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Publisher: Ubiquity Press Limited   (Total: 48 journals)   [Sort by number of followers]

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Ancient Asia     Open Access   (Followers: 10)
Archaeology Intl.     Open Access   (Followers: 20)
Architectural Histories     Open Access   (Followers: 11)
Belgian J. of Radiology     Open Access   (Followers: 1, SJR: 0.167, CiteScore: 0)
Bulletin of the History of Archaeology     Open Access   (Followers: 16)
Citizen Science : Theory and Practice     Open Access   (Followers: 1)
Comics Grid : J. of Comics Scholarship     Open Access   (Followers: 9)
Cultural Science J.     Open Access  
Data Science J.     Open Access   (Followers: 15, SJR: 0.23, CiteScore: 1)
European J. of Molecular and Clinical Medicine     Open Access  
Future Cities and Environment     Open Access   (Followers: 4)
Glocality     Open Access  
Glossa : A J. of General Linguistics     Open Access   (Followers: 4)
Health Psychology Bulletin     Open Access  
Insights : the UKSG journal     Open Access   (Followers: 106, SJR: 0.473, CiteScore: 0)
Intl. J. of Integrated Care     Open Access   (Followers: 10, SJR: 0.662, CiteScore: 2)
Intl. Review of Social Psychology / Revue Intl.e de Psychologie Sociale     Open Access   (Followers: 1, SJR: 0.421, CiteScore: 1)
J. of Circadian Rhythms     Open Access   (Followers: 2, SJR: 0.524, CiteScore: 1)
J. of Cognition     Open Access  
J. of Computer Applications in Archaeology     Open Access  
J. of Conservation and Museum Studies     Open Access   (Followers: 18)
J. of European Psychology Students     Open Access   (Followers: 1)
J. of Interactive Media in Education     Open Access   (Followers: 5)
J. of Molecular Signaling     Open Access   (SJR: 0.677, CiteScore: 2)
J. of Open Archaeology Data     Open Access   (Followers: 9)
J. of Open Hardware     Open Access  
J. of Open Humanities Data     Open Access   (Followers: 2)
J. of Open Psychology Data     Open Access   (Followers: 3)
J. of Open Research Software     Open Access   (Followers: 3)
J. of Portuguese Linguistics     Open Access  
KULA : knowldge creation, dissemination, and preservation studies     Open Access  
Laboratory Phonology : J. of the Association for Laboratory Phonology     Open Access   (Followers: 7)
Le foucaldien     Open Access  
MaHKUscript. J. of Fine Art Research     Open Access  
Metaphysics     Open Access  
Open Health Data     Open Access   (Followers: 4)
Open J. of Bioresources     Open Access   (Followers: 1)
Open Quaternary     Open Access   (Followers: 1)
Papers from the Institute of Archaeology     Open Access   (Followers: 15)
Physical Activity and Health     Open Access  
Present Pasts     Open Access   (Followers: 2)
Psychologica Belgica     Open Access   (SJR: 0.426, CiteScore: 1)
Secularism and Nonreligion     Open Access  
Stability : Intl. J. of Security and Development     Open Access   (Followers: 7, SJR: 0.438, CiteScore: 1)
Tilburg Law Review     Open Access   (Followers: 5, SJR: 0.289, CiteScore: 0)
Transactions of the Intl. Society for Music Information Retrieval     Open Access  
Utrecht J. of Intl. and European Law     Open Access   (Followers: 14)
Worldwide Waste : J. of Interdisciplinary Studies     Open Access  
Journal Cover
International Journal of Integrated Care
Journal Prestige (SJR): 0.662
Citation Impact (citeScore): 2
Number of Followers: 10  

  This is an Open Access Journal Open Access journal
ISSN (Online) 1568-4156
Published by Ubiquity Press Limited Homepage  [48 journals]
  • How Clinical Integration of Pharmacists in General Practice has Impact on
           Medication Therapy Management: A Theory-oriented Evaluation

