Barriers and facilitators to patient-centred care in pharmacy consultations: A qualitative study with Malaysian hospital pharmacists and patients

Patient-centred care (PCC) has been suggested to provide benefits such as improved patient-healthcare provider communication and better disease self-management to patients. The practice of PCC should involve all healthcare professionals, including pharmacists who are well-positioned in providing pharmaceutical care to patients. However, a better understanding of the factors that can affect the practice of PCC in pharmacists’ consultations is needed.

Becoming part of an upwards spiral: Meanings of being person-centred in nursing homes

Previous research suggests that person- centred care is positive for people living in nursing homes, but less is known on what motivates people working in nursing homes to be person- centred. Previous research has focused on person-centred care in relation to people in need of care, which may lead to a risk of viewing person- centred care as a means to achieve quality of care, and not as a means in itself. This study highlights health aspects of being person- centred from the perspective of people working in nursing homes, and complements previous research that describes the impact of person- ...

Intrinsic Capacity predicts adverse outcomes using Integrated Care for Older People screening tool in a senior community in Beijing

The World Health Organization (WHO) introduced the concept of intrinsic capacity in order to create a multidimensional model to maintain individual's functional ability. Intrinsic capacity is the composite of all the physical and mental capacities that an individual can draw on at any point in time, and represents the amount of resources one can tap into during his life(WHO, 2015). By interacting with the surrounding environment, intrinsic capacity determines functional ability largely. Considering and organizing the retrieved evidence, five domains are proposed to define the intrinsic capacity: cognition, locomotion, vitality, sensory, and psychosocial, each of which is composed ...

Putting patients first: development of a patient advocate and general practitioner-informed model of patient-centred care

Patients, providers and health care organisations benefit from an increased understanding and implementation of patient-centred care (PCC) by general practitioners (GPs). This study aimed to evaluate and advance a theoretical model of PCC developed in consultation with practising GPs and patient advocates.

Navigate Your Health: A Case Study of Organisational Learnings from an Integrated Care Pilot for Children and Young People in Care

Three peak organisations in Queensland, Australia partnered with consumers and other health and social sector partners to co-design and pilot the first known integrated, health navigation model to improve outcomes for children and young people in care in Australia. Findings highlighted the agency partners’ drive to foster a more integrated and person-centred approach to care. The pilot’s aim of improving health outcomes for a vulnerable population were achieved through a co-designed process which provided additional insights regarding partnerships, improvement, scalability and sustainability.

Targeting integrated care to those most likely to need frequent health care: a review of social and clinical risk factors

This rapid review was commissioned by the NSW Agency for Clinical Innovation (ACI) and the Sax Institute in Australia to examine the evidence concerning social and clinical risk factors which may be significant predictors of both pre-hospital and hospital service utilisation. The context is that the NSW Ministry of Health wishes to develop a NSW approach for risk stratification and patient selection that identifies people who are at risk(s) of poorer health outcome(s), and enable targeted delivery of integrated care to those who will maximally benefit.

An Analysis of the Sustainability of a Collaborative Care Program Used to Deliver Integrated Mental Health Care Within a Micronesian Island State

Adequate access to mental health care is a global problem, including in the Federated States of Micronesia (FSM). The Collaborative Care Model (CoCM) offers an opportunity to deliver improved access to mental health services in primary care centers, and key factors to program sustainability have been investigated in high-income country settings. This study's objective was to evaluate how well factors associated with sustainability have been incorporated into a CoCM in Kosrae, Federated States of Micronesia. The Kosraean CoCM's strengths included its supportive leadership, team member training, and having a strong care manager and engaged primary care provider champion ...

Pathway-Driven Coordinated Telehealth System for Management of Patients With Single or Multiple Chronic Diseases in China: System Development and Retrospective Study

Integrated care enhanced with information technology has emerged as a means to transform health services to meet the long-term care needs of patients with chronic diseases. However, the feasibility of applying integrated care to the emerging "three-manager" mode in China remains to be explored. Moreover, few studies have attempted to integrate multiple types of chronic diseases into a single system.

World Health Organization Integrated Care for Older People (ICOPE) and the Integrated Care of Older Patients with Frailty in Primary Care (ICOOP_Frail) Study in Korea

The World Health Organization (WHO) recently endorsed the proposal for a Decade of Healthy Ageing (2020-2030). The WHO defines "healthy aging" as "the process of developing and maintaining the functional ability that enables wellbeing in older age." Among the strategies for the Decade of Healthy Ageing, the WHO has suggested enhancing intrinsic capacity, promoting functional ability, and implementing the Integrated Care for Older People (ICOPE) package. The WHO has defined steps for ICOPE evaluation and scale-up and is performing a prospective study in 2-3 countries (low and middle income, high income) to test its feasibility in 2021-2022 and a multinational ...

New Zealand’s Integration-Based Policy for Driving Local Health System Improvement – Which Conditions Underpin More Successful Implementation?

The System Level Framework (SLMF) is a policy introduced by New Zealand’s Ministry of Health in 2016 with the aim of improving health outcomes by stimulating inter-organisational integration at the local level.

This study aimed to understand which conditions that vary at the local level are most important in shaping successful implementation of this novel and internationally significant policy initiative relevant to integrated care.