Bibliographies thématiques / Integrated Health Care Systems

Littérature scientifique sur le sujet « Integrated Health Care Systems »

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Publié le 7 septembre 2024

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Articles de revues sur le sujet "Integrated Health Care Systems"

Kovačić, Matija, Vesna Sesar et Sanja Zlatić. « INTEGRATED MANAGEMENT SYSTEMS IN HEALTH CARE ». QUALITY – YESTERDAY, TODAY, TOMORROW 21, n^o 1 (mars 2020) : 451–61. http://dx.doi.org/10.30657/hdmk.2020.28.

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Rao, Ranga. « Integrated care systems : can they deliver ? » BJPsych Advances 29, n^o 1 (19 décembre 2022) : 41–43. http://dx.doi.org/10.1192/bja.2022.78.

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SUMMARYThis commentary is a response to three articles on integrated care systems in this journal. It explores some aspects of the latest transformation of England's National Health Service (NHS) and raises some questions on the extent to which the proposed NHS Long Term Plan can deliver on the current challenges.

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Alexander, Jeffrey A., Howard S. Zuckerman et Dennis D. Pointer. « The challenges of governing integrated health care systems ». Health Care Management Review 20, n^o 4 (1995) : 69–81. http://dx.doi.org/10.1097/00004010-199502040-00012.

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Peterson Sinclair, Barbara. « Advanced Practice Nurses in Integrated Health Care Systems ». Journal of Obstetric, Gynecologic & ; Neonatal Nursing 26, n^o 2 (mars 1997) : 217–23. http://dx.doi.org/10.1111/j.1552-6909.1997.tb02136.x.

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Morris, Arden M. « Putting the Integration Into Integrated Health Care Systems ». Journal of Clinical Oncology 33, n^o 8 (10 mars 2015) : 821–22. http://dx.doi.org/10.1200/jco.2014.59.6015.

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Plochg, Thomas, Stefania Ilinca et Mirko Noordegraaf. « Beyond integrated care ». Journal of Health Services Research & ; Policy 22, n^o 3 (5 avril 2017) : 195–97. http://dx.doi.org/10.1177/1355819617697998.

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Integrated care tops the health care agenda. But more integration alone will not remedy the crisis in health care, and there is a danger in the increasingly prevalent conceptualization of care integration as a goal in itself rather than as an instrument for improving performance. Operating integrated care systems, staffed by an overly specialized medical workforce, is unsustainable in terms of human and financial resources and is likely to produce little benefit for patients with multi-morbidity. An alternative approach involves health care leaders going beyond integrated care and nurturing transformative change from within the medical workforce instead. To be fit for purpose, the doctors must be encouraged and facilitated to customize their expertise to current and expected future burdens of disease. This would lead to more adaptive doctors who could actively support people in healing and managing their own health. Integrated care should be conceptualized as one possible lever for transformative change rather than its endpoint.

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Engelmann, U., et H.-P. Meinzer. « Medical Images in Integrated Health Care Workstations ». Yearbook of Medical Informatics 05, n^o 01 (août 1996) : 87–94. http://dx.doi.org/10.1055/s-0038-1638049.

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AbstractThe difference between an invention and a discovery is discussed, before turning to the sources of medical images. Next, the ongoing integration of image modalities in clinical routine is reviewed, as well as improvements in diagnosis and therapy planning with the help of better images in inter-connected distributed systems. Current shortcomings of image processing, and the attempts to overcome these shortcomings are presented. Examples of image processing are given, together with a vision on future systems and procedures.

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De Kuiper, Marlou, Ferdy Pluck et Anneke De Jong. « Systems Theory for Integrated Care Design ». International Journal of Integrated Care 22, S3 (4 novembre 2022) : 132. http://dx.doi.org/10.5334/ijic.icic22405.

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DAWSON, WENDY, STEPHANIE BROWN, JANE GUNN, RUTH MCNAIR et JUDITH LUMLEY. « Sharing obstetric care : barriers to integrated systems of care ». Australian and New Zealand Journal of Public Health 24, n^o 4 (août 2000) : 401–6. http://dx.doi.org/10.1111/j.1467-842x.2000.tb01602.x.

