Different Contexts, Similar Challenges. SUSTAIN’s Experiences with Improving Integrated Care in Europe

Bruin, Simone de; Billings, Jenny R.; Stoop, Annerieke; Lette, Manon; Ambugo, Eliva Atieno; Gadsby, Erica W.; Häusler, Christina; Obermann, Konrad; Ahi, Gerli-Paat; Reynolds, Jillian; Ruppe, Georg; Tram, Nhu; Wistow, Gerald; Zonneveld, Nick; Nijpels, Giel; Baan, Caroline A.

doi:10.5334/ijic.5492

Cited by 20 publications

(24 citation statements)

References 20 publications

(29 reference statements)

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“…In recent decades, numerous integrated care projects have been rolled out and researched [3][4][5]. Models of integrated care have proven to be able to improve patient satisfaction, perceived quality of care, and to enable access to services [6].…”

Section: Introductionmentioning

confidence: 99%

What Makes Integration of Chronic Care so Difficult? A Macro-Level Analysis of Barriers and Facilitators in Belgium

Danhieux

Martens

Colman

et al. 2021

International Journal of Integrated Care

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Section: Introductionmentioning

confidence: 99%

What Makes Integration of Chronic Care so Difficult? A Macro-Level Analysis of Barriers and Facilitators in Belgium

Danhieux

Martens

Colman

et al. 2021

International Journal of Integrated Care

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“…Notwithstanding positive statements by stakeholders on the scheme, the problems identified were similar to other studies of integrated health and social care interventions in high-income countries and referred to difficulties due to the complexities of existing professional communication pathways and incompatibility of systems [ 27 28 ]. The inclusion of other professionals such as mental health teams and community doctors is also seen as desirable, but often unfeasible due to competing priorities and resource deficits [ 29 ]. Some barriers to effective collaboration are more specific to counties like Brazil.…”

Section: Discussionmentioning

confidence: 99%

Integrated Care in the Community: The Case of the Programa Maior Cuidado (Older Adult Care Programme) in Belo Horizonte-Minas Gerais, BRA

Aredes¹,

Billings

Giacomin

et al. 2021

International Journal of Integrated Care

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Internationally, there is a large body of scientific evidence concerning the benefits of integrating health and social care to ensure that frail older people living in the community receive the assistance they need to maintain independence. In the Brazilian city of Belo Horizonte, located in the state of Minas Gerais, an integrated care intervention has been developed: the Programa Maior Cuidado -Older Adult Care Programme (PMC). This programme represents a pioneering example in Brazil of the provision of carers for highly vulnerable older people, through integrated action between public health and social service agencies. This paper draws on the first phase of a mixed method evaluation of PMC, including data from documentary sources, focus groups, empirical observation and expert workshops, to examine the processes that led to the establishment of programme. The origins of the PMC are discussed and its operational processes, with a particular emphasis on integrated activities and the roles of different actors. The paper situates PMC within comparable international experiences of integrated provision for older people and considers how it has been affected by unique context and challenging of a middle-income country.

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“…This describes a process by which all stakeholders capture the necessary patient data, aggregate and synthesise it so that it is meaningful, and share it within multidisciplinary teams to enable care delivery based on agreed pathways. Such ambitions for data sharing are indeed a collective desire amongst those working in integrated care (de Bruin et al , 2020). However, with regard to the COCIR roadmap, evidence of its use and effectiveness is not visible, and as with other such roadmaps, it may remain aspirational for reasons described in the next section.…”

Section: Discussionmentioning

confidence: 99%

Achieving person-centredness through technologies supporting integrated care for older people living at home: an integrative review

MacInnes

Billings

Dima

et al. 2021

JICA

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PurposeThe 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.Design/methodology/approachAn integrative review methodology was used to identify and describe recent scientific publications in four stages: problem identification, literature search, data evaluation and data analysis.FindingsTwelve 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.Originality/valueThis review uniquely considers the extent to which novel digital technologies used in integrated care for older people are person-centred.

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Different Contexts, Similar Challenges. SUSTAIN’s Experiences with Improving Integrated Care in Europe

Cited by 20 publications

References 20 publications

What Makes Integration of Chronic Care so Difficult? A Macro-Level Analysis of Barriers and Facilitators in Belgium

What Makes Integration of Chronic Care so Difficult? A Macro-Level Analysis of Barriers and Facilitators in Belgium

Integrated Care in the Community: The Case of the Programa Maior Cuidado (Older Adult Care Programme) in Belo Horizonte-Minas Gerais, BRA

Achieving person-centredness through technologies supporting integrated care for older people living at home: an integrative review

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