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  Subjects -> SOCIAL SERVICES AND WELFARE (Total: 224 journals)
Showing 1 - 135 of 135 Journals sorted alphabetically
Aboriginal and Islander Health Worker Journal     Full-text available via subscription   (Followers: 8)
ACOSS Papers     Full-text available via subscription   (Followers: 4)
Adoption & Fostering     Hybrid Journal   (Followers: 17)
Advances in Neurodevelopmental Disorders     Hybrid Journal   (Followers: 3)
Advances in Social Work     Open Access   (Followers: 32)
African Journal of Social Work     Open Access   (Followers: 2)
African Safety Promotion     Full-text available via subscription   (Followers: 4)
African Security     Hybrid Journal   (Followers: 6)
Annals of the American Academy of Political and Social Science     Hybrid Journal   (Followers: 44)
Argumentum     Open Access  
Asia Pacific Journal of Social Work and Development     Hybrid Journal   (Followers: 9)
Asian Journal of Social Science     Hybrid Journal   (Followers: 18)
Asian Social Work and Policy Review     Hybrid Journal   (Followers: 8)
Australasian Journal of Human Security     Full-text available via subscription   (Followers: 2)
Australasian Policing     Full-text available via subscription   (Followers: 7)
Australian Ageing Agenda     Full-text available via subscription   (Followers: 5)
Australian Journal of Emergency Management     Full-text available via subscription   (Followers: 20)
Australian Journal of Social Issues     Hybrid Journal   (Followers: 6)
Australian Journal on Volunteering     Full-text available via subscription   (Followers: 1)
Australian Social Work     Hybrid Journal   (Followers: 14)
AZARBE : Revista Internacional de Trabajo Social y Bienestar     Open Access  
Bakti Budaya     Open Access  
Basic and Applied Social Psychology     Hybrid Journal   (Followers: 43)
British Journal of Social Work     Hybrid Journal   (Followers: 74)
Campbell Systematic Reviews     Open Access   (Followers: 6)
Canadian Social Work Review     Full-text available via subscription   (Followers: 13)
Care Management Journals     Hybrid Journal   (Followers: 5)
Clinical Social Work Journal     Hybrid Journal   (Followers: 28)
Columbia Social Work Review     Open Access  
Communities, Children and Families Australia     Full-text available via subscription   (Followers: 4)
Community Development     Hybrid Journal   (Followers: 20)
Community, Work & Family     Hybrid Journal   (Followers: 24)
ConCienciaSocial     Open Access  
Contemporary Rural Social Work     Open Access   (Followers: 12)
Counseling Outcome Research and Evaluation     Hybrid Journal   (Followers: 12)
Counseling Psychology and Psychotherapy     Open Access   (Followers: 21)
Counsellor (The)     Full-text available via subscription   (Followers: 3)
Critical and Radical Social Work     Hybrid Journal   (Followers: 22)
Critical Policy Studies     Hybrid Journal   (Followers: 15)
Critical Social Policy     Hybrid Journal   (Followers: 47)
Cuadernos de Trabajo Social     Open Access  
Death Studies     Hybrid Journal   (Followers: 22)
Developing Practice : The Child, Youth and Family Work Journal     Full-text available via subscription   (Followers: 15)
Developmental Child Welfare     Hybrid Journal  
Du Bois Review: Social Science Research on Race     Full-text available via subscription   (Followers: 13)
Em Pauta : Teoria Social e Realidade Contemporânea     Open Access   (Followers: 1)
Ethics and Social Welfare     Hybrid Journal   (Followers: 23)
European Journal of Social Psychology     Hybrid Journal   (Followers: 43)
European Journal of Social Security     Full-text available via subscription   (Followers: 7)
European Journal of Social Work     Hybrid Journal   (Followers: 34)
European Journal of Work and Organizational Psychology     Hybrid Journal   (Followers: 34)
European Review of Social Psychology     Hybrid Journal   (Followers: 15)
Families in Society : The Journal of Contemporary Social Services     Full-text available via subscription   (Followers: 11)
Finnish Journal of eHealth and eWelfare : Finjehew     Open Access  
Geopolitical, Social Security and Freedom Journal     Open Access   (Followers: 1)
Global Social Policy     Hybrid Journal   (Followers: 36)
Global Social Welfare     Hybrid Journal   (Followers: 6)
Grief Matters : The Australian Journal of Grief and Bereavement     Full-text available via subscription   (Followers: 13)
Groupwork     Full-text available via subscription   (Followers: 1)
Health & Social Care In the Community     Hybrid Journal   (Followers: 48)
Health and Social Care Chaplaincy     Hybrid Journal   (Followers: 9)
Health and Social Work     Hybrid Journal   (Followers: 64)
HOLISTICA ? Journal of Business and Public Administration     Open Access   (Followers: 1)
Hong Kong Journal of Social Work, The     Hybrid Journal   (Followers: 3)
Housing Policy Debate     Hybrid Journal   (Followers: 20)
Human Service Organizations Management, Leadership and Governance     Hybrid Journal   (Followers: 24)
Indonesian Journal of Guidance and Counseling     Open Access  
International Journal of Ageing and Later Life     Open Access   (Followers: 1)
International Journal of Care and Caring     Hybrid Journal  
International Journal of Disability Management Research     Full-text available via subscription   (Followers: 2)
International Journal of East Asian Studies     Open Access   (Followers: 2)
International Journal of School Social Work     Open Access   (Followers: 2)
International Journal of Social Research Methodology     Hybrid Journal   (Followers: 63)
International Journal of Social Welfare     Hybrid Journal   (Followers: 18)
International Journal of Social Work     Open Access   (Followers: 20)
International Journal of Sociology and Social Policy     Hybrid Journal   (Followers: 68)
International Journal on Child Maltreatment : Research, Policy and Practice     Hybrid Journal   (Followers: 2)
International Social Science Journal     Hybrid Journal   (Followers: 22)
International Social Security Review     Hybrid Journal   (Followers: 9)
International Social Work     Hybrid Journal   (Followers: 20)
Islamic Counseling : Jurnal Bimbingan Konseling Islam     Open Access  
Janus Sosiaalipolitiikan ja sosiaalityön tutkimuksen aikakauslehti     Open Access  
Journal for Specialists in Group Work     Hybrid Journal   (Followers: 1)
Journal of Accessibility and Design for All     Open Access   (Followers: 12)
Journal of Applied Social Psychology     Hybrid Journal   (Followers: 59)
Journal of Benefit-Cost Analysis     Hybrid Journal   (Followers: 2)
Journal of Care Services Management     Hybrid Journal   (Followers: 7)
Journal of Child and Adolescent Counseling     Hybrid Journal  
Journal of Community & Applied Social Psychology     Partially Free   (Followers: 15)
Journal of Community Practice     Hybrid Journal   (Followers: 11)
Journal of Comparative Social Welfare     Hybrid Journal   (Followers: 16)
Journal of Comparative Social Work     Open Access   (Followers: 3)
Journal of Danubian Studies and Research     Open Access  
Journal of Ethnic & Cultural Diversity in Social Work     Hybrid Journal   (Followers: 18)
Journal of European Social Policy     Hybrid Journal   (Followers: 37)
Journal of Evidence-Based Social Work     Hybrid Journal   (Followers: 28)
Journal of Evidence-Informed Social Work     Hybrid Journal   (Followers: 7)
Journal of Family Issues     Hybrid Journal   (Followers: 21)
