Informing mental health policies and services in the EMR: cost-effective deployment of human resources to deliver integrated community-based care

Ivbijaro, Gabriel; Patel, M. S.; Chisholm, Dan; Goldberg, David; Ta, Khoja; Tm, Edwards; Enum, Yaccub; La, Kolkiewic

doi:10.26719/2015.21.7.486

Cited by 8 publications

(7 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The findings indicate that greater responsibility and accountability among care staff at all levels are central to the establishment of effective IC models (Goodwin, 2016). The findings also suggest that it is vital that care governance lead by example in this respect, as responsibility and accountability on their part tends to permeate staff performance, resource management and workplace culture in general (Busetto et al , 2018; Ivbijaro et al , 2015; Vázquez et al , 2012). Leaders who champion change, as well as advocate and promote integrated services appear to be key to successful models (Ivbijaro et al , 2015; Vázquez et al , 2012).…”

Section: Resultsmentioning

confidence: 97%

“…The findings also suggest that it is vital that care governance lead by example in this respect, as responsibility and accountability on their part tends to permeate staff performance, resource management and workplace culture in general (Busetto et al , 2018; Ivbijaro et al , 2015; Vázquez et al , 2012). Leaders who champion change, as well as advocate and promote integrated services appear to be key to successful models (Ivbijaro et al , 2015; Vázquez et al , 2012). Furthermore, it has been argued that the strongest form of IC is the “fully-integrated” model where teams working in an organisation operate under a single set of governance and accountability rules, as well as common budgets and incentives (Goodwin, 2016).…”

Section: Resultsmentioning

confidence: 97%

“…Cooperation between care professions in particular was outlined as a major facilitator to the success of interventions (Busetto et al , 2018). Shared planning, clinical priorities, protocols, commissioning and joint funding were also identified as key CCC related initiatives enabling the success of IC models (Busetto et al , 2018; Ivbijaro et al , 2015; Nicholson et al , 2013, Rahman, 2015; Vázquez et al , 2012). The reviewed studies also indicate that there should be agreement across the board on target areas for intervention design and the role of multidisciplinary teams within IC networks and pathways (Nicholson et al , 2013).…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

What are the priorities for the future development of integrated care? A scoping review

Burke

Broughan

McCombe

et al. 2021

JICA

View full text Add to dashboard Cite

Purpose“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.Design/methodology/approachA scoping review was conducted using Arksey and O'Malley's framework to determine IC priority areas.FindingsTwenty-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.Originality/valueThe 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.

show abstract

Section: Resultsmentioning

confidence: 97%

Section: Resultsmentioning

confidence: 97%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

What are the priorities for the future development of integrated care? A scoping review

Burke

Broughan

McCombe

et al. 2021

JICA

View full text Add to dashboard Cite

show abstract

“…Work conditions and available resources, such as office space, medical supplies, and data management systems, all comprise organizational factors that influence how different practitioners in a health team contribute to integrating services [29,30]. FHS uses discrete, formalized assignments for staff, while encouraging all practitioners to work together to combine different services.…”

Section: Introductionmentioning

confidence: 99%

HIV Education and Welfare Services in Primary Care: An Empirical Model of Integration in Brazil’s Unified Health System

Rahman

Pinto

Wall

2017

IJERPH

View full text Add to dashboard Cite

Integration of health education and welfare services in primary care systems is a key strategy to solve the multiple determinants of chronic diseases, such as Human Immunodeficiency Virus Infection and Acquired Immune Deficiency Syndrome (HIV/AIDS). However, there is a scarcity of conceptual models from which to build integration strategies. We provide a model based on cross-sectional data from 168 Community Health Agents, 62 nurses, and 32 physicians in two municipalities in Brazil’s Unified Health System (UHS). The outcome, service integration, comprised HIV education, community activities (e.g., health walks and workshops), and documentation services (e.g., obtainment of working papers and birth certificates). Predictors included individual factors (provider confidence, knowledge/skills, perseverance, efficacy); job characteristics (interprofessional collaboration, work-autonomy, decision-making autonomy, skill variety); and organizational factors (work conditions and work resources). Structural equation modeling was used to identify factors associated with service integration. Knowledge and skills, skill variety, confidence, and perseverance predicted greater integration of HIV education alongside community activities and documentation services. Job characteristics and organizational factors did not predict integration. Our study offers an explanatory model that can be adapted to examine other variables that may influence integration of different services in global primary healthcare systems. Findings suggest that practitioner trainings to improve integration should focus on cognitive constructs—confidence, perseverance, knowledge, and skills.

show abstract

“…Innovative working and task shifting such as developing workforce roles for the management of long‐term physical and mental health conditions is needed, because mental and physical health comorbidity significantly increases costs of care and use of health care resources.…”

mentioning

confidence: 99%

Excess mortality in severe mental disorder: the need for an integrated approach

Ivbijaro¹

2017

World Psychiatry

View full text Add to dashboard Cite

Informing mental health policies and services in the EMR: cost-effective deployment of human resources to deliver integrated community-based care

Cited by 8 publications

References 11 publications

What are the priorities for the future development of integrated care? A scoping review

What are the priorities for the future development of integrated care? A scoping review

HIV Education and Welfare Services in Primary Care: An Empirical Model of Integration in Brazil’s Unified Health System

Excess mortality in severe mental disorder: the need for an integrated approach

Contact Info

Product

Resources

About