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.

Education needs for integrated care: a literature review

Abstract: Aim. This paper reports a systematic review to identify the education needs of the workforce within primary care to promote the effective delivery of integrated health and social care services. Background. The need for different professionals to work more closely dominates global health policy. The drive to develop a workforce prepared for the future is crucial to the success of integrated services. However, some have argued that nurses are ill-equipped to meet the challenges of integrated service provision. The ability to work interprofessionally is an important skill which needs to be developed to support integrated working. Methods. Structured searches were undertaken on organizational websites and the Caredata, CINAHL, Cochrane Library, MEDLINE, Sociofile databases between December 2002 and April 2004 to identify policy documents and primary research studies. The robustness of identified research studies were appraised using recognized appraisal tools. Findings. Six themes were identified which indicate essential elements needed for integrated care. The need for effective communication between professional groups within teams and an emphasis on role awareness are central to the success of integrated services. In addition, education about the importance of partnership working and the need for professionals to develop skills in relation to practice development and leadership through professional and personal development is needed to support integrated working. Conclusion. Education which embeds essential attributes to integrated working is needed to advance nursing practice for interprofessional working. Further research exploring this and its impact on integrated provision is essential to ensure that evidence-based services are provided. The reinforcement of partnerships between higher education institutions and health and social care organizations should ensure that the workforce is educated to manage continuous change in service delivery. Innovative ways of teaching and learning which promote inter-professional working need to be explored.

Addressing chronic pain in primary care settings

Abstract: Preface. Byrd, O'Donohue, Cummings, Introduction: The Case for Integrated Care: Coordinating Behavioral Healthcare with Primary Care Medicine. Strosahl, Training Behavioral Health and Primary Care Providers for Integrated Care: A Core Competencies Approach. Robinson, Adapting Empirically Supported Treatments to the Primary Care Setting: A Template for Success. Callaghan, Gregg, The Role of the Behavioral Health Care Specialist in the Treatment of Depression in Primary Care Settings. Campbell, Grisham, Brown, Anxiety Disorders in Primary Care. Mosco, Fruzzetti, Suicide and Parasuicide Management in the Primary Care Setting. Leskin, Morland, Keane, Integrating PTSD Services: The Primary Care Behavioral Health Model. Cummings, Identification and Treatment of Substance Abuse in Primary Care Settings. Cummings, Identifying and Treating the Somatizer: Integrated Care's Penultimate Behavioral Intervention. Pelham, Jr., Meichenbaum, Fabiano, Treating Attention Deficit Hyperactivity Disorder and Oppositional Defiant Disorder in the Primary Care Setting. Gifford, Palm, Providing Integrated Care for Smoking Cessation. Jacobs, Infertility. Kovacs, Houts, The Integration of Psychosocial Interventions into the Oncology Practice. Conrad, Poston, Foreyt, Managing Obesity in Primary Care. Kessler, As Precise as the Scalpel's Cut... Sort of: Psychological and Self-regulation Treatments in Preparation for Surgery and Invasive Medical Procedures. Arena, Blanchard, Assessment and Treatment of Chronic Benign Headache in the Primary Care Setting. Robinson, Gardea, Maddrey, Gatchel, Addressing Chronic Pain in Primary Care Settings. Callaghan, Ortega, Berlin, Psychosocial Interventions with Type 1 and 2 Diabetic Patients. Levensky, Increasing Medication Adherence in Chronic Illnesses: Guidelines for Behavioral Healthcare Clinicians Working in Primary Care Settings. Byrd, Ferguson, Henderson, Oksol, O'Donohue, The Integrated Management of Adult Asthma.

Peer Navigators and Integrated Care to Address Ethnic Health Disparities of People with Serious Mental Illness

Abstract: People of color with serious mental illnesses experience high rates of morbidity and mortality. Patient navigators, developed for cancer care, may help this group benefit from integrated care. This review examined patient navigators' key ingredients for cancer care for relevance to patients of color for application of peer services to psychiatric goals. Among cancer patients, navigators lead to greater treatment engagement and improved health outcomes for ethnic minority groups. Research also suggests peers can improve integrated care by providing effective psychiatric services to individuals with mental illness. Ongoing research examines peer navigators' impact on integrated care for patients of color.

The short-term effects of an integrated care model for the frail elderly on health, quality of life, health care use and satisfaction with care

Abstract: Purpose: This study explores the short-term value of integrated care for the frail elderly by evaluating the effects of the Walcheren Integrated Care Model on health, quality of life, health care use and satisfaction with care after three months. Intervention: Frailty was preventively detected in elderly living at home with the Groningen Frailty Indicator. Geriatric nurse practitioners and secondary care geriatric nursing specialists were assigned as case managers and co-ordinated the care agreed upon in a multidisciplinary meeting. The general practitioner practice functions as a single entry point and supervises the co-ordination of care. The intervention encompasses task reassignment between nurses and doctors and consultations between primary, secondary and tertiary care providers. The entire process was supported by multidisciplinary protocols and web-based patient files. Methods: The design of this study was quasi-experimental. In this study, 205 frail elderly patients of three general practitioner practices that implemented the integrated care model were compared with 212 frail elderly patients of five general practitioner practices that provided usual care. The outcomes were assessed using questionnaires. Baseline measures were compared with a three-month follow-up by chi-square tests, t -tests and regression analysis. Results and conclusion: In the short term, the integrated care model had a significant effect on the attachment aspect of quality of life. The frail elderly patients were better able to obtain the love and friendship they desire. The use of care did not differ despite the preventive element and the need for assessments followed up with case management in the integrated care model. In the short term, there were no significant changes in health. As frailty is a progressive state, it is assumed that three months are too short to influence changes in health with integrated care models. A more longitudinal approach is required to study the value of integrated care on changes in health and the preservation of the positive effects on quality of life and health care use.

Providing effective and preferred care closer to home: a realist review of intermediate care.

Abstract: Intermediate care is one of the number of service delivery models intended to integrate care and provide enhanced health and social care services closer to home, especially to reduce reliance on acute care hospital beds. In order for health and social care practitioners, service managers and commissioners to make informed decisions, it is vital to understand how to implement the admission avoidance and early supported discharge components of intermediate care within the context of local care systems. This paper reports the findings of a theory-driven (realist) review conducted in 2011-2012. A broad range of evidence contained in 193 sources was used to construct a conceptual framework for intermediate care. This framework forms the basis for exploring factors at service user, professional and organisational levels that should be considered when designing and delivering intermediate care services within a particular local context. Our synthesis found that involving service users and their carers in collaborative decision-making about the objectives of care and the place of care is central to achieving the aims of intermediate care. This pivotal involvement of the service user relies on practitioners, service managers and commissioners being aware of the impact that organisational structures at the local level can have on enabling or inhibiting collaborative decision-making and care co-ordination. Through all interactions with service users and their care networks, health and social care professionals should establish the meaning which alternative care environments have for different service users. Doing so means decisions about the best place of care will be better informed and gives service users choice. This in turn is likely to support psychological and social stability, and the attainment of functional goals. At an organisational level, integrated working can facilitate the delivery of intermediate care, but there is not a straightforward relationship between integrated organisational processes and integrated professional practice.