Journal of Forensic Social Work     Hybrid Journal   (Followers: 12)
Journal of Health Care for the Poor and Underserved     Full-text available via subscription   (Followers: 9)
Journal of Healthcare Engineering     Open Access   (Followers: 3)
Journal of HIV/AIDS & Social Services     Hybrid Journal   (Followers: 7)
Journal of Human Rights and Social Work     Hybrid Journal   (Followers: 3)
Journal of Integrated Care     Hybrid Journal   (Followers: 18)
Journal of International and Comparative Social Policy     Hybrid Journal   (Followers: 3)
Journal of Investigative Psychology and Offender Profiling     Hybrid Journal   (Followers: 11)
Journal of Language and Social Psychology     Hybrid Journal   (Followers: 19)
Journal of Occupational Science     Hybrid Journal   (Followers: 27)
Journal of Personality and Social Psychology     Full-text available via subscription   (Followers: 320)
Journal of Policy Practice     Hybrid Journal   (Followers: 8)
Journal of Policy Practice and Research     Hybrid Journal   (Followers: 2)
Journal of Prevention & Intervention Community     Hybrid Journal   (Followers: 9)
Journal of Professional Counseling: Practice, Theory & Research     Hybrid Journal  
Journal of Public Health     Hybrid Journal   (Followers: 145)
Journal of Public Mental Health     Hybrid Journal   (Followers: 14)
Journal of Religion & Spirituality in Social Work: Social Thought     Hybrid Journal   (Followers: 12)
Journal of Social Development in Africa     Full-text available via subscription   (Followers: 8)
Journal of Social Distress and the Homeless     Hybrid Journal   (Followers: 3)
Journal of Social Issues     Hybrid Journal   (Followers: 17)
Journal of Social Philosophy     Hybrid Journal   (Followers: 27)
Journal of Social Policy     Hybrid Journal   (Followers: 42)
Journal of Social Service Research     Hybrid Journal   (Followers: 11)
Journal of Social Work     Hybrid Journal   (Followers: 83)
Journal of Social Work Education     Hybrid Journal   (Followers: 14)
Journal of Social Work in Disability & Rehabilitation     Hybrid Journal   (Followers: 14)
Journal of Social Work in the Global Community     Open Access   (Followers: 1)
Journal of Social Work Practice in the Addictions     Hybrid Journal   (Followers: 12)
Journal of the Society for Social Work and Research     Full-text available via subscription   (Followers: 11)
Jurnal Karya Abdi Masyarakat     Open Access  
Just Policy: A Journal of Australian Social Policy     Full-text available via subscription   (Followers: 6)
Kontext : Zeitschrift für Systemische Therapie und Familientherapie     Hybrid Journal  
L'Orientation scolaire et professionnelle     Open Access  
Learning in Health and Social Care     Hybrid Journal   (Followers: 11)
Leidfaden : Fachmagazin für Krisen, Leid, Trauer     Hybrid Journal  
Links to Health and Social Care     Open Access  
Maltrattamento e abuso all’infanzia     Full-text available via subscription  
Measurement and Evaluation in Counseling and Development     Hybrid Journal   (Followers: 4)
Mental Health and Social Inclusion     Hybrid Journal   (Followers: 36)
Mental Health and Substance Use: dual diagnosis     Hybrid Journal   (Followers: 24)
Merrill-Palmer Quarterly     Full-text available via subscription   (Followers: 1)
Mortality: Promoting the interdisciplinary study of death and dying     Hybrid Journal   (Followers: 9)
Mundos do Trabalho     Open Access   (Followers: 1)
National Emergency Response     Full-text available via subscription   (Followers: 2)
New Zealand Journal of Occupational Therapy     Full-text available via subscription   (Followers: 69)
Nordic Social Work Research     Hybrid Journal   (Followers: 6)
Nordisk välfärdsforskning | Nordic Welfare Research     Open Access  
Northwestern Journal of Law & Social Policy     Open Access   (Followers: 6)
Nouvelles pratiques sociales     Full-text available via subscription   (Followers: 5)
Nusantara of Research: Jurnal Hasil-hasil Penelitian Universitas Nusantara PGRI Kediri     Open Access  
Parity     Full-text available via subscription   (Followers: 2)
Partner Abuse     Hybrid Journal   (Followers: 9)
Pedagogia i Treball Social : Revista de Cičncies Socials Aplicades     Open Access  
Personality and Social Psychology Bulletin     Hybrid Journal   (Followers: 168)
Personality and Social Psychology Review     Hybrid Journal   (Followers: 51)
Philosophy & Social Criticism     Hybrid Journal   (Followers: 22)
Policy Sciences     Hybrid Journal   (Followers: 14)
Practice: Social Work in Action     Hybrid Journal   (Followers: 16)
Prospectiva : Revista de Trabajo Social e Intervención Social     Open Access  
Psychoanalytic Social Work     Hybrid Journal   (Followers: 12)
Public Policy and Aging Report     Hybrid Journal   (Followers: 3)
Qualitative Research     Hybrid Journal   (Followers: 35)
Qualitative Social Work     Hybrid Journal   (Followers: 21)
Quality in Ageing and Older Adults     Hybrid Journal   (Followers: 44)
Race and Social Problems     Hybrid Journal   (Followers: 11)
Research in Social Stratification and Mobility     Hybrid Journal   (Followers: 13)
Research on Economic Inequality     Hybrid Journal   (Followers: 10)
Research on Language and Social Interaction     Hybrid Journal   (Followers: 19)
Research on Social Work Practice     Hybrid Journal   (Followers: 30)
Review of Social Economy     Hybrid Journal   (Followers: 4)
Revista Internacional De Seguridad Social     Hybrid Journal  
Revista Serviço Social em Perspectiva     Open Access  
Safer Communities     Hybrid Journal   (Followers: 50)
Science and Public Policy     Hybrid Journal   (Followers: 26)
Self and Identity     Hybrid Journal   (Followers: 21)
Service social     Full-text available via subscription   (Followers: 9)
Sexual Abuse in Australia and New Zealand     Full-text available via subscription   (Followers: 9)
Skriftserien Socialt Arbejde     Open Access   (Followers: 1)
Social Action : The Journal for Social Action in Counseling and Psychology     Free   (Followers: 2)
Social and Personality Psychology Compass     Hybrid Journal   (Followers: 17)
Social Behavior and Personality : An International Journal     Full-text available via subscription   (Followers: 13)
Social Choice and Welfare     Hybrid Journal   (Followers: 12)
Social Cognition     Full-text available via subscription   (Followers: 20)
Social Compass     Hybrid Journal   (Followers: 5)
Social Influence     Hybrid Journal   (Followers: 7)
Social Justice Research     Hybrid Journal   (Followers: 24)
Social Philosophy and Policy     Full-text available via subscription   (Followers: 25)
Social Policy & Administration     Hybrid Journal   (Followers: 31)
Social Policy and Society     Hybrid Journal   (Followers: 143)
Social Science Japan Journal     Hybrid Journal   (Followers: 11)
Social Semiotics     Hybrid Journal   (Followers: 7)
Social Work     Hybrid Journal   (Followers: 39)
Social Work & Social Sciences Review     Open Access   (Followers: 20)
Social Work / Maatskaplike Werk     Open Access  
Social Work and Society     Open Access   (Followers: 2)
Social Work Education: The International Journal     Hybrid Journal   (Followers: 14)
Social Work Research     Hybrid Journal   (Followers: 24)
Social Work Review     Full-text available via subscription   (Followers: 16)
Social Work With Groups     Hybrid Journal   (Followers: 7)
Socialinė teorija, empirija, politika ir praktika     Open Access  
Socialmedicinsk Tidskrift     Open Access  

