthcare transformation and identifies key healthcare application areas for future service design research and pathways for advancing service design in healthcare by using new interdisciplinary bridges, methodological developments and theoretical foundations.
Abstract: This paper explores how service design can contribute to the evolution of health service systems, moving them toward people-centered, integrated and technology-enabled care; the paper develops a research agenda to leverage service design research for healthcare transformation.,This conceptual study starts by analyzing healthcare challenges in terms of demographic trends and economic constraints, along with the problems of lack of people-centricity, dispersion of care and slowness in incorporating emerging technologies. Then, it examines the theoretical underpinnings of service design to develop a framework for exploring how a human-centered, transformative and service systems approach can contribute to addressing healthcare challenges, with illustrative cases of service design research in healthcare being given.,The proposed framework explores how a human-centered service design approach can leverage the potential of technology and advance healthcare systems toward people-centered care; how a transformative service design approach can go beyond explanatory research of healthcare phenomena to develop innovative solutions for healthcare change and wellbeing; and how a service systems perspective can address the complexity of healthcare systems, hence moving toward integrated care.,This paper systematizes and develops a framework for how service design can contribute to healthcare transformation. It identifies key healthcare application areas for future service design research and pathways for advancing service design in healthcare by using new interdisciplinary bridges, methodological developments and theoretical foundations.

45 citations

Journal ArticleDOI
TL;DR: The purpose of this article is to review the existing data available after 2 years of the St. Louis Initiative for Integrated Care Excellence; an example of integrated-collaborative care on a large scale model within a regional Veterans Affairs Health Care System.
Abstract: The primary care health setting is in crisis. Increasing demand for services, with dwindling numbers of providers, has resulted in decreased access and decreased satisfaction for both patients and providers. Moreover, the overwhelming majority of primary care visits are for behavioral and mental health concerns rather than issues of a purely medical etiology. Integrated-collaborative models of health care delivery offer possible solutions to this crisis. The purpose of this article is to review the existing data available after 2 years of the St. Louis Initiative for Integrated Care Excellence; an example of integrated-collaborative care on a large scale model within a regional Veterans Affairs Health Care System. There is clear evidence that the SLI(2)CE initiative rather dramatically increased access to health care, and modified primary care practitioners' willingness to address mental health issues within the primary care setting. In addition, data suggests strong fidelity to a model of integrated-collaborative care which has been successful in the past. Integrated-collaborative care offers unique advantages to the traditional view and practice of medical care. Through careful implementation and practice, success is possible on a large scale model.

45 citations


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Performance
Metrics
No. of papers in the topic in previous years
YearPapers
202384
2022166
2021672
2020663
2019630
2018663