    • Abstract: Background: Data on medication-related hospital admissions suggest that there is an opportunity for improved pharmaceutical care. Hence, concerns about  medication-related hospital admissions is a driver to extend and integrate the role of community pharmacists in general practice.Aim: The aim of this paper is to give a systematic description of 1) what integrating a non-dispensing pharmacist (NDP) in general practice entails and 2) how this integrated care model is expected to contribute to patients’ medication therapy management.Methods: Based on ethnographic data collected by NDPs in general practices in the Netherlands, we conducted a theory evaluation.Results: The impact of NDPs providing integrated care can be explained by 1) the specific expertise NDPs bring into general practice and the tailored solutions they offer for individual patients, including deviation from medical protocols when necessary, 2) the reconciliation of interprofessional tensions caused by overlapping tasks with practice nurses, which results in a distinct patient population, 3) the conduct of clinical medication reviews aligned to the work processes of the GP practice and 4) the integration of quality management work into clinical work.Conclusion: The success of integrated pharmaceutical care is dependent on how NDPs collaborate with GPs and practice nurses. NDPs need to mobilize clinical pharmaceutical expertise into general practice. Yet, integrating quality management into clinical work is key to integrate pharmaceutical care. Paradoxically, full integration requires from NDPs to develop a distinct role in general practice. Published on 2019-01-02 00:00:00
  • The Integrated Dyspnea Clinic: An Evaluation of Efficiency

    • Abstract: Introduction: Dyspnea is a common complaint and in 70 to 90% the origin is pulmonary or cardiovascular. However, referral to the “wrong” specialism could result in diagnostic- and treatment delay. Integrated care by a cardiologist and a pulmonologist could improve this. The aim of the present study was to evaluate whether integrated care for patients with dyspnea is more efficient and effective than regular care.Methods: Consecutive patients (n = 235) seen at our dyspnea clinic after June 2014 were included. Two patient groups were compared: 1) patients with an integrated consultation and 2) patients with a non-integrated consultation, who were seen by the cardiologist and the pulmonologist on separate occasions.Results: The median time until first diagnosis, final diagnosis and time needed for diagnostic workup was shorter for patients evaluated by a integrated consultation compared with patients with a non-integrated consultation for dyspnea (16 days vs. 37 days, p < 0.001; 51 days vs. 78 days, p < 0.001; 35 days vs. 67 days, p < 0.001). There were no significant differences in the majority of diagnostic tests used and final medical conclusions.Conclusions: Patients with dyspnea evaluated using integrated care were diagnosed almost one month faster than patients in regular care without affecting the type of medical conclusions made. This study supports the start of a dyspnea clinic as an efficient way to provide integrated care to patients with dyspnea. Take home message: Patients with dyspnea evaluated using integrated care where diagnosed one month faster than patients in regular care. Published on 2018-12-31 00:00:00
  • Tomorrow’s World: Is Digital Health the Disruptive Innovation that will
           Drive the Adoption of Integrated Care Systems'

    • Abstract: Published on 2018-12-27 00:00:00
  • The Reality of Uncertainty in Mental Health Care Settings Seeking
           Professional Integration: A Mixed-Methods Approach

    • Abstract: Introduction: Uncertainty is a common experience in the complex adaptive health system, particularly amongst mental health professionals structured for the delivery of integrated care. Increased understanding of uncertainty will not necessarily make things more certain, but can act to sensitize professionals to the challenges they face. The aim of this study is to examine the types and situations of uncertainty experienced by professionals working in a mental health setting based on an integrated care model. The research assesses the impact of experience and professional group on reported uncertainties.Methods: First, semi-structured interviews were undertaken with clinical and non-clinical staff to examine uncertainties experienced by professionals working in headspace centres in Australia. Second, an online survey was conducted to quantify the experiences of uncertainty and explore associations.Results: Findings revealed three overarching and largely interrelated aspects of uncertainty, namely: decision-making; professional role; and external factors. Most commonly, staff reported experiences of uncertainty pertaining to deciding to accept a client into the service and then deciding how to treat them. This is often due to arbitrary, or overly-restrictive criteria in integrated care. Findings also suggested
      that uncertainty does not necessarily decline with experience and there were no significant differences in levels of uncertainty between clinical and non-clinical staff.Conclusions: This study highlights the importance of acknowledging uncertainties and actively clarifying role ambiguities when working alongside diverse professionals in mental health care. Published on 2018-12-19 00:00:00
  • Suitability of a Programme for Improving Interprofessional Primary Care
           Team Meetings

