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  Subjects -> DISABILITY (Total: 114 journals)
Showing 1 - 200 of 310 Journals sorted alphabetically
Advances in Autism     Hybrid Journal   (Followers: 42)
Advances in Human Factors/Ergonomics     Full-text available via subscription   (Followers: 26)
Advances in Mental Health and Intellectual Disabilities     Hybrid Journal   (Followers: 89)
Advances in Mental Health and Learning Disabilities     Hybrid Journal   (Followers: 32)
Aequitas : Revue de Développement Humain, Handicap et Changement Social     Full-text available via subscription   (Followers: 10)
African Journal of Disability     Open Access   (Followers: 9)
Ageing & Society     Hybrid Journal   (Followers: 48)
ALTER - European Journal of Disability Research / Revue Européenne de Recherche sur le Handicap     Full-text available via subscription   (Followers: 13)
American Annals of the Deaf     Full-text available via subscription   (Followers: 19)
American Journal of Speech-Language Pathology     Full-text available via subscription   (Followers: 58)
American Journal on Intellectual and Developmental Disabilities     Full-text available via subscription   (Followers: 67)
Aphasiology     Hybrid Journal   (Followers: 61)
Assistive Technology: The Official Journal of RESNA     Hybrid Journal   (Followers: 22)
Audiology     Open Access   (Followers: 12)
Audiology - Communication Research     Open Access   (Followers: 12)
Audiology Research     Open Access   (Followers: 11)
Augmentative and Alternative Communication     Hybrid Journal   (Followers: 50)
Autism     Hybrid Journal   (Followers: 350)
Autism & Developmental Language Impairments     Open Access   (Followers: 16)
Autism in Adulthood     Hybrid Journal   (Followers: 9)
Autism Research     Hybrid Journal   (Followers: 59)
Autism's Own     Open Access   (Followers: 10)
British Journal of Learning Disabilities     Hybrid Journal   (Followers: 102)
British Journal of Special Education     Hybrid Journal   (Followers: 55)
British Journal of Visual Impairment     Hybrid Journal   (Followers: 14)
Canadian Journal of Disability Studies     Open Access   (Followers: 39)
Deafness & Education International     Hybrid Journal   (Followers: 6)
Developmental Disabilities Research Reviews     Hybrid Journal   (Followers: 27)
Disability & Rehabilitation     Hybrid Journal   (Followers: 87)
Disability & Society     Hybrid Journal   (Followers: 90)
Disability and Health Journal     Hybrid Journal   (Followers: 23)
Disability and Rehabilitation: Assistive Technology     Hybrid Journal   (Followers: 48)
Disability Compliance for Higher Education     Hybrid Journal   (Followers: 10)
Disability Studies Quarterly     Open Access   (Followers: 46)
Disability, CBR & Inclusive Development     Open Access   (Followers: 17)
Distúrbios da Comunicação     Open Access  
Early Popular Visual Culture     Hybrid Journal   (Followers: 6)
European Review of Aging and Physical Activity     Open Access   (Followers: 11)
Health Expectations     Open Access   (Followers: 16)
Hearing, Balance and Communication     Hybrid Journal   (Followers: 5)
Inclusion     Full-text available via subscription   (Followers: 21)
Indian Journal of Cerebral Palsy     Open Access   (Followers: 1)
Intellectual and Developmental Disabilities     Full-text available via subscription   (Followers: 43)
Intellectual Disability Australasia     Full-text available via subscription   (Followers: 13)
International Journal of Audiology     Hybrid Journal   (Followers: 20)
International Journal of Developmental Disabilities     Hybrid Journal   (Followers: 41)
International Journal of Disability Management Research     Full-text available via subscription   (Followers: 11)
International Journal of Language & Communication Disorders     Hybrid Journal   (Followers: 60)
International Journal of Orthopaedic and Trauma Nursing     Hybrid Journal   (Followers: 13)
International Journal of Technology Assessment in Health Care     Hybrid Journal   (Followers: 16)
International Journal on Disability and Human Development     Hybrid Journal   (Followers: 23)
Journal for Healthcare Quality     Hybrid Journal   (Followers: 28)
Journal of Accessibility and Design for All     Open Access   (Followers: 14)
Journal of Adult Protection, The     Hybrid Journal   (Followers: 16)
Journal of Aging and Health     Hybrid Journal   (Followers: 27)
