Topic
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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17 Jun 2013
TL;DR: In this article, the International Journal of Integrated Care (IJIC) published a review of the literature in Integrated Care. http://www.ijic.org/index.html
Abstract: This is the journal's pdf version originally published in International Journal of Integrated Care: http://www.ijic.org/index.html
42 citations
TL;DR: Practices' approaches to PCC-BHC staffing, scheduling, and delivery of integrated care mutually influenced each other and were shaped by the local context.
Abstract: Purpose: To examine the interrelationship among behavioral health clinician (BHC) staffing, scheduling, and a primary care practice9s approach to delivering integrated care Methods: Observational cross-case comparative analysis of 17 primary care practices in the United States focused on implementation of integrated care Practices varied in size, ownership, geographic location, and integrated care experience A multidisciplinary team analyzed documents, practice surveys, field notes from observation visits, implementation diaries, and semistructured interviews using a grounded theory approach Results: Across the 17 practices, staffing ratios ranged from 1 BHC covering 03 to 365 primary care clinicians (PCCs) BHC scheduling varied from 50-minute prescheduled appointments to open, flexible schedules slotted in 15-minute increments However, staffing and scheduling patterns generally clustered in 2 ways and enabled BHCs to be engaged by referral or warm handoff Five practices predominantly used warm handoffs to engage BHCs and had higher BHC-to-PCC staffing ratios; multiple BHCs on staff; and shorter, more flexible BHC appointment schedules Staffing and scheduling structures that enabled warm handoffs supported BHC engagement with patients concurrent with the identification of behavioral health needs Twelve practices primarily used referrals to engage BHCs and had lower BHC-to-PCC staffing ratios and BHC schedules prefilled with visits This enabled some BHCs to bill for services, but also made them less accessible to PCCs in when patients presented with behavioral health needs during a clinical encounter Three of these practices were experimenting with open scheduling and briefer BHC visits to enable real-time access while managing resources Conclusion: Practices9 approaches to PCC-BHC staffing, scheduling, and delivery of integrated care mutually influenced each other and were shaped by the local context Practice leaders, educators, clinicians, funders, researchers, and policy makers must consider these factors as they seek to optimize integrated systems of care
42 citations
TL;DR: Good quality research on clinical leadership in integrated primary care is scarce and more profound knowledge is needed about leadership skills, required for integrated-care implementation, and leadership support aimed at developing these skills.
Abstract: Background: Leaders are needed to address healthcare changes essential for implementation of integrated primary care. What kind of leadership this needs, which professionals should fulfil this role...
42 citations
TL;DR: Insurance parity in mental health care would make depression and other mental illness more legitimate in the eyes of patients, family members, employers, and physicians.
42 citations
28 Jul 2016
TL;DR: Using the COMIC Model makes it possible to comprehensively study the interplay of the mechanisms, context and outcomes of integrated care interventions and thereby provides insights into when, why and how integrated care contributes to improved outcomes.
Abstract: ObjectiveTo develop a model for the comprehensive evaluation of integrated care interventions that provides insights into when, why and how successful outcomes can be achieved.MethodsA preliminary model was developed based on the Context + Mechanism + Outcome Model and further developed based on its application to a literature review, two case studies and an expert questionnaire. The COMIC Model for studying the Context, Outcomes and Mechanisms of Integrated Care interventions interventions assumes that an intervention is introduced using certain mechanisms (categorised according to the Chronic Care Model), which are met with particular context factors (described by barriers and facilitators and categorised according to the Implementation Model), which combined, contribute to specific outcomes (categorised by the WHO dimensions of quality of care).ResultsApplication of the COMIC model to the literature review and expert questionnaires did not allow for statements to be made about the relationships between...
42 citations