    • Abstract: Introduction: Primary care is increasingly being confronted with complex health care demands stemming from both biomedical and psychosocial problems of people with chronic diseases. Interprofessional collaboration is needed to enhance person-centredness and coordinate care provision in an efficient manner, which should eventually result in high-quality and integrated care. In primary care, collaboration often occurs through periodic interprofessional team (IPT) meetings. We have developed a multifaceted programme (including a reflection framework, training activities and a toolbox) to enhance team functioning in terms of improved person-centredness and efficiency of meetings. The aim of this study was to evaluate the perceived suitability and potential impact of this programme. Eventually, findings of this evaluation should contribute to understanding the suitability of the programme and optimizing its design.Methods: A prospective process evaluation was conducted, using a mixed-methods approach. Six primary care IPTs participated. Data collection included observations of team meetings, semi-structured interviews with team chairpersons, a focus group meeting, and a questionnaire for all team members. Qualitative data were analysed using directed content analysis and quantitative data using descriptive statistics.Results: The results show that, on the whole, the programme was appreciated. Most progress was perceived regarding structure and organization. Chairs perceived increased awareness of person-centredness and team processes. They perceived the training activities as useful and instructive, and valued peer feedback and on-the-job coaching as the most effective strategies. Findings from the questionnaire showed a tendency in the desired direction for all variables.Conclusion: To conclude, the programme can be considered as a suitable approach for improving team functioning. However, enhancing person-centredness requires additional training/practice and on-the-job coaching. Lastly, the programme should be context-specific, flexible in use, and preferably delivered and mediated by an external facilitator at the workplace. Published on 2018-12-13 00:00:00
  • Complex Interventions and Interorganisational Relationships: Examining
           Core Implementation Components of Assertive Community Treatment

    • Abstract: Introduction: There is increasing interest in implementing evidence-based integrated models of care in community-based mental health service systems. Assertive Community Treatment (ACT) is seen as an attractive, and at the same time challenging, model to implement in sectored service settings. This study investigates the implementation process of such an initiative.Methods: Interviews were conducted with ACT team members, the process leader, steering group members, and collaboration partners. The “Sustainable Implementation Scale” helped to identify critical implementation components, and these were further explored using the qualitative interview data. The “Tool for Measuring Assertive Community Treatment” addressed programme fidelity, and the initiative’s sustainability was assessed.Results: High-fidelity implementation of ACT in a sectored service setting is possible. Prominent components that facilitated implementation were careful preparations, team members’ characteristics, and efforts by the process leader and the steering group to improve networking. Implementation was hampered by conflicting goals among the involved authorities and a mismatch between the ACT model’s characteristics and existing organisational traditions and regulations.Discussion and Conclusions: Reducing the uncertainty caused by conflicting goals is an important step in improving the implementation of ACT. In order to facilitate implementation, the goals, regulations, and availability of resources should be aligned horizontally and vertically through the involved organisations. Published on 2018-12-06 00:00:00
  • Examining Integrated Youth Services Using the Bioecological Model:
           Alignments and Opportunities

    • Abstract: Integrated youth service (IYS) is a collaborative approach that brings practitioners together from across disciplines to provide comprehensive services including mental health care for youth and their families. IYS models serve as an advancement in practice as they go beyond the capacity of individual programs and services to reduce the fragmentation of care. Yet, there continue to be opportunities to expand on this perspective and promote health beyond the scope of formalized services. The bioecological model is a theoretical model that examines individual development within multiple systems of influence as well as through interactional processes between the individual and their environment. This paper provides an overview of the bioecological model and the major components of the IYS model, describing alignment and complementarity. The bioecological model provides some explanations for why IYS models may be effective and helps to provide direction to expand applied practice toward a more holistic perspective. Published on 2018-11-30 00:00:00
  • Integration between Primary Health Care and Emergency Services in Brazil:
           Barriers and Facilitators