Journal of Applied Research in Intellectual Disabilities     Hybrid Journal   (Followers: 53)
Journal of Assistive Technologies     Hybrid Journal   (Followers: 21)
Journal of Autism and Developmental Disorders     Hybrid Journal   (Followers: 94)
Journal of Deaf Studies and Deaf Education     Hybrid Journal   (Followers: 13)
Journal of Disability & Religion     Hybrid Journal   (Followers: 15)
Journal of Disability Policy Studies     Hybrid Journal   (Followers: 31)
Journal of Early Hearing Detection and Intervention     Open Access   (Followers: 7)
Journal of Elder Abuse & Neglect     Hybrid Journal   (Followers: 10)
Journal of Enabling Technologies     Hybrid Journal   (Followers: 11)
Journal of Gerontological Social Work     Hybrid Journal   (Followers: 15)
Journal of Integrated Care     Hybrid Journal   (Followers: 22)
Journal of Intellectual & Developmental Disability     Hybrid Journal   (Followers: 66)
Journal of Intellectual Disabilities     Hybrid Journal   (Followers: 40)
Journal of Intellectual Disabilities and Offending Behaviour     Hybrid Journal   (Followers: 55)
Journal of Intellectual Disability - Diagnosis and Treatment     Hybrid Journal   (Followers: 9)
Journal of Intellectual Disability Research     Hybrid Journal   (Followers: 71)
Journal of Learning Disabilities and Offending Behaviour     Hybrid Journal   (Followers: 28)
Journal of Literary & Cultural Disability Studies     Hybrid Journal   (Followers: 15)
Journal of Occupational Therapy, Schools, & Early Intervention     Hybrid Journal   (Followers: 56)
Journal of Policy and Practice In Intellectual Disabilities     Hybrid Journal   (Followers: 25)
Journal of Science Education for Students with Disabilities     Open Access   (Followers: 4)
Journal of Social Work in Disability & Rehabilitation     Hybrid Journal   (Followers: 20)
Journal of Speech, Language, and Hearing Research     Full-text available via subscription   (Followers: 95)
Journal of Spinal Cord Medicine     Hybrid Journal   (Followers: 6)
Learning Disabilities : A Multidisciplinary Journal     Full-text available via subscription   (Followers: 11)
Learning Disability Practice     Full-text available via subscription   (Followers: 27)
Mental Health Practice     Full-text available via subscription   (Followers: 24)
Music and Medicine     Hybrid Journal   (Followers: 2)
Physical & Occupational Therapy in Pediatrics     Hybrid Journal   (Followers: 71)
Physical Disabilities : Education and Related Services     Open Access   (Followers: 5)
Pró-Fono Revista de Atualização Científica     Open Access  
Public Policy and Aging Report     Hybrid Journal   (Followers: 2)
Quality in Ageing and Older Adults     Hybrid Journal   (Followers: 47)
Research and Practice in Intellectual and Developmental Disabilities     Hybrid Journal  
Revista Brasileira de Educação Especial     Open Access   (Followers: 1)
Revista Espaço     Open Access  
Revista Española de Discapacidad     Open Access  
Revista Médica Internacional sobre el Síndrome de Down     Full-text available via subscription   (Followers: 1)
Revue francophone de la déficience intellectuelle     Full-text available via subscription   (Followers: 1)
Scandinavian Journal of Disability Research     Open Access   (Followers: 27)
Sexuality and Disability     Hybrid Journal   (Followers: 18)
Siglo Cero. Revista Española sobre Discapacidad Intelectual     Open Access  
Sign Language Studies     Full-text available via subscription   (Followers: 7)
Social Care and Neurodisability     Hybrid Journal   (Followers: 7)
Society and Mental Health     Hybrid Journal   (Followers: 14)
Speech Communication     Hybrid Journal   (Followers: 16)
Stigma and Health     Full-text available via subscription  
Stress     Hybrid Journal   (Followers: 7)
Technical Aid to the Disabled Journal     Full-text available via subscription   (Followers: 1)
Technology and Disability     Hybrid Journal   (Followers: 28)
Tizard Learning Disability Review     Hybrid Journal   (Followers: 53)
Topics in Language Disorders     Hybrid Journal   (Followers: 14)
Visual Cognition     Hybrid Journal   (Followers: 13)
Visual Communication     Hybrid Journal   (Followers: 11)
Visual Communication Quarterly     Hybrid Journal   (Followers: 7)
Visual Studies     Hybrid Journal   (Followers: 5)
Working with Older People     Hybrid Journal   (Followers: 40)