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Similar Journals
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Journal of Integrated Care
Journal Prestige (SJR): 0.275
Citation Impact (citeScore): 1
Number of Followers: 18  
 
Hybrid Journal Hybrid journal   * Containing 10 Open Access Open Access article(s) in this issue *
ISSN (Print) 1476-9018 - ISSN (Online) 2042-8685
Published by Emerald Homepage  [362 journals]
  • Perceptions towards integrated care through the narrative of practicing
           social workers and psychologists in PHC: a cross-case analysis

    • Free pre-print version: Loading...

      Authors: Nadezhda Ryapolova , Jerome T. Galea , Karah Y. Greene
      Abstract: In a collective effort to build a patient-centered and coordinated health care system, social workers and psychologists are being progressively introduced to primary health care (PHC) settings worldwide. The present study aims to explore the current status of integration through the narrative of social workers and psychologists in PHC settings in Kazakhstan. In this paper purposive snowball sampling was utilized to recruit social workers and psychologists who work, or used to work, in PHC settings since the onset of integration in Nur-Sultan for participation in an in-depth interview. A semistructured interview guide was based on normalization process theory (NPT). Interviews were conducted via video conference, in Russian language, lasted no more than 50 min, and transcribed verbatim. Cross-case analysis of eight cases was performed using NPT constructs. Cross-case analysis included findings from the interviews from five social workers and three psychologists. Four major constructs of implementation process from NPT were reflected in the findings: coherence (believes integration improves patient care, functions within integrated care), cognitive participation (individual changes to role performance, mechanisms of work), collective action (status of support from stakeholders, cooperation within a multidisciplinary team) and reflective monitoring (existing mechanisms for monitoring the integration). Despite organizational integration, there is a lack of successful clinical integration of social workers and psychologists in PHC settings of Kazakhstan, which is manifested by a lack of understanding of responsibilities and functions of these mental health care specialists. Consensus was reached by all participants that both social workers and psychologists are valuable assets in a multidisciplinary team. The present study contributes to the current knowledge of integrated PHC service delivery by addressing the status of integrated care in Kazakhstan from interviews with key stakeholders in social work and mental health. Moving forward, improvements are needed to (1) establish the monitoring mechanism to evaluate the status of integration, (2) enhance effective collaboration within multidisciplinary teams in PHC settings and (3) increase awareness among medical workers and community members on mental health issues and the available support offered by social workers and psychologists to promote quality of life in a holistic, integrated manner.
      Citation: Journal of Integrated Care
      PubDate: 2022-12-05
      DOI: 10.1108/JICA-08-2022-0042
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Women living with HIV, diabetes and/or hypertension multi-morbidity in
           Uganda: a qualitative exploration of experiences accessing an integrated
           care service

