OPEN ARCH integrated care model: experiences of older Australians and their carers

2021 ◽  
Author(s):  
Rachel Quigley ◽  
Sarah Russell ◽  
Desley Harvey ◽  
Jennifer Mann
Keyword(s):  
Integrated Care ◽  
Care Model ◽  
Open Arch

VA Researchers Test Integrated Care Model for Substance-Abusing Patients

2001 ◽  
Author(s):  
Andrew J. Saxon ◽  
Daniel R. Kivlahan ◽  
Donelle Howell
Keyword(s):  
Integrated Care ◽  
Substance Abusing ◽  
Care Model

A randomized clinical trial of home telemonitoring in patients with advanced heart and lung diseases.

2021 ◽  
pp. 1357633X2110597
Author(s):  
Carlos Hernandez-Quiles ◽  
Máximo Bernabeu-Wittel ◽  
Bosco Barón-Franco ◽  
Alfonso Aguirre Palacios ◽  
M Rocio Garcia-Serrano ◽  
...  
Keyword(s):  
Health Care ◽  
Clinical Trial ◽  
Functional Status ◽  
Integrated Care ◽  
Lung Diseases ◽  
Care Model ◽  
Emergency Admissions ◽  
Perceived Satisfaction ◽  
Lung Failure ◽  
Functional Features

Brief Summary The addition of home monitoring to an integrated care model in patients with advanced chronic heart/lung diseases decreases mortality, hospital and emergency admissions, improves functional status, HRQoL, and is cost-effective. Background Telemonitoring is a promising implement for medicine, but its efficacy is unknown in patients with advanced heart and lung failure (AHLF). Objective To determine the efficacy of a telemonitoring system added to coordinated clinical care in patients with AHLF. Design Randomized phase 3 multicenter clinical trial with parallel groups in adult patients. Participants Five spanish centers including patients with AHLF at discharge or in out-patient clinics. Intervention Patients were randomly assigned to receive a remote bio-parameters telemonitoring system (TELECARE) or best usual care (UCARE). TELECARE patients were provided with devices that collected symptoms and bio-parameters, and transferred them synchronously to a call-center, with a real-time health-care response. Main Measures Primary end point was the need of admissions/emergency room visits at 45, 90, 180 days. Secondary end points included health care requirements, mortality, functional assessment, health related quality of life (HRQoL), perceived satisfaction, and cost-efficacy. Results 510 patients were included (54.5% women, median age 76.5 years; 63.1% suffered heart failure, 13.9% lung failure, and 22.9% both conditions). Clinical and functional features were comparable in both arms. TELECARE globally needed less admissions with respect UCARE after 45 days of inclusion (35.4% vs. 46.9%, p < 0.05). This tendency was maintained in the subgroups of patients with multimorbidity (34.2% vs. 46.9%, p < 0.05), intermediate risk of mortality (36.5% vs. 51.1%, p < 0.05), and those included after hospital discharge (34.9% vs. 50.5%, p < 0.01). HRQoL significantly improved (TELECARE/UCARE EuroQol baseline of 56.2 ± 18.2/55.1 ± 19.7, p = 0.054, and 64 ± 19.9/56.3 ± 21.6; p < 0.01 at the end), and perceived satisfaction was also higher (6.77 ± 0.52 vs. 6.62 ± 0.81, p < 0.001; highest possible score = 7). A trend to mortality decrease was also observed (12.9% vs. 19.3%, p = 0.13). TELECARE was cost-efficacious (TELECARE/UCARE QALY 3.94 Euros/0.81Euros). Conclusions The addition of a telemonitoring system to an integrated care model in patients with AHLF decreases hospital and emergency admissions, improves functional status as well as HRQoL, and is cost-efficacious.

scholarly journals TESTING THE EFFECTIVENESS OF INTEGRATED ELDERLY CARE MODEL ON QUALITY OF CARE AND HEALTH OUTCOMES AMONG HOSPITALIZED ELDERLIES IN WEST BANK

2020 ◽  
Vol 20 (1) ◽  
pp. 82-89
Author(s):  
Atef H. Khatib ◽  
Ayman M. Hamdan- Mansour ◽  
Hamza F. Ratrout ◽  
Atallah Alenezi ◽  
Tala R. Chahien
Keyword(s):  
Time Series ◽  
Quality Of Care ◽  
Integrated Care ◽  
Older Patients ◽  
West Bank ◽  
Elderly Care ◽  
Multiple Time ◽  
Ageing Population ◽  
Care Model