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Thèses sur le sujet "Integrated Health Care Systems"

Wilson, Nicola Ann. « Modelling intermediate care services as part of an integrated care pathway ». Master's thesis, University of Cape Town, 2016. http://hdl.handle.net/11427/20290.

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This study explores the implications of implementing enhanced or redesigned intermediate care initiatives in the Western Cape of South Africa from the 2014/15 financial year onwards. Using a dynamic modelling methodology, we developed an empirical model of an integrated care system to explain the linkages, relationships and interactions among service components and analyse the implications of one of the proposed Healthcare 2030 policy interventions - intermediate care - on hospital admissions, waiting times and length of stay of all patients. We tested and compared a number of alternative intervention points using a simulation model parameterised with service component data from the Department of Health Information Systems. The findings from the study show the inconsistencies between the perceived structure and the available data from the respective service components that describe the resultant behavioural effects on an integrated care system, especially when care pathways cross organisational boundaries. The main managerial learning was around the existence and nature of organisational boundaries that require joint working and sharing of information. We conclude from the simulation results for the alternative scenarios tested that the implementation of enhanced or redesigned intermediate care initiatives can moderate the rate of growth in the demand for hospital services by reducing a percentage of hospital readmissions.

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Stokes, Jonathan. « Multimorbidity and integrated care ». Thesis, University of Manchester, 2016. https://www.research.manchester.ac.uk/portal/en/theses/multimorbidity-and-integrated-care(28e8922f-42a6-4359-b01d-81ccdaf9bdbe).html.

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Background: Health systems internationally face a common set of challenges: ageing populations, increasing numbers of patients suffering from multiple long-term conditions (multimorbidity) and severe pressure on health and care budgets. ‘Integrated care’ is pitched as the solution to current health system challenges. But, in the literature, what integrated care actually involves is complex and contested. Aims: 1. What does ‘integrated care’ currently look like in practice in the NHS? 2. What is the effectiveness of current models of ‘integrated care’? 3. To what extent are there differential effects of ‘integrated care’ for different types of multimorbidity? Methods: The thesis utilises routinely collected data, systematic review and meta-analysis, combined with quasi-experimental methods (difference-in-differences, and subgroup analysis, difference-in-difference-in-differences). Results: The current implementation of the concept of integrated care is predominantly carried out through multidisciplinary team (MDT) case management of ‘at risk’ (usually of secondary-care admissions) patients in primary care. This approach, however, has not proven capable of meeting health outcome and utilisation/cost aims. Patient satisfaction, though, is consistently improved by the approach. There might also be positive spill-over effects of increased team-working through MDTs for the wider practice population. There does not appear to be a multimorbidity subgroup which benefits significantly more than others in terms of secondary-care utilisation or cost. However, patients at the end of life and/or those with only primary-care sensitive conditions might benefit slightly more than others. Conclusions: Integrated care, in its current manifestation, is not a silver bullet that will enable health systems to simultaneously accomplish better health outcomes for those with long-term conditions and multimorbidity while increasing their satisfaction with services and reducing costs. The current financial climate might mean that other means of achieving prioritised aims are required in the short-term, with comprehensive primary care and population health strategies employed to better prevent/compress the negative effects of lifestyle-associated conditions in the longer-term.

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Friedman, Nicole Lisa. « Impactful Care : Addressing Social Determinants of Health Across Health Systems ». PDXScholar, 2019. https://pdxscholar.library.pdx.edu/open_access_etds/5073.