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      Authors: Marie Claire Annette Van Hout , Flavia Zalwango , Mathias Akugizibwe , Moreen Namulundu Chaka , Charlotte Bigland , Josephine Birungi , Shabbar Jaffar , Max Bachmann , Jamie Murdoch
      Abstract: Women experience a triple burden of ill-health spanning non-communicable diseases (NCDs), reproductive and maternal health conditions and human immunodeficiency virus (HIV) in sub-Saharan Africa. Whilst there is research on integrated service experiences of women living with HIV (WLHIV) and cancer, little is known regarding those of WLHIV, diabetes and/or hypertension when accessing integrated care. Our research responds to this gap. The INTE-AFRICA project conducted a pragmatic parallel arm cluster randomised trial to scale up and evaluate “one-stop” integrated care clinics for HIV-infection, diabetes and hypertension at selected primary care centres in Uganda. A qualitative process evaluation explored and documented patient experiences of integrated care for HIV, diabetes and/or hypertension. In-depth interviews were conducted using a phenomenological approach with six WLHIV with diabetes and/or hypertension accessing a “one stop” clinic. Thematic analysis of narratives revealed five themes: lay health knowledge and alternative medicine, community stigma, experiences of integrated care, navigating personal challenges and health service constraints. WLHIV described patient pathways navigating HIV and diabetes/hypertension, with caregiving responsibilities, poverty, travel time and cost and personal ill health impacting on their ability to adhere to multi-morbid integrated treatment. Health service barriers to optimal integrated care included unreliable drug supply for diabetes/hypertension and HIV linked stigma. Comprehensive integrated care is recommended to further consider gender sensitive aspects of care. This study whilst small scale, provides a unique insight into the lived experience of WLHIV navigating care for HIV and diabetes and/or hypertension, and how a “one stop” integrated care clinic can support them (and their children) in their treatment journeys.
      Citation: Journal of Integrated Care
      PubDate: 2022-12-02
      DOI: 10.1108/JICA-06-2022-0033
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • An evaluation of speech and language therapy services for people with long
           COVID in the UK: a call for integrated care

    • Free pre-print version: Loading...

      Authors: Katie Chadd , Sophie Chalmers , Kate Harrall , Kathryn Moyse , Gemma Clunie
      Abstract: Long COVID is a complex and highly heterogeneous condition with a variable symptom profile, and calls have been made for an integrated care approach to be taken for its management. To date, no studies have explored speech and language therapy services or needs associated with long COVID. This service evaluation aimed to gauge the level of demand on speech and language therapy services for individuals with long COVID in the UK; their clinical needs, the organisational arrangements of services and the barriers and facilitators of delivering quality care. A service evaluation was undertaken via distribution of an online survey to speech and language therapists (SLTs) receiving referrals for individuals with long COVID. Analysis was completed using descriptive statistics, with thematic analysis to evaluate qualitative data. One hundred and eleven SLTs responded. Eighty-six percent were seeing individuals with long COVID in their “everyday” service, in uni- or multi-disciplinary teams, without any “dedicated” resource. Dysphagia and dysphonia were the most reported symptoms. Most respondents (66.7%) indicated the individuals they were seeing were of working age, and that an individuals' speech and language therapy needs were impacting their wellbeing. Perceived barriers to quality care included fragmented and non-integrated care pathways. Multi-disciplinary and integrated working was a key enabler. This study provides novel insights into the current speech and language therapy needs of and care pathways for individuals with long COVID in the UK SLTs have unique expertise and are integral to supporting individuals with long COVID and should be a part of integrated care teams.
      Citation: Journal of Integrated Care
      PubDate: 2022-11-30
      DOI: 10.1108/JICA-07-2022-0038
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • “Unchaining the doctor from the desk”: deliberate
           team-based care in action

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      Authors: Caroline Robertson , Tabitha Jones , Philippa Southwell
      Abstract: As a model of integrated care (IC), deliberate team-based care (DTBC) can help address workforce shortages facing rural communities by improving the health and wellbeing of healthcare providers. This study focuses on a GP practice implementing DTBC in rural Australia. The aim of this research was to understand the perspectives of the healthcare workers involved and to ascertain factors impacting on the day to day running of the model, patient care and clinician work-life. The authors conducted a qualitative study on the experiences of the DTBC workers. Team members were invited to participate in semi-structured interviews (n = 9). Interviews were analysed using an iterative thematic analysis, summarised, collated and explored for emergent themes. Key themes included: creating change from old ways of doing things, development and implementation processes outlining how the model evolved and how it ran from day to day, model outcomes for patients and clinicians, as well as practical considerations like funding, technology and time. Building DTBC from the ground up has produced a high functioning team who demonstrate trust and equality, share information freely and all have a voice which is heard and respected. By acting as a champion and a leader, the GP has created a psychologically safe environment allowing the team to share knowledge, collaborate in problem solving and provide effective patient care which is holistic and community grounded. This work environment holds promise for creating improved work-life for rural clinicians and potential for workforce retention.
      Citation: Journal of Integrated Care
      PubDate: 2022-08-23
      DOI: 10.1108/JICA-03-2022-0020
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • A qualitative exploratory study of training requirements for general
           practitioners attending older people resident in care homes