The rapid increase in the ageing population and health conditions are imposing a higher challenge to the health care system that requires multidisciplinary teamwork utilizing coordinated care approach. This study examined the effects of integrated care model on quality of care received by older hospitalized patients in West Bank. A quantitative interrupted time series design (pretest and posttest multiple time series, quasi-experiment design) was used. The study examined the effects of integrated care model on admitted older patients (n=32) in the West Bank measuring ten dimensions of quality of care and four health indicators. There was a significant improvement in the dimensions of quality of care: dimensions: nurses’ communications with patients, physicians’ communications with patients, staff response to patients’ needs, pain management, explanations on medications, amount of information given on discharge plan, patients' area cleanliness, patients' area quietness, rating of the hospital, and willingness to recommend the hospital. Incidence of falls and incidence of pressure ulcer improved after implementing the model, while readmission rate and average length of stay did not improve. This study contributed to the limited body of knowledge related to the effect of integrated care model on hospitalized older patients’ quality of care in Palestine/ West Bank. Integrated care has the potential to improve care outcomes among hospitalized older patients.

scholarly journals AN INTEGRATED CARE MODEL BASED ON HOSPITAL AND HOME DURING THE COVID-19 PANDEMIC: TELEHEALTH

2021 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
Meryem Ören ◽  
Nuray Özgülnar ◽  
Sevgi Canbaz ◽  
Selma Karabey ◽  
Ayşe Önal ◽  
...  
Keyword(s):  
Integrated Care ◽  
Care Model ◽  
Model Based

scholarly journals Experiences of Community-Living Older Adults Receiving Integrated Care Based on the Chronic Care Model: A Qualitative Study

PLoS ONE ◽  
2015 ◽  
Vol 10 (10) ◽  
pp. e0137803 ◽  
Author(s):  
Sophie L. W. Spoorenberg ◽  
Klaske Wynia ◽  
Andrea S. Fokkens ◽  
Karin Slotman ◽  
Hubertus P. H. Kremer ◽  
...  
Keyword(s):  
Older Adults ◽  
Qualitative Study ◽  
Integrated Care ◽  
Chronic Care Model ◽  
Chronic Care ◽  
Community Living ◽  
Care Model

scholarly journals 0992 Healthcare Accessibility and PAP Adherence in an Integrated Care Model

SLEEP ◽  
2019 ◽  
Vol 42 (Supplement_1) ◽  
pp. A399-A399
Author(s):  
Ellen R Stothard ◽  
Thoua K Yang ◽  
Mark G Hickey ◽  
David E McCarty ◽  
Adam T Wertz
Keyword(s):  
Integrated Care ◽  
Care Model ◽  
Healthcare Accessibility

The clinical effectiveness of the COPDnet integrated care model

2020 ◽  
Vol 172 ◽  
pp. 106152
Author(s):  
E.H. Koolen ◽  
B. van den Borst ◽  
M. de Man ◽  
J.C. Antons ◽  
B. Robberts ◽  
...  
Keyword(s):  
Integrated Care ◽  
Clinical Effectiveness ◽  
Care Model

scholarly journals Adaptations and patient responses to behavioral intervention components in a depression-focused chronic disease care model implemented in India

2020 ◽  
Vol 10 (1) ◽  
pp. 35-45
Author(s):  
Leslie C M Johnson ◽  
Lydia Chwastiak ◽  
Subramani Poongothai ◽  
Nikhil Tandon ◽  
Ranjit Mohan Anjana ◽  
...  
Keyword(s):  
Integrated Care ◽  
Behavioral Intervention ◽  
Behavioral Interventions ◽  
Secondary Analysis ◽  
Independent Study ◽  
Care Model ◽  
Care Coordinator ◽  
Individualized Care ◽  
Care Coordinators ◽  
Patient Responses

Abstract Integrated care models offer one approach to treat patients with chronic multimorbidity. However, because these models consist of multiple components designed to provide individualized care, they should be adapted to best meet the needs of patients in diverse settings. This paper presents qualitative and quantitative data from a realist process evaluation embedded in the INtegrating DEPrEssioN and Diabetes treatmENT (INDEPENDENT) study to uncover what worked, for whom, how, and in what circumstances. We aimed to examine adaptations made to a care coordinator-led behavioral intervention, and how patients responded to adaptations, through a secondary analysis of these data. A purposive sample of 62 patients and 3 care coordinators were recruited based on their involvement with the INDEPENDENT care model across two clinics. Patients were interviewed and surveyed about their experiences in the care model and care coordinators were interviewed about their experiences implementing intervention components. Interview data were coded for reported modifications in intervention content, tools, and delivery; then, these adaptations were categorized by how they served to enhance implementation in the Indian context. Adaptations made in the delivery of this care model served two functions: (a) to improve health promotion communication between care coordinators and patients and (b) to improve patient engagement. Patients’ expressed needs were consistent with what care coordinators perceived. Patients were satisfied with adaptations designed to improve intervention fit for local contexts. Study findings demonstrate that adapting components of an integrated care model can enhance patient satisfaction and engagement with behavioral interventions.

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