scholarly journals Integrated care as a priority of the Basque Strategy for Chronic Diseases: the Bidasoa Integrated Healthcare Organisation

2011 ◽  
Vol 11 (7) ◽  
Author(s):  
Nuria Toro Polanco ◽  
Regina Sauto Arce ◽  
Roberto Nuño Solinis ◽  
Iñaki Berraondo Zabalegui ◽  
Itziar Pérez Irazusta
Keyword(s):  
Integrated Care ◽  
Chronic Diseases ◽  
Healthcare Organisation ◽  
Integrated Healthcare ◽  
A Priority

Integrated care in the management of chronic diseases: an Italian perspective

2016 ◽  
Vol 36 ◽  
pp. e9-e10 ◽  
Author(s):  
Ilario Stefani ◽  
Francesca Scolari ◽  
Davide Croce ◽  
Antonino Mazzone
Keyword(s):  
Integrated Care ◽  
Chronic Diseases

scholarly journals Bidirectional screening and treatment outcomes of diabetes mellitus (DM) and Tuberculosis (TB) patients in hospitals with measures to integrate care of DM and TB and those without integration measures in Malawi

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
John L. Z. Nyirenda ◽  
Dirk Wagner ◽  
Bagrey Ngwira ◽  
Berit Lange
Keyword(s):  
Diabetes Mellitus ◽  
Treatment Outcomes ◽  
Integrated Care ◽  
Retrospective Chart Review ◽  
Healthcare Services ◽  
Local Context ◽  
Integrated Healthcare ◽  
Old Patients ◽  
Lost To Follow Up

Abstract Introduction There are efforts in low and middle-income countries (LMICs) to integrate Tuberculosis (TB) and Diabetes mellitus (DM) healthcare services, as encouraged by WHO and other international health organizations. However, evidence on actual effect of different integration measures on bidirectional screening coverages and or treatment outcomes for both diseases in LMICs is scarce. Objectives and methods Retrospective chart review analysis was conducted to determine effects of integrated care on bidirectional screening and treatment outcomes for both TB patients and people with DM (PWD) recruited in eight Malawian hospitals. Data of ≥ 15 years old patients registered between 2016 to August 2019 were collected and analysed. Results 557 PWDs (mean age 54) and 987 TB patients (mean age 41) were recruited. 64/557 (11.5%) PWDs and 105/987 (10.6%) of TB patients were from an integrating hospital. 36/64 (56.3%) PWDs were screened for TB in integrated healthcare as compared to 5/493 (1.0%) in non-integrated care; Risk Difference (RD) 55.2%, (95%CI 43.0, 67.4), P < 0.001, while 10/105 (9.5%) TB patients were screened for DM in integrated healthcare as compared to 43/882 (4.9%) in non-integrated care; RD 4.6%, (95%CI − 1.1, 10.4), P = 0.065. Of the PWDs screened, 5/41 (12.2%) were diagnosed with TB, while 5/53 (9.4%) TB patients were diagnosed with DM. On TB treatment outcomes, 71/508 (14.8%) were lost to follow up in non-integrated care and none in integrated care were lost to follow-up; RD − 14.0%, (95%CI: − 17.0,-11.0), p < 0.001. Among PWDs, 40/493 (8.1%) in non-integrated care and 2/64 (3.1%) were lost to follow up in integrated care; RD − 5.0%, (95%CI:-10.0, − 0.0); P = 0.046. After ≥ 2 years of follow up, 62.5% PWDs in integrated and 41.8% PWDs in non-integrated care were retained in care, RD 20.7, (95%CI: 8.1, 33.4), P = 0.001. Conclusion We found higher bidirectional screening coverage and less loss to follow-up in one centre that made more efforts to implement integrated measures for TB and DM care than in 7 others that did not make these efforts. Decisions on local programs to integrate TB/DM care should be taken considering currently rather weak evidence and barriers faced in the local context as well as existing guidelines.

Integrated care in practice – the South Eastern Sydney experience

2017 ◽  
Vol 25 (1) ◽  
pp. 49-60 ◽  
Author(s):  
Gregory Stewart ◽  
Patricia Bradd ◽  
Tish Bruce ◽  
Thomas Chapman ◽  
Brendon McDougall ◽  
...  
Keyword(s):  
Integrated Care ◽  
Real World ◽  
Theoretical Models ◽  
Healthcare Organisation ◽  
Publicly Funded ◽  
Key Factors ◽  
District Health ◽  
Content Type ◽  
Shared Narrative ◽  
Sydney Australia

Purpose The purpose of this paper is to describe the recent efforts of a large publicly funded healthcare organisation in Sydney, Australia to implement integrated care (IC) “at scale and pace” in the messy, real-world context of a District Health Service. Design/methodology/approach The paper outlines the theoretical and practical considerations used to design and develop a localised IC Strategy informed by the “House of Care” model (NHS England, 2016). Findings The need for cross-agency partnership, a shared narrative, joint leadership and an IC Strategy underpinned by proven theoretical models model is described. Originality/value This paper highlights key factors relating to implementation and evaluation of a local IC Strategy in the real world.

An integrated care solution for the electrocardiogram monitoring

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Josephine S.F. Chow ◽  
Andrew Hopkins ◽  
Hany Dimitri ◽  
Hui Tie ◽  
Rachael Williams ◽  
...  
Keyword(s):  
Integrated Care ◽  
False Positive ◽  
New Technologies ◽  
False Positive Rate ◽  
Medical Officer ◽  
Wearable Technology ◽  
Time Saving ◽  
Integrated Healthcare ◽  
Content Type ◽  
Positive Rate

PurposeThis study has demonstrated how technology may contribute to integrated care solutions by comparing conventional ward telemetry (WT) to a wearable ECG monitor (S-Patch) to detect atrial fibrillation (AF) in patients with stroke.Design/methodology/approach51 patients admitted for stroke workup were recruited across two major tertiary centres to compare WT monitoring for two days versus S-Patch for four days in the detection of AF. The efficacy to detect AF using both technologies was assessed via data extractions and medical officer review. A matrix was used to measure nursing/patient satisfaction and setup/resource times were assessed.FindingsPatients (84–94%) and nursing staff (75–95%) preferred the S-Patch wearable technology. Non-parametric tests indicated significant time saving for removal of S-Patch versus WT [2.2 min vs 5.1 min (p = 0.00)]. Efficacy of S-Patch to detect AF following medical officer review was greater than WT, with seven patients identified with AF by S-Patch versus one using WT. The S-patch had a false positive rate of 78%.Research limitations/implicationsThe S-Patch is sensitive in the detection of AF; however, it showed a high false-positive rate with automated reporting. This study has provided insight into the details of delivery of integrated healthcare using wearable technology.Originality/valueThe technology and partnership were the first-in-kind in Australia. The S-Patch had a higher detection rate of AF compared to WT which allows patients to be anti-coagulated appropriately for the prevention of further stroke. The results of this study will be ideally placed to inform future policy in integrated healthcare using new technologies.

scholarly journals PHP78 System-Wide Impact of Payment Schemes for Integrated Care of Chronic Diseases in Europe: Evidence from an Empirical Analysis

2012 ◽  
Vol 15 (7) ◽  
pp. A302 ◽  
Author(s):  
A. Tsiachristas ◽  
C. Dikkers ◽  
M.R.S. Boland ◽  
M.P. Rutten-van Mölken
Keyword(s):  
Integrated Care ◽  
Chronic Diseases ◽  
Empirical Analysis ◽  
Payment Schemes
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