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      Authors: Sarah Ruaux , Neil Chadborn
      Abstract: Older people who reside in care homes have varying access and quality of medical care; in the UK, this is provided by general practitioners (GPs). The authors aimed to explore the experiences of trainee GPs in delivering integrated care and discuss, with senior GPs, opportunities to improve training. Two trainees and thirteen senior GPs were recruited through professional networks and participated in semi-structured interviews. Transcriptions were analysed using thematic analysis, and the theory of negotiated order was used to interpret findings. Trainees received no specific training on working with care homes. Exposure to the care home setting was variable, and could be negligible, depending on the GP practice placement. Senior GPs expressed concerns about patient safety, due to practical challenges of the consultation and a sense of lack of control. Considering the theory of negotiated order, where GPs had trusting relationships with care home staff, the input of the staff could mitigate the sense of risk. Care plans could communicate needs and preferences within the team and may be a way of extending the negotiated order, for example giving care homes authority to implement end-of-life care when the GP is not present. The authors identified a need for trainees to engage with the organisational aspect of the care home to deliver integrated care. Trusted relationships with staff led to improved consultations, care plans, and better management of risk. This is the first study of learning needs for GP trainees to provide integrated care for older care home residents.
      Citation: Journal of Integrated Care
      PubDate: 2022-08-12
      DOI: 10.1108/JICA-11-2021-0060
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Interdependencies or integration' A qualitative evaluation of a
           national emergency department improvement programme

    • Free pre-print version: Loading...

      Authors: Katie Jones , Jaynie Y. Rance
      Abstract: In Wales (United Kingdom (UK)), a programme known as the emergency department quality and delivery framework (EDQDF) was launched in 2018 with the purpose of designing a framework of what good looks like for emergency care and then implementing this framework in a measurable and sustainable way. A gatekeeper emailed attendees of the EDQDF launch event (n = 70), providing recipients with an information sheet and inviting them to contact the researcher (KJ) if they agreed to be interviewed. The authors conducted semi-structured interviews with all respondents (n = 8) after three invitation rounds sent between August and October 2021. The authors used a thematic analysis approach (Braun and Clarke, 2006). Participants agreed with the aims and design of the framework, and the authors identified four themes relating to barriers and to facilitators of implementation. Participants perceive a softening of geographical boundaries through the project, but findings correspond with evidence generated elsewhere regarding emergency departments’ (EDs') system-wide interdependencies and a need for cross-organisational collaboration. A quality improvement method for health services known as CAREMORE® is found to be a useful approach for the collaborative design of service improvements. Participants perceive a softening of geographical boundaries through the project, but the interviews correspond with evidence generated elsewhere regarding EDs' system-wide interdependencies and a need for cross-organisational collaboration. This evaluation relies on a relatively small number of participants, but as a qualitative evaluation it does not aim towards broadly generalisable findings but rather contributes to broad field concerned with the production of knowledge on the implementation of health service improvements. The project under evaluation is also on-going, and the findings reflect the period from inception to December 2021, but not beyond that date. This evaluation builds upon previous work in relation to the application of CAREMORE to design a quality improvement framework in a complex area (see Nelson et al., 2018), but this evaluation considers the implementation process. The findings echo research elsewhere and add to a growing body of research that underlines system interconnectivities that impact upon the emergency department.
      Citation: Journal of Integrated Care
      PubDate: 2022-08-04
      DOI: 10.1108/JICA-04-2022-0026
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Crisis and mental health of working women: risk factors and integrated
           care interventions based on organizational, individual, and institutional
           partnership

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      Authors: Salima Hamouche
      Abstract: Crises can weigh heavily on individuals' mental health. COVID-19 is a crisis that has shaken humanity, plunging it into a great wave of fear, ambiguity and uncertainty, due to its novelty and rapid spread, as well as lethality. Mental health disparities between women and men have widened as a result of this pandemic. Stress factors have multiplied, especially among working women, making them more psychologically vulnerable than they were before this pandemic and easy prey to psychological distress. This emphasized the importance of having integrated care interventions that take into consideration the organizational context, with gendered lenses. This paper discusses the relationship between COVID-19 and psychological distress among women in the workforce. It presents the main sources of stress and addresses integrated care interventions that can help to prevent psychological distress among women. This paper is a viewpoint and critique of the recent literature. Interventions based on a partnership between employers, employees, and government, including health and social services are needed to prevent mental health problems among women in the workplace that can result from crises. In this case, a gendered approach as well as an optimization of the use of new technologies should be favored. There is little focus on the development of integrated care approaches to address psychological distress among working women in times of crisis and beyond. This paper helps to expand the scope of integrated care to work-related mental health research by exploring the impact of an unprecedented health crisis on a vulnerable group that suffers from disparities in mental health. It also provides insights into preventive interventions, built upon an integrated care approach, based on a tripartite partnership between working women, employing organizations, and governmental institutions, facilitated by the integration of new technologies. By doing this, the author aims to contribute to the prevention of mental health issues that can result from this crisis.
      Citation: Journal of Integrated Care
      PubDate: 2022-06-10
      DOI: 10.1108/JICA-02-2022-0014
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Healthcare provider selection for elderly patients suffering from NCD's:
           an analysis with the combined approach of DEMATEL and AHP

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      Authors: Ankit Singh , Ajeya Jha , Shankar Purbey , Priya Ravi
      Abstract: Elderly patients suffering from non-communicable disease face a dilemma in the selection of healthcare providers. This study attempts to identify the key variables playing a crucial role and identify the appropriate healthcare destination with the help of a combination of Decision-making Trial and Evaluation Laboratory (DEMATEL) and analytic hierarchy process (AHP) techniques. The primary objective is to introduce the DEMATEL and AHP as efficient decision-making methods to choose the right healthcare provider for elderly patients suffering from non-communicable diseases. An integrative approach utilizing DEMATEL and AHP is used to reach the ideal solution for healthcare provider selection decisions. The DEMATEL approach is used to segregate the cause and effect variables. Similarly, the AHP is used to identify the weights of the top five cause-inducing variables, and the paired comparison method is used to select the healthcare provider. The variables such as dependency on family members, easily accessible services, and patient autonomy play a vital role in the selection decision of healthcare providers in elderly patients suffering from non-communicable diseases. In terms of priority, home healthcare should be considered the preferred provider for elderly patients suffering from non-communicable diseases followed by neighbourhood registered medical practitioners and hospitals. This is the first of its kind study which has attempted to solve the healthcare provider selection decision with the combined approach of DEMATEL and AHP.
      Citation: Journal of Integrated Care
      PubDate: 2022-06-06
      DOI: 10.1108/JICA-11-2021-0056
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • Does a discharge to assess programme introduced in England meet the
           quadruple aim of service improvement'