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Similar Journals
Journal Cover
Journal of Integrated Care
Journal Prestige (SJR): 0.275
Citation Impact (citeScore): 1
Number of Followers: 22  
 
Hybrid Journal Hybrid journal   * Containing 3 Open Access Open Access article(s) in this issue *
ISSN (Print) 1476-9018 - ISSN (Online) 2042-8685
Published by Emerald Homepage  [364 journals]
  • Achieving person-centredness through technologies supporting integrated
           care for older people living at home: an integrative review

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      Authors: Julie MacInnes, Jenny Billings, Alexandra Lelia Dima, Chris Farmer, Giel Nijpels
      Abstract: The purpose of this paper is to identify the range, type and outcomes of technological innovations aimed at supporting older people to maintain their independence within the context of integrated care at home. We also discuss key emergent themes relevant to the use of person-centred technology for older people in integrated care and propose recommendations for policy and practice. An integrative review methodology was used to identify and describe recent scientific publications in four stages: problem identification, literature search, data evaluation and data analysis. Twelve studies were included in the review. Three studies described remote consultations, particularly telemedicine; five studies described tools to support self-management; three studies described the use of healthcare management tools, and one study described both remote consultation and self-care management. Emergent themes were: acceptability, accessibility and use of digital technologies; co-ordination and integration of services; the implementation of digital technologies; and safety and governance. Several recommendations are proposed relevant to integrated care teams, technology developers and researchers. This review uniquely considers the extent to which novel digital technologies used in integrated care for older people are person-centred.
      Citation: Journal of Integrated Care
      PubDate: 2021-06-10
      DOI: 10.1108/JICA-03-2021-0013
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2021)
       
  • Leadership challenge: lateral systems integration for healthcare

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      Authors: Livia Martin
      Abstract: Government imperatives that drive integrated care are challenging corporate executive leadership. Conspicuous by its absence in both government's imperatives and the literature, is any reference to corporate executive leadership in transitioning a hierarchically oriented health system to a laterally integrated health system referred to, in this paper, as an integrated health system. This lack of reference to executive leadership involvement conveys either significant consequences or opportunities for corporate healthcare executives. The purpose of this qualitative, multi-case study is to explore corporate executive leadership in transitioning a hierarchically oriented health system to an integrated health system. Between December 2017 and February 2018, a qualitative methodology and multi-case study design facilitated one hour telephone interviews with 11 presidents and four senior vice presidents. Critical case sampling was used to select the study sample from a target population of 246 corporate healthcare executives representing Ontario's major acute healthcare organizations/systems. Corporate healthcare executives possess the requisite skills and knowledge to transition a hierarchically oriented to a laterally integrated the health system but are constrained by an undefined partnership role with government and fear of government changes. This paper provides corporate executive leaders with a systematic leadership approach to organizational readiness, in transitioning to an integrated health system. Features and outcomes of the approach are illustrated.
      Citation: Journal of Integrated Care
      PubDate: 2021-04-30
      DOI: 10.1108/JICA-12-2020-0074
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2021)
       
  • Multiagency working between children's social care and schools during
           COVID-19: case study experiences from English local authorities and
           international reflections