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There is emerging evidence that addressing health-related social needs through enhanced clinical-community linkages can improve health outcomes and reduce costs. Unmet health-related social needs, such as food insecurity, inadequate or unstable housing, and lack of access to transportation may increase the risk of developing chronic conditions, reduce an individual's ability to manage these conditions, increase health care costs, and lead to avoidable health care utilization. In response, work on social needs is happening across large health systems in the United States, but the pace of progress is slow and accountability is diffuse. The goal of this applied research project is to examine Kaiser Permanente Northwest's patient navigator program as a case study for how health systems can transform into organizations that bridge clinical, social and behavioral health and redefine what it means to be a prevention-oriented delivery system. Kaiser Permanente Northwest (KPNW) provides high quality, patient-centered care to over 550,000 medical members and 240,000 dental members in Oregon and Southwest Washington. In conjunction with the Care Management Institute, KPNW created a patient navigator administered, social needs screening tool called "Your Current Life Situation" (YCLS). This thesis focuses on the data collected from this screening tool with an emphasis on operations management, workflows, and the technical tools that have been supported to do this work. The analysis also uses semi-structured qualitative interviews from patient navigators, physicians, social workers, community organizations and members to better understand the experience of social needs screening in clinical practice and its impact on members and community partners as they receive referrals for services outside the health care delivery system. Through using anthropological theory and methods, I seek to help health systems think and act differently by elevating the voice and experience of the community and translating vulnerable populations' needs into a language that can be integrated into multiple systems of care.

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Bosire, Joshua. « Designing an integrated surgical care delivery system ». Diss., Online access via UMI:, 2007.

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Chang, Ting-Huan. « Determinants of hospital affiliation with health care networks ». Thesis, Birmingham, Ala. : University of Alabama at Birmingham, 2007. https://www.mhsl.uab.edu/dt/2008r/chang.pdf.

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Carney, Philip Sheridan. « Managed healthcare and integrated delivery systems : A model for getting ahead of the change curve ». CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2103.

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Managed care became the dominant model for moderating healthcare costs in the 1990's. The later half of this past decade witnessed early signs of a return to escalating premiums. Providers and consumers have reacted negatively to perceptions of health plan micro-management and restriction of choice.

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Heslop, Liza. « An ethnography of patient and health care delivery systems : dialectics and (dis)continuity ». Monash University, Faculty of Education, 2001. http://arrow.monash.edu.au/hdl/1959.1/8764.

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Park, Hyo Ri. « Whole Care⁺ : An integrated health care for the elderly living in their homes ». Research Showcase @ CMU, 2011. http://repository.cmu.edu/theses/22.

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The elderly experience their health getting significantly deteriorated as they age. They suffer not only from chronic diseases but from various geriatric diseases such as high blood pressure, arthritis and cardiovascular disease. Their mental health also retreats creating challenges for the elderly from the loss of short term memory to dementia. Furthermore, after they retire, the elderly’s social network decreases as their social activities are inevitably limited to a small group of people like families and friends. With the face of such impairments in their physical, mental and social health, many elderly cannot help but are being institutionalized or sent to specialized places like nursing homes, which provide them professional care. However, a study indicates that most Americans prefer to stay in their homes as they get older since they can maintain their social connections to neighbors and friends, be close to their medical caregivers in town as well as attain emotional comfort and security with familiar surrounding and environments. On top of that, Americans of all ages value on keeping their ability of independence and autonomy by controlling their lives in general. Various health care-aid devices and services appear to offer specific support to health care activities for the elderly in their homes. However, such aids have more focused only on when the elderly’s health is degraded or on very specific areas such as tracking health data like blood pressure, blood sugar and calorie intakes. The elderly need comprehensive understanding about their health problems, healthy daily habits and timely interactions with their families and caregivers, in order to keep independent living safely in their places. Smart Home technology has much potential to support the elderly’s independent living as well as interactions with others. To better understand this, we conducted a user-centered design project which looks at the management of the elderly’s health enabled by Smart Home technology.

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Delcarme, Brian. « The development and institutionalisation of an integrated health care waste information system ». Doctoral thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/10359.

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Includes bibliographical references.
Waste management generally in South Africa is poorly defined and practised, and the inadequate management of health care waste (HCW) has been recognised by the South African government as a significant environmental and public health risk. The literature revealed that an integrated health care waste information system (IHCWIS) serves as an important intervention to address the issue of poor health care waste management (HCWM). The overall key research question which this research asked was: "How does an IHCWIS develop and become institutionalised among health care waste generators?" The aim of the research was to gather empirical data to understand how the development and institutionalisation of an IHCWIS contributes to effective HCWM.