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      Authors: Stuart Jeffery , Julie MacInnes , Lavinia Bertini , Susie Walker
      Abstract: This paper intends to examine and evaluate the implementation and delivery of a discharge to assess pathway based on the UK Department of Health and Social Care Hospital Discharge Policy in relation to the quadruple aim of healthcare improvement: improving patient experience, reducing costs, benefiting the wider population and improving the work life of staff. Using a place based partnership in the south of England, 18 staff involved the delivery of discharge to assess and four patients who had recently been through the pathway were interviewed and the narratives analysed using a framework method. All four dimensions of the quadruple aim were felt to be positively impacted by the discharge to assess pathway in varying degrees. Staff described improvements to working lives; patients described a positive experience. There was no evidence of reduced costs and wider benefit through reduced length of stay was suggested rather than demonstrated. The study showed a need to ensure both information flows and discharge process are smooth, that there is sufficient community capacity and capability, a need for strong relationships and shared goals, for clarity of pathway and empowered staff, and for an avoidance of the over prescription of care. The revised discharge to assess pathway in England has been in place since 2020 and no other assessments of the pathway were found that related the changes to the quadruple aim framework.
      Citation: Journal of Integrated Care
      PubDate: 2022-06-03
      DOI: 10.1108/JICA-02-2022-0018
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2022)
       
  • A delicate balance: how physicians manage change towards collaborative
           care within their institutions

         This is an Open Access Article Open Access Article

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      Authors: Debbie Vermond , Esther de Groot , Niek de Wit , Dorien Zwart
      Abstract: In response to the COVID-19 pandemic, in 2020–2022, the immutable and fragmented character of our healthcare system changed. Healthcare professionals and their institutional leads proved remarkably agile and managed to change toward collaborative care. The purpose of this paper is to examine experiences with collaborative practice in healthcare during the COVID-19 pandemic in two regions in the Netherlands, to explore and understand the relationship between policy and practice and the potential development of new collaborative care routines. Using a methodology informed by theories that have a focus on professional working practice (so called “activity theory”) or the institutional decision-makers (discursive institutionalism), respectively, the perspective of physicians on the relationship between policy and practice was explored. Transcripts of meetings with physicians from different institutions and medical specialities about their collaborative COVID-19 care were qualitatively analysed. The findings show how change during COVID-19 was primarily initiated from the bottom-up. Cultural-cognitive and normative forces in professional, collaborative working practice triggered the creation of new relationships and sharing of resources and capacity. The importance of top-down regulatory forces from institutional leads was less evident. Yet, both (bottom-up) professional legitimacy and (top-down) institutional support are mentioned as necessary by healthcare professionals to develop and sustain new collaborative routines. The COVID-19 crisis provided opportunity to build better healthcare infrastructure by learning from the responses to this pandemic. Now is the time to find ways to integrate new ways of working initiated from the bottom-up with those longstanding ones initiated from top-down. This paper presents a combination of theories for understanding collaboration in healthcare, which can inform future research into collaborative care initiatives.
      Citation: Journal of Integrated Care
      PubDate: 2022-09-08
      DOI: 10.1108/JICA-04-2022-0027
      Issue No: Vol. 30 , No. 5 (2022)
       
  • Integration, population commissioning and prison health and well-being –
           an exploration of benefits and challenges through the study of
           telemedicine

         This is an Open Access Article Open Access Article

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      Authors: Chantal Edge , Nikki Luffingham , Georgia Black , Julie George
      Abstract: This paper seeks to understand relationships between prison healthcare and integrated care systems (ICS), including how these affect the delivery of new healthcare interventions. It also aims to understand how closer integration between prison and ICS could improve cross system working between community and prison healthcare teams, and highlights challenges that exist to integration between prison healthcare and ICS. The study uses evidence from research on the implementation of a pilot study to establish telemedicine secondary care appointments between prisons and an acute trust in one English region (a cross-system intervention). Qualitative interview data were collected from prison (n = 12) and community (n = 8) healthcare staff related to the experience of implementing a cross-system telemedicine initiative. Thematic analysis was undertaken on interview data, guided by an implementation theory and framework. The research found four main themes related to the closer integration between prison healthcare and ICS: (1) Recognition of prison health as a priority; (2) Finding a way to reconcile networks and finances between community and prison commissioning; (3) Awareness of prison service influence on NHS healthcare planning and delivery; and (4) Shared investment in prison health can lead to benefits. This is the first article to provide research evidence to support or challenge the integration of specialist health and justice (H&J) commissioning into local population health.
      Citation: Journal of Integrated Care
      PubDate: 2022-06-03
      DOI: 10.1108/JICA-11-2021-0055
      Issue No: Vol. 30 , No. 5 (2022)
       
  • Link workers, activities and target groups in social prescribing:
           a literature review

         This is an Open Access Article Open Access Article

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      Authors: Denis Rothe , Raffael Heiss
      Abstract: Social prescribing is a model of integrated care, in which primary healthcare staff can link patients to the social care sector. However, social prescribing can occur in different forms. To better understand the concept of social prescribing, this literature review examines the role of the link workers, activities and target groups. A literature review was conducted. Studies before May 2020 were considered. In total, 1,700 studies were identified using the databases Pubmed, PsycInfo, Cinahl, Web of Science and Cochrane Library. After eligibility checks, 16 studies were included in the final analysis. A few studies warned of a deeper engagement of the link worker due to service dependency, but most studies encouraged an active and supportive role of the link worker. Participants engaged in social, physical and counseling activities. The majority of studies emphasized the importance of linking group activities with personal preferences and identity needs. The main target groups were composed of individuals with psychosocial needs, but some studies also included patients with physical or mental illnesses. Social prescribing is widely advocated as an innovative model of integrated care. However, few studies have looked into the complex system of social prescribing. This study analyzes the linking processes, activities and target groups in extant social prescribing programs.
      Citation: Journal of Integrated Care
      PubDate: 2022-02-01
      DOI: 10.1108/JICA-09-2021-0047
      Issue No: Vol. 30 , No. 5 (2022)
       