    • Abstract: Introduction: Characteristics of primary health care and emergency services may hamper their integration and, therefore, reduce the quality of care and the effectiveness of health systems. This study aims to identify and analyse policy, structural and organizational aspects of healthcare services that may affect the integration between primary health and emergency care networks.Theory and Methods: We conducted a qualitative research study based on grounded theory that included: (1) interviews with 30 health care leaders; and (2) documental analysis of the summaries of Regional Interagency Committee meetings from two regions in the state of Sao Paulo, Brazil.Results: The integration between primary health and emergency care network is inefficient. The barriers that contributed to this situation are as follows: (1) policy: the municipal health department is responsible for providing primary health care and the regional health department provides emergency care, but there is a lack of space for the integration of services; (2) structural: distinct criteria for planning mechanisms; and (3) organizational: ineffective point of interaction between different levels of the health system.Conclusions and discussion: Our findings have implications for health management and planning in low-and middle-income countries (LMICs) with suggestions for interventions for overcoming the aforementioned barriers. Published on 2018-11-15 00:00:00
  • Values of Integrated Care: A Systematic Review

    • Abstract: Introduction: Although substantial generic knowledge about integrated care has been developed, better understanding of the factors that drive behaviour, decision-making, collaboration and governance processes in integrated care networks is needed to take integrated care forward. To gain more insight into these topics and to understand integrated care in more depth, a set of underlying values of integrated care has been developed and defined in this study.Theory and methods: A systematic literature review was conducted to identify the underlying values of integrated care. Values theory was used as a theoretical framework for the analysis.Results: This study identified 23 values in the current body of knowledge. The most frequently identified values are ‘collaborative’, ‘co-ordinated’, ‘transparent’, ‘empowering’, ‘comprehensive’, ‘co-produced’ and ‘shared responsibility and accountability’.Discussion and conclusion: The set of values is presented as a potential basis for a values-driven approach to integrated care. This approach enables better understanding of the behaviours and collaboration in integrated care and may also be used to develop guidance or governance in this area. The practical application of the values and their use at multiple levels is discussed. The consequences of different stakeholder perceptions on the values is explored and an agenda for future research is proposed. Published on 2018-11-15 00:00:00
  • Patient and Health Care Professional Perspectives: A Case Study of the
           Lung Cancer Integrated Care Pathway

    • Abstract: Introduction: The purpose of this study was to evaluate the perception of the quality of care, considering both patient experience and health care professionals’ perceptions as well as patient outcome measures of an integrated lung cancer pathway. Methods: A cross-sectional study was conducted in 2016 at Ferrara University Hospital, Italy. OPportunity for Treatment In ONcology (OPTION) questionnaires were administered to 77 patients, and the Care Process Self-Evaluation Tool (CPSET) questionnaires were given to 38 health care professionals. The effectiveness of the pathway was evaluated by analysing the tool’s positive impact on lung cancer surgery volume and 30-day mortality. Results: Seventy-seven patients were enrolled, and 38 health care professionals assessed the CPSET questionnaire. The highest scores were related to “respect” (100%), “satisfaction” (98.7%), and “trust” (97.4%) on the OPTION and to “patient-focused vision” (97.2%) and “patient engagement” (94.4%) on the CPSET. The lowest scores were related to “information” (26%) and “cooperation with general practitioner” (17.6%) on the OPTION and “cooperation between the hospital and primary care” (23.5%) for the CPSET. The outcomes analysis shows an increase in the volume of activity and a decrease in 30-day mortality after pathway implementation. Discussion: The lung cancer pathway is a patient-centred intervention that enables care to be shaped for patient needs in order to improve the quality and efficiency of service and clinical outcome.  Published on 2018-10-31 18:22:22
School of Mathematical and Computer Sciences
Heriot-Watt University
Edinburgh, EH14 4AS, UK
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Fax: +00 44 (0)131 4513327
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