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      Authors: Mary Baginsky, Jill Manthorpe
      Abstract: A multiagency approach to supporting and enhancing child welfare lies at the heart of policies and practice in England and many other countries. The assumption is that if professionals together from different disciplines share their knowledge and skills this will lead to better outcomes for children and their families. The COVID-19 pandemic interrupted the “normal practice” of such arrangements. This research explored how the pandemic's disruption led to new ways of communicating and professional behaviour, while exploring the potential for longer-term impact in England and other jurisdictions. Case studies were conducted in 2020 in five English local authorities to explore how schools worked with Children's Social Care and other professionals during the COVID-19 period. It was supplemented by a survey of schools and discussions with and reflections from those with relevant experience in five other countries. Many schools played an extended role in supporting vulnerable and “in need” families during this period. Children's Social Care recognised their contributions and the improved communication achieved, although schools were divided over whether relationships had improved. Most communication and meetings were online; while benefits were noted there were concerns for families who were digitally disadvantaged. The work provides a contemporary picture of multiagency work during the 2020 pandemic and identifies factors which may shape this work in the future in England and internationally.
      Citation: Journal of Integrated Care
      PubDate: 2021-04-29
      DOI: 10.1108/JICA-01-2021-0004
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2021)
       
  • Health care providers' experiences with delivering person centred care in
           an Integrated Care Program for thoracic surgery patients in Ontario,
           Canada

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      Authors: Kathy Kornas, Meghan O'Neill, Catherine Y. Liang, Lori Diemert, Tsoleen Ayanian, Melissa Chang, Laura Rosella
      Abstract: The purpose of this study is to understand health care providers' experiences with delivering a novel Integrated Care (IC) Program that co-ordinates hospital-based clinical services and home care for thoracic surgery patients, including perceptions on the provision of person-centred care and quality of work life. The authors conducted a process evaluation using qualitative methods to understand provider experiences in the Integrated Care (IC) Program and to identify areas for programme improvement. Study data were collected using a focus group with thoracic surgeons, open-ended survey with home care providers, and semi-structured interviews with lead thoracic surgeons and IC leads, who are nurses serving as the primary point of contact for one consistent care team. Data were analysed using thematic analysis. The IC Program was successful in supporting a partnership between health care providers and patients and caregivers to deliver a comprehensive and person-centred care experience. Informational continuity between providers was facilitated by IC leads and improved over time with greater professional integration and adaptation to the new care delivery processes. Differential impacts were found on quality of work life for providers in the IC Program. This study describes provider experiences with delivering integrated and person-centred care across the hospital to home continuum, which can inform future integrated care initiatives.
      Citation: Journal of Integrated Care
      PubDate: 2021-04-29
      DOI: 10.1108/JICA-10-2020-0068
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2021)
       
  • Person-centred communication in long-term care with older people: a
           scoping review

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      Authors: Daniel Lombard
      Abstract: Interpersonal skills are increasingly important tools in long-term care with older people, especially against the backdrop of loneliness affecting older people and expectations for a person-centred, joined-up approach. However, the term is used as a composite and its definition lacks shape and focus. In existing literature, participants appear to be selected on the basis of specific illnesses rather than age. Better understanding of the features of everyday communication processes associated with person-centred care can lead to improvements in policy and practice. A scoping review examined communication features associated with person-centred care for older adults. This identified the extent and nature of literature. Several databases were searched; after screening and hand-searching, 31 were included. Findings were analysed for patterns and contradictions, against the objectives of person-centred and integrated care. Emotional intelligence and the ability to employ various communication styles are crucial skills of person-centred communication. Such approaches can have positive effects on the well-being of older people. Some studies' validity was weakened by methodological designs being founded on value judgements. Using personalised greetings alongside verbal and non-verbal prompts to keep residents emotionally connected during personal care is considered good practice. Stimulating feedback from people using services and their relatives is important. The role of communication is highlighted in many professional guidance documents on person-centred and integrated care, but the process of implementation is decentralised to individual employers and workers. This paper draws on the findings of contemporary literature, grounded in naturalistic data, with implications for practice and policy.
      Citation: Journal of Integrated Care
      PubDate: 2021-04-29
      DOI: 10.1108/JICA-10-2020-0070
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2021)
       
  • A journey towards integrated person-centred care: a case study of a mental
           health perspective in the voluntary sector

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      Authors: Louise Kermode
      Abstract: Person-centred care is a fundamental component of any service. This case study aims to explore the delivery of person-centred care in the voluntary sector, discussing how integrating support can be achieved to benefit individuals. It identifies challenges, best practice and learning that can be applied across sectors and promotes further enquiry. This case study is the result of a service audit at a mental health charity. The findings are a blend of reflections, observations and examples from service delivery, synthesised with national policy to provide evidence of best practice and processes that enable person-centred care. A focus on need not diagnosis, creating accessible and inclusive services, employing dual trained practitioners, having a varied skill mix along with holistic self-assessment tools are all enablers for integrated person-centred support. Multi-agency assessment frameworks, collaboration across services, cross-agency supervision and a shared vision for integration and person-centred care support services to coordinate more effectively. Barriers to integrated person-centred support include complex physical and mental health needs and harmful risk and safeguarding. The diversity of the voluntary sector, a lack of resources along with complex and competitive funding also hinder integration. This case study provides a valuable insight into the voluntary sector and shares its findings to enhance best practice. It aims to promote interest and invites further research into health and social care delivery by the voluntary sector. As this delivery continues to increase, it is vital to examine the interface between the voluntary and statutory sector. Through better understanding and further research across all sectors, the author can identify how they can achieve person-centred outcomes and deliver the national policies.
      Citation: Journal of Integrated Care
      PubDate: 2021-04-07
      DOI: 10.1108/JICA-10-2020-0064
      Issue No: Vol. ahead-of-print, No. ahead-of-print (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. ahead-of-print, No. ahead-of-print (2021)
       
  • Bumpy road: implementing integrated psychiatric and somatic care in
           joint-specialty emergency departments: a mixed-method study using
           Normalization Process Theory

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      Authors: Pia Vedel Ankersen, Rikke Grynderup Steffensen, Emely Ek Blæhr, Kirsten Beedholm
      Abstract: Life expectancy is 15–20 years shorter for individuals with than for people without mental illness. Assuming that undiagnosed and undertreated somatic conditions are significant causes, the Central Denmark Region set out to implement joint psychiatric and somatic emergency departments (EDs) to support integrated psychiatric/somatic care as an effort to prolong the lifetime of individuals with mental illness. Through the lens of Normalization Process Theory, the authors examine healthcare frontline staff’s perceptions of and work with the implementation of integrated psychiatric/somatic care in the first joint-specialty ED in Denmark. A single-case mixed-methods study using Normalization Process Theory (NPT) as an analytic framework to evaluate implementation of psychiatric/somatic integrated care (IC) in a joint-specialty emergency department. Data were generated from observations, qualitative interviews and questionnaires distributed to the frontline staff. Implementation was characterized by a diffuse normalization leading to an adaption of the IC in a fuzzy alignment with existing practice. Especially, confusion among the staff regarding how somatic examination in the ED would ensure prolonged lifetime for people with mental illness was a barrier to sense-making and development of coherence among the staff. The staff questioned the accuracy of IC in the ED even though they recognized the need for better somatic care for individuals with mental illness. This study highlights that a focus on outcomes (prolonging lifetime for people with mental illness and reducing stigmatization) can be counterproductive. Replacing the outcome focus with an output focus, in terms of how to develop and implement psychiatric/somatic IC with the patient perspective at the center, would probably be more productive. In 2020, the Danish Health Authorities published new whole-system recommendations for emergency medicine (EM) highlighting the need for intensifying integrated intra and interorganizational care including psychiatric/somatic IC (ref). Even though this study is not conclusive, it points to subjects that can help to identify resources needed to implement psychiatric/somatic IC and to pitfalls. The authors argue that the outcome focus, prolonging the lifetime for individuals with mental illness by identifying somatic illness, was counterproductive. In accordance with the recommendations of contemporary implementation studies, the authors recommend a shift in focus from outcome to output focus; how to develop and implement psychiatric/somatic IC.
      Citation: Journal of Integrated Care
      PubDate: 2021-03-29
      DOI: 10.1108/JICA-07-2020-0047
      Issue No: Vol. ahead-of-print, No. ahead-of-print (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. ahead-of-print, No. ahead-of-print (2021)
       
  • Measuring integrated care at the interface between primary care and
           secondary care: a scoping review

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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: 2021-03-19
      DOI: 10.1108/JICA-11-2020-0073
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2021)
       
  • International advances in self-direction: themes from a disability
           leadership exchange

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      Authors: Valerie Bradley, Miso Kwak, Highsmith Rich, Bevin Croft
      Abstract: Self-direction–also known as participant direction, personalization and self-directed care–is a service delivery model that enables people to manage their personal budget and purchase services and supports tailored to their needs based on a person-centered plan. This paper, the outcome of an international learning exchange on self-direction, describes approaches across four countries’ successful strategies, unresolved questions and recommendations to enhance self-direction globally. The findings are a product of discussions at the 2019 International Initiative for Mental Health Leadership and International Initiative for Disability Leadership Exchange on Advances in Self-Direction. Participants included people who are self-directing, providers and caregivers who support people who are self-directing, advocates, fiscal agents and public managers who administer self-direction from the United States, England, Australia and New Zealand. In all four countries, people who self-direct exercise high levels of choice and control and are able to individualize their services and supports to promote a good life in the community. The exchange also revealed challenges and possible solutions to improve and expand self-direction. The results of the meeting provide guidance for public managers, providers and advocates for initiating and expanding self-direction. This international meeting was a unique opportunity to compare self-direction across four different countries and across multiple perspectives, including people with disabilities, caregivers, providers and administrators.
      Citation: Journal of Integrated Care
      PubDate: 2021-03-02
      DOI: 10.1108/JICA-09-2020-0058
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2021)
       
  • Preconditions to implementation of an integrated care process programme

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      Authors: Angela Bångsbo, Anna Dunér, Synneve Dahlin Ivanoff, Eva Lidén
      Abstract: The purpose of this study was to investigate the preconditions of a full-scale implementation of an integrated care process programme for frail older people from the staff's understanding, commitment and ability to change their work procedures with comparisons over time and between organisations. A repeated cross-sectional study was conducted in a hospital, municipal health and social care setting. Staff commitment decreased to the importance of a permanent municipal contact from baseline compared to the 12-months follow-up (p = 0.02) and the six- and 12-months follow-up (p = 0.05), to the information transfer from emergency department from the six- to the 12-months follow-up (p = 0.04), to discharge planning at the hospital at six- and 12-months follow-up (p = 0.04) and towards discharge planning at home from baseline to the six-month follow-up (p = 0.04). Significant differences occurred between the organisations about information transfer from the emergency department (p = 0.01) and discharge planning at home (p = 0.03). The hospital staff were the most committed. The results can guide the implementation of complex interventions in organisations with high-employee turnover and heavy workload. The study design, allowing the comparison of implementation results over time and between organisations in a later phase, gives this study a unique perspective.
      Citation: Journal of Integrated Care
      PubDate: 2021-02-23
      DOI: 10.1108/JICA-06-2020-0035
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2021)
       
  • Enablers and barriers in adopting a reablement model of domiciliary care

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      Authors: Erin King, Alys Young
      Abstract: The purpose of this paper is to explore the effectiveness of reablement as an outcome-focussed commissioning model within the English domiciliary care market from the perspective of two private domiciliary care agency (PDCA) managers/owners within one local authority (LA) in the North West of England. Specifically, it focusses on owner/managers' perceived ability to effect change from a dependency to a reablement model within the English domiciliary care market. Qualitative interviews with two contrasting owners/managers of PDCAs within one LA in the North West of England were carried out. Explorative analysis followed a constructionist grounded theory methodology. Findings revealed how two main factors interacted to effect change from a dependency model to a reablement model of domiciliary care: internal organisational structure and individual emotional investment of the owners/managers. Additionally, fiscal and external organisational systems impact on these drivers, and are perceived to act as potential barriers to the adoption of a reablement model of domiciliary care by PDCAs. Although based on only two idiographic accounts, the findings shed light on the policy and practice of commissioning models of domiciliary care within England and suggest further studies in this area of practice.
      Citation: Journal of Integrated Care
      PubDate: 2021-02-01
      DOI: 10.1108/JICA-07-2020-0045
      Issue No: Vol. ahead-of-print, No. ahead-of-print (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. ahead-of-print, No. ahead-of-print (2021)
       
  • Editorial

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      Editorial
      Axel Kaehne
      Journal of Integrated Care, Vol. 29, No. 2, pp.97-98Journal of Integrated Care2021-04-01
      DOI: 10.1108/JICA-04-2021-080
      Issue No: Vol. 29, No. 2 (2021)
       
  • Journal of Integrated Care

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