  • What are the priorities for the future development of integrated care'
           A scoping review

         This is an Open Access Article Open Access Article

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      Authors: Corey Burke , John Broughan , Geoff McCombe , Ronan Fawsitt , Áine Carroll , Walter Cullen
      Abstract: “Integrated care” (IC) is an approach to health and social care delivery that aims to prevent problems arising from fragmented care systems. The collective content of the IC literature, whilst valuable, has become extensive and wide-ranging to such a degree that knowing what is most important in IC is a challenge. This study aims to address this issue. A scoping review was conducted using Arksey and O'Malley's framework to determine IC priority areas. Twenty-one papers relevant to the research question were identified. These included studies from many geographical regions, encompassing several study designs and a range of populations and sample sizes. The findings identified four priority areas that should be considered when designing and implementing IC models: (1) communication, (2) coordination, collaboration and cooperation (CCC), (3) responsibility and accountability and (4) a population approach. Multiple elements were identified within these priorities, all of which are important to ensuring successful and sustained integration of care. These included education, efficiency, patient centredness, safety, trust and time. The study's findings bring clarity and definition to what has become an increasingly extensive and wide-ranging body of work on the topic of IC. Future research should evaluate the implementation of these priorities in care settings.
      Citation: Journal of Integrated Care
      PubDate: 2021-08-17
      DOI: 10.1108/JICA-01-2021-0002
      Issue No: Vol. 30 , No. 5 (2021)
       
  • Making a difference: workforce skills and capacity for integrated care
         This is an Open Access Article Open Access Article

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      Authors: Joy Akehurst , Paul Stronge , Karen Giles , Jonathon Ling
      Abstract: The aim of this action research was to explore, from a workforce and a patient/carer perspective, the skills and the capacity required to deliver integrated care and to inform future workforce development and planning in a new integrated care system in England. Semi-structured interviews and focus groups with primary, community, acute care, social care and voluntary care, frontline and managerial staff and with patients and carers receiving these services were undertaken. Data were explored using framework analysis. Analysis revealed three overarching themes: achieving teamwork and integration, managing demands on capacity and capability and delivering holistic and user-centred care. An organisational development (OD) process was developed as part of the action research process to facilitate the large-scale workforce changes taking place. This study did not consider workforce development and planning challenges for nursing and care staff in residential, nursing care homes or domiciliary services. This part of the workforce is integral to the care pathways for many patients, and in line with the current emerging national focus on this sector, these groups require further examination. Further, data explore service users' and carers' perspectives on workforce skills. It proved challenging to recruit patient and carer respondents for the research due to the nature of their illnesses. Many of the required skills already existed within the workforce. The OD process facilitated collaborative learning to enhance skills; however, workforce planning across a whole system has challenges in relation to data gathering and management. Ensuring a focus on workforce development and planning is an important part of integrated care development. This study has implications for social and voluntary sector organisations in respect of inter-agency working practices, as well as the identification of workforce development needs and potential for informing subsequent cross-sector workforce planning arrangements and communication. This paper helps to identify the issues and benefits of implementing person-centred, integrated teamworking and the implications for workforce planning and OD approaches.
      Citation: Journal of Integrated Care
      PubDate: 2021-03-31
      DOI: 10.1108/JICA-05-2020-0030
      Issue No: Vol. 30 , No. 5 (2021)
       
  • Coordination of paediatric oncology care: an explorative Swedish case
           study

         This is an Open Access Article Open Access Article

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      Authors: Christian Gadolin , Erik Eriksson , Patrik Alexandersson
      Abstract: The aim of this paper is to empirically describe and analyze factors deemed to be relevant for the successful provision of coordinated paediatric oncology care by physicians and nurses involved. A qualitative case study primarily consisting of interviews. The paper's findings indicate that certain factors (i.e. distinct mission, clear treatment protocols and support from external stakeholders) relevant for the provision of coordinated paediatric oncology care have not received sufficient attention in previous research. In addition, emphasis is placed on the necessity of facilitating constructive working relationships and a bottom-up perspective when pursuing improved care coordination. The factors described and analyzed may act as insights for how paediatric oncology might be improved in terms of care coordination and thus facilitate care integration. In addition, the paper's findings identify factors relevant for further empirical studies in order to delineate their generalizability.
      Citation: Journal of Integrated Care
      PubDate: 2021-03-23
      DOI: 10.1108/JICA-10-2020-0063
      Issue No: Vol. 30 , No. 5 (2021)
       
  • Measuring integrated care at the interface between primary care and
           secondary care: a scoping review

         This is an Open Access Article Open Access Article

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      Authors: Aimee O'Farrell , Geoff McCombe , John Broughan , Áine Carroll , Mary Casey , Ronan Fawsitt , Walter Cullen
      Abstract: In many healthcare systems, health policy has committed to delivering an integrated model of care to address the increasing burden of disease. The interface between primary and secondary care has been identified as a problem area. This paper aims to undertake a scoping review to gain a deeper understanding of the markers of integration across the primary–secondary interface. A search was conducted of PubMed, SCOPUS, Cochrane Library and the grey literature for papers published in English using the framework described by Arksey and O'Malley. The search process was guided by the “Preferred Reporting Items for Systematic Reviews and Meta-Analyses” (PRISMA). The initial database search identified 112 articles, which were screened by title and abstract. A total of 26 articles were selected for full-text review, after which nine articles were excluded as they were not relevant to the research question or the full text was not available. In total, 17 studies were included in the review. A range of study designs were identified including a systematic review (n = 3), mixed methods study (n = 5), qualitative (n = 6) and quantitative (n = 3). The included studies documented integration across the primary–secondary interface; integration measurement and factors affecting care coordination. Many studies examine individual aspects of integration. However, this study is unique as it provides a comprehensive overview of the many perspectives and methodological approaches involved with evaluating integration within the primary–secondary care interface and primary care itself. Further research is required to establish valid reliable tools for measurement and implementation.
      Citation: Journal of Integrated Care
      PubDate: 2021-03-18
      DOI: 10.1108/JICA-11-2020-0073
      Issue No: Vol. 30 , No. 5 (2021)
       
  • The impact of structural changes to community nursing services on the rate
           of emergency hospital use of older people: a longitudinal ecological study
           of based on 140 primary care trusts in England

         This is an Open Access Article Open Access Article

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      Authors: Steven Wyatt , Robin Miller , Peter Spilsbury , Mohammed Amin Mohammed
      Abstract: In 2011, community nursing services were reorganised in England in response to a national policy initiative, but little is known about the impact of these changes. A total of three dominant approaches emerged: (1) integration of community nursing services with an acute hospital provider, (2) integration with a mental health provider and (3) the establishment of a stand-alone organisation, i.e. without structural integration. The authors explored how these approaches influenced the trends in emergency hospital admissions and bed day use for older people. The methodology was a longitudinal ecological study using panel data over a ten-year period from April 2006 to March 2016. This study’s outcome measures were (1) emergency hospital admissions and (2) emergency hospital bed use, for people aged 65+ years in 140 primary care trusts (PCTs) in England. The authors found no statistically significant difference in the post-intervention trend in emergency hospital admissions between those PCTS that integrated community nursing services with an acute care provider and those integrated with a mental health provider (IRR 0.999, 95% CI 0.986–1.013) or those that did not structurally integrate services (IRR 0.996, 95% CI 0.982–1.010). The authors similarly found no difference in the trends for emergency hospital bed use. PCTs were abolished in 2011 and replaced by clinical commissioning groups in 2013, but the functions remain. The authors found no evidence that any one structural approach to the integration of community nursing services was superior in terms of reducing emergency hospital use in older people. As far as the authors are aware, previous studies have not examined the impact of alternative approaches to integrating community nursing services on healthcare use.
      Citation: Journal of Integrated Care
      PubDate: 2021-01-20
      DOI: 10.1108/JICA-09-2020-0056
      Issue No: Vol. 30 , No. 5 (2021)
       
  • Achieving sustainable governance of horizontal integration of care
           services: progress and democratic accountability of strategic coordination
           bodies for older people

         This is an Open Access Article Open Access Article

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      Authors: Stefan Szücs , Inger Kjellberg
      Abstract: The purpose is to analyse the relationship between democratic accountability and how sustainable governance is achieved by horizontally integrating care services for older people through collaboration in a coordination body of key leaders from across the health and social care system. The data and measures come from two surveys with coordination body members in Sweden (politicians, administrators, professionals) from a sample of 73 bodies in 2015 (n = 549) and the same/corresponding 59 bodies in 2019 (n = 389). The governance of integrating care scale and the accountability scales repeatedly show consistency among individual members. Systematic progress is found among large coordination bodies: the greater the average perception of governance of horizontally integrating care in 2015, the greater it was in 2019 – and regardless of the period, the stronger the internal administrative or political monitoring and reviewing of the coordination body, the greater its governance (while the relationship to the external monitoring and reviewing is weak). However, the growing importance of external accountability is indirect, shown by stronger correlations between the internal political and external monitoring and reviewing, regardless of size. The scales are based on self-reported perceptions that cannot be objectively verified, but they can be linked to changes in outcomes and user experiences in the later stages of the research. Repeatedly verified scales of internal and external accountability for analysing and evaluating governance of integrating care services horizontally, which is useful for improving strategic coordination of integrated care.
      Citation: Journal of Integrated Care
      PubDate: 2020-12-30
      DOI: 10.1108/JICA-06-2020-0042
      Issue No: Vol. 30 , No. 5 (2020)
       
  • Beyond the workforce training pipeline: embracing the meandering stream of
           “whole of life” and career to strengthen the retention of health
           professionals rurally

         This is an Open Access Article Open Access Article

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      Authors: Richard Colbran , Robyn Ramsden , Michael Edwards , Emer O'Callaghan , Dave Karlson
      Abstract: While Australia has continued to invest in polices and strategies aimed at improving rural health service provision, many communities still confront a disproportionate share of the rural workforce shortage. The NSW Rural Doctors Network (RDN) contributes its perspectives about the importance of a whole of life career and the meandering stream concept to support the retention of health professionals rurally. We unpack these concepts and examine how they bring to light a new and useful approach to addressing rural workforce challenges and potentially contribute to building a stronger integrated care approach. The approach used involved tapping into RDN's 30-years of experience in recruitment and retention of remote and rural health professionals, combined with insights from relevant existing and emerging evidence. We suggest that reframing retention to consider a life stage approach to career will guide more effective targeting of rural health policies, workforce planning, collaborative approaches and allocation of incentives. We posit that an understanding and acceptance of modern lifestyles and career pathways, and a celebration of career commitment to serving rural communities, is necessary for successful recruitment and retention of Australia's future rural health workforce beyond the training pipeline. We outline and visually represent RDN's meandering stream approach to building and retaining a capable rural health workforce through addressing life cycle and workforce level needs. This perspective paper draws on RDN's direct experience in the field.
      Citation: Journal of Integrated Care
      PubDate: 2020-12-01
      DOI: 10.1108/JICA-04-2020-0022
      Issue No: Vol. 30 , No. 5 (2020)
       
  • Journal of Integrated Care

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