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Pulmonary rehabilitation in the integrated care of the chronic respiratory patient
Published in Claudio F. Donner, Nicolino Ambrosino, Roger S. Goldstein, Pulmonary Rehabilitation, 2020
Linda Nici, Richard L. ZuWallack
The World Health Organization (WHO) in 2001 defined integrated care as: ‘… a concept bringing together inputs, delivery, management and organization of services related to diagnosis, treatment, care, rehabilitation and health promotion. Integration is a means to improve the services in relation to access, quality, user satisfaction and efficiency’ (18). This early conceptual definition is clearly directed at organization and coordination of the healthcare delivery system.
System transformation for health and social care
Published in Jill Aylott, Jeff Perring, Ann LN Chapman, Ahmed Nassef, Medical Leadership, 2018
The concept of integrated care is not a new one; various aspects of integration between NHS organisations and local authorities have been aspiration of policymakers and health reforms since the 1960s (Shortell et al., 2014; Department of Health, 2008). The idea and experimentation with a range of models of integration of care has been on the agenda in other countries as well (Shortell et al., 2014; MacAdam, 2008; World Health Organization, 2008; Watson, 2012). The basic postulate around the concept of integrated care is that improving coordination of care around the needs of individual patients, service users and carers will positively affect quality of care and its cost-effectiveness (Lewis et al., 2010; Goodwin et al., 2012). However, bringing care closer to the patient has been identified as not always being cost effective and. in some cases, may cost more (Imison et al., 2017).
Person-centred integrated care and end of life
Published in Shibley Rahman, Living with frailty, 2018
Patient-centeredness, therefore, has become a legitimate base for healthcare provision, and has been reinforced by laws that strengthen patient’s rights (Fabbricotti et al., 2013). The prevailing belief, for example, in the United States might be that integrated care has the capacity to solve many of problems by improving care coordination and continuity; streamlining disjointed services and systems; eliminating duplication; reducing administrative and service costs; and promoting more equitable distribution of resources (Kodner and Kyriacou, 2000). Based on the literature on integrated care covering the period from 1997 to 2010 inclusive, it appears that there are essentially two types of models of integrated care delivery for the frail elderly:One type of model is a smaller, community-based model which relies on cooperation across care providers, focused on home and community care, but the second type of model is a larger-scale model which has a single administrative authority and a single budget and which includes both home/community and residential services.(Béland and Hollander, 2013)
The use of digital health in heart rhythm care
Published in Expert Review of Cardiovascular Therapy, 2023
Donald P. Tchapmi, Chris Agyingi, Antoine Egbe, Gregory M. Marcus, Jean Jacques Noubiap
Despite its advantages, integrated care and patient engagement through digital health present some challenges. Examples include problems with access or facility with various technologies among some who are older, have a lower socioeconomic status (SES), and those with lower levels of education. Older people and people with lower SES and education levels tend to engage less with mHealth due to high prices, lack of technology use skills, and lack of motivation [7]. Physical limitations and cognitive impairment are major barriers to the use of digital health in elderly patients. For this reason, the education of family members or caregivers will be helpful in disease monitoring and medication management. User retention on health apps is also a significant challenge, even among young people. More than two-thirds of people who downloaded a mobile health (mHealth) app used it only once and stopped using it [53]. Users may become attracted to new technologies, but this attraction is short-lived, especially if users don’t perceive the added benefit compared to conventional care [53].
Health professionals’ attitudes on integrated care and social work practice
Published in Social Work in Health Care, 2022
Zachary Cooper, Melissa Reitmeier, Samuel R. Bethel
Integrated care has been defined as “care that results from a practice team of primary care and behavioral health clinicians and other staff working with patients and families … to provide patient-centered care” (Peek & Colleagues, 2013, p. 2). Primary care settings frequently treat mental, emotional, and substance use disorders in conjunction with health behaviors such as lack of medication adherence, poor diet, and unmanaged stress (Reiter et al., 2018; Sandoval et al., 2018). In fact, there are an average of 5 psychosocial concerns within each primary care visit (Bikson et al., 2009). Integrated care provides structure for effective treatment of these issues, while decreasing stigma regarding behavioral health (Bailey & Mutale, 2019; Brunelle, 2013; Holder et al., 2019), eliminating barriers to accessing behavioral health (Rowan et al., 2013; Roy et al., 2020), and reducing burnout among primary care providers (Helfrich et al., 2017; Kim et al., 2018; Rabatin et al., 2016; Ward et al., 2016; Zubatsky et al., 2018).
Implementation of a Multi-Modal Training Program for the Management of Comorbid Mental Disorders in Drug and Alcohol Settings: Pathways to Comorbidity Care (PCC)
Published in Journal of Dual Diagnosis, 2021
Eva Louie, Kirsten C. Morley, Vicki Giannopoulos, Gabriela Uribe, Katie Wood, Christina Marel, Katherine L. Mills, Maree Teesson, Michael Edwards, Steven Childs, David Rogers, Adrian Dunlop, Andrew Baillie, Paul S. Haber
One evidence-based model for managing comorbidity is integrated care. Integrated care aims to provide coordinated, efficient, and effective care that responds to all of the needs of the client. An integrated model requires identification and assessment of both the AOD use and the mental health condition, along with a comprehensive management plan for treating both problems (Marel et al., 2016). Offering this integrated care within one service overcomes problems associated with non-integrated treatment, including physical barriers (such as services located separately) and non-cohesive treatment plans. Although integrated care may not always be appropriate, this approach is often considered the preferred model of care and has been widely recommended in clinical guidelines (Marel et al., 2016).