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Giddy, Janet. « The implementation of an integrated prevention of mother-to-child transmission of HIV (PMTCT) programme at McCord Hospital, South Africa, 2003-2013 ». Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/16567.

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Integration is an important emerging health systems issue, which has relevance to different health programmes. Improving prevention of mother-to-child transmission of HIV (PMTCT) programs in South Africa would reduce preventable maternal and infant morbidity and mortality, assist with achieving Millennium Development Goals 4 and 5, and help in the response to the WHO call for the elimination of MTCT, the new international PMTCT goal. Integrating PMTCT care into routine maternal and child health programmes has been recommended as a way to optimize PMTCT care. The Part B literature review in this dissertation examines the reasons why PMTCT programmes need to engage with integration as an issue, challenges to implementing integrated programmes, followed by a discussion of the benefits and lessons to consider in planning integrated PMTCT programmes. Theoretical concepts and frameworks such as Atun's framework, complexity, Theory of Change and innovation in health systems are discussed, as they have key relevance to the research findings. Lessons about implementing health system changes can be learned from programmes which have done so successfully. Using Case Study methodology, the process of developing the fully integrated longitudinal clinic at McCord Hospital is described in Part C, and reflections on the experience of providing integrated care are captured through qualitative interviews with the staff. Recommendations regarding innovation and change within complex systems are made, emphasizing the need to understand contexts which are receptive to change and the importance of leadership in managing change.

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Livres sur le sujet "Integrated Health Care Systems"

Milbank Memorial Fund. Reforming States Group., dir. State oversight of integrated health systems. New York : The Fund, 1997.

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American Hospital Association. American Society for Health Care Marketing and Public Relations et American Hospital Association, dir. Marketing integrated delivery systems. Chicago : American Society for Health Care Marketing and Public Relations of the American Hospital Association., 1996.

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Kongstvedt, Peter R. Ten critical success factors for integrated delivery systems. Gaithersburg, Md : Aspen, 1996.

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Fabrizio, Nick A. Integrated delivery systems : Ensuring successful physician-hospital partnerships. Englewood, Colo : Medical Group Management Association, 2010.

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Fabrizio, Nick A. Integrated delivery systems : Ensuring successful physician-hospital partnerships. Englewood, Colo : Medical Group Management Association, 2010.

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Leatt, Peggy. Governing integrated health delivery systems : Meeting accountability requirements. Toronto, Ont : Hospital Management Research Unit, Dept. of Health Administration, University of Toronto, 1996.

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Leggat, Sandra G. A framework for assessing the performance of integrated health delivery systems. Toronto, Ont : Hospital Management Research Unit, Dept. of Health Administration, University of Toronto, 1996.

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Crabtree, Tonges Mary, dir. Clinical integration : Strategies and practices for organized delivery systems. San Francisco : Jossey-Bass Publishers, 1998.

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American Bar Association. Forum Committee on Health Law., dir. Integrated delivery systems in a changing health care environment : New legal challenges. [Chicago] : Forum on Health Law of the American Bar Association, 1994.

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C, Bohlmann Robert, et Medical Group Management Association, dir. Integrated delivery systems : Ensuring successful physician-hospital partnerships. Englewood, Colo : Medical Group Management Association, 2010.

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Chapitres de livres sur le sujet "Integrated Health Care Systems"

Miller, William R., et Constance Weisner. « Integrated Care ». Dans Changing Substance Abuse Through Health and Social Systems, 243–53. Boston, MA : Springer US, 2002. http://dx.doi.org/10.1007/978-1-4615-0669-0_18.

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Steele Gray, Carolyn, Dominique Gagnon, Nick Guldemond et Timothy Kenealy. « Digital Health Systems in Integrated Care ». Dans Handbook Integrated Care, 479–96. Cham : Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-69262-9_28.

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Eastwood, John, et Robin Miller. « Integrating Health- and Social Care Systems ». Dans Handbook Integrated Care, 81–103. Cham : Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-69262-9_6.

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Raasok, Marlene, et Mark Seland. « Case Study—Community Capacity for Health : Foundation for a System Focused on Health ». Dans Handbook Integrated Care, 897–912. Cham : Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-69262-9_52.

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Suter, Esther, Nelly D. Oelke et Michelle Stiphout. « Tools and Frameworks to Measure Health System Integration ». Dans Handbook Integrated Care, 535–56. Cham : Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-69262-9_32.

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Mauch, Danna, et John Bartlett. « Integrated Behavioral Health in Public Health Care Contexts : Community Health and Mental Health Safety Net Systems ». Dans Integrated Behavioral Health in Primary Care, 131–65. New York, NY : Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-6889-9_7.

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Groene, Oliver, et Helmut Hildebrandt. « Germany : Evolution and Scaling Up of the Population-Based Integrated Health Care System “Healthy Kinzigtal” ». Dans Handbook Integrated Care, 511–24. Cham : Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-56103-5_31.

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Martin, Douglas K. « The CARE Decision Support System ». Dans Computerizing Large Integrated Health Networks, 203–27. New York, NY : Springer New York, 1997. http://dx.doi.org/10.1007/978-1-4612-0655-2_15.

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Shimpi, Neel, Ingrid Glurich et Amit Acharya. « Integrated Care Case Study : Marshfield Clinic Health System ». Dans Health Informatics, 315–26. Cham : Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-98298-4_17.

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Naylor, Chris, et Esme Ward. « Integrated care, system leadership and sustainability ». Dans Routledge Handbook of Climate Change and Health System Sustainability, 285–94. London : Routledge, 2024. http://dx.doi.org/10.4324/9781032701196-34.

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Actes de conférences sur le sujet "Integrated Health Care Systems"

Tadvi, Shabana, Faisal Ansari, Shabbir Kapasi et Usama Desai. « Personal health records integrated using Android based health care system ». Dans 2017 4th International Conference on Innovations in Information, Embedded and Communication Systems (ICIIECS). IEEE, 2017. http://dx.doi.org/10.1109/iciiecs.2017.8275965.

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Chen, Heng-Shuen, Mei-Ju Su, Han-Wei Zhang, Robert Chen, Fei-Ran Guo et Shih-Shung Teng. « Integrated telehome care with community-based health information system ». Dans Electronic Systems Technology (Wireless VITAE). IEEE, 2009. http://dx.doi.org/10.1109/wirelessvitae.2009.5172421.

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Alexandropoulou, Christina-Athanasia, Ilias Panagiotopoulos et George Dimitrakopoulos. « Adopting Integrated Health Information Systems in Intensive Care Units ». Dans 6th International Conference on Information and Communication Technologies for Ageing Well and e-Health. SCITEPRESS - Science and Technology Publications, 2020. http://dx.doi.org/10.5220/0009325302190225.

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Usha, S., G. Jeevitha, M. Logesh, M. Karthik, M. Kaviyaa et S. Sri Prasanth. « IoT based Integrated Health Care Monitoring System ». Dans 2023 4th International Conference on Smart Electronics and Communication (ICOSEC). IEEE, 2023. http://dx.doi.org/10.1109/icosec58147.2023.10276248.

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Queiros, Alexandra, Nelson Pacheco da Rocha, Sandro Carvalho et Joao Pavao. « Integrated care of the elderly and the continuous development and adaptation of information systems ». Dans 2010 12th IEEE International Conference on e-Health Networking, Applications and Services (Healthcom 2010). IEEE, 2010. http://dx.doi.org/10.1109/health.2010.5556579.

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Su, Xinyue, Tao Peng, Qin Li, Zewen Wei et Xuantao Su. « A microfluidic cytometer with integrated on-chip optical systems for white blood cell analysis ». Dans Optics in Health Care and Biomedical Optics XI, sous la direction de Qingming Luo, Xingde Li, Ying Gu et Dan Zhu. SPIE, 2021. http://dx.doi.org/10.1117/12.2602522.

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Petersone, Mara, Karlis Ketners et Dainis Krievins. « Integrate health care system performance assessment for value-based health care implementation in Latvia ». Dans Research for Rural Development 2021 : annual 27th International scientific conference proceedings. Latvia University of Life Sciences and Technologies, 2021. http://dx.doi.org/10.22616/rrd.27.2021.018.

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Every year, efforts are applied worldwide, particularly in the European Union, to improve health care systems by increasing the added value of resources already available for health care financing by increasing the performance of health care systems. According to experts of the World Health Organisation (WHO) and the Organisation for Economic Cooperation and Development (OECD), 20–40% of the resources are used for complications that could be avoided, for unnecessary treatment or administrative inefficiency. Therefore, a new initiative to improve health performance – the value-based health care concept (VBHC) is becoming increasingly popular in the world, and particularly in Europe. This scientific article aims to explore the possibilities of applying VBHC in Latvia and the interaction between various management tools in the field of health care. Application of the VBHC concept in Latvia is offered for discussion, where the outcome of the corresponding measure would be identified for each health service provider as part of a one-patient (care) pathway involving several independent health service providers. Based on the Health Care System Performance Assessment (HSPA), clinical (patient) pathways and indicators, to initiate an integrated VBHC model in four priority areas: circulatory system diseases, oncology, mental health, maternal and child health. Meta-analysis of the research is based on the use of qualitative data sources – the existing data sources from policies implemented by the Ministry of Health in Latvia and examples of the introduction of VBHC initiatives worldwide summarised by the VBHC Center Europe. The deductive research is based on the Value-Based Healthcare concept introduced by Porter and Teisberg (2007)

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Veeraiah, Vivek, et G. K. Ravikumar. « Integrated Health Care Delivery system with IoT Enabling Technology ». Dans 2020 International Conference on Computational Science and Computational Intelligence (CSCI). IEEE, 2020. http://dx.doi.org/10.1109/csci51800.2020.00156.

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Lagunes-Aranda, Luis F., Andrea G. Martinez-Lopez, Jaime Martinez-Castillo, Celia M. Calderon-Aguirre, Luis J. Morales-Mendoza et Mario Gonzalez-Lee. « UHF RFID antennas integrated on flexible substrate for health care environments ». Dans 2015 International Conference on Computing Systems and Telematics (ICCSAT). IEEE, 2015. http://dx.doi.org/10.1109/iccsat.2015.7362954.

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Raza, Ali, et Stephen Clyde. « Testing Health-Care Integrated Systems with Anonymized Test-Data Extracted from Production Systems ». Dans 2012 International Conference on Cyber-Enabled Distributed Computing and Knowledge Discovery (CyberC). IEEE, 2012. http://dx.doi.org/10.1109/cyberc.2012.83.

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Rapports d'organisations sur le sujet "Integrated Health Care Systems"

Yeika, Eugene, Erica L. Kocher et Carrie Ngongo. Integrating Noncommunicable Diseases into Antenatal Care in Cameroon : A Triangulated Qualitative Analysis. RTI Press, janvier 2024. http://dx.doi.org/10.3768/rtipress.2024.rr.0051.2401.

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Noncommunicable diseases (NCDs) have important implications for pregnancy outcomes and the subsequent health of women and their children. The aim of this study is to determine the status of NCD and maternal health program integration, identify barriers to integration, and explore what would be required to deepen integration of NCD care into antenatal care in Cameroon. We used two methods of data collection and synthesis: a desk review of policy documents and protocols and a series of key informant interviews with health system experts and managers working in public, private, and faith-based health facilities at central, regional, and district levels. Although screening for blood glucose and blood pressure occurs during antenatal care, post-diagnosis management is not well-integrated and often requires referral to specialists in higher-level health facilities. Key barriers to integration include lack of guidelines for the management of NCDs, financial constraints for facilities and patients, and shortages of health workers, medications, and supplies for laboratory investigations. Further integration of services for NCDs during pregnancy will require national guidelines backed up by system-wide strengthening of health information systems, insurance coverage, supply chain management, and human resource capacity, particularly in remote areas.

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Pantig, Ida Marie, Pauline Joy Lorenzo et Tatum Ramos. Transitioning to a Province-Wide Health System : Experience of the Provinces of Bataan and South Cotabato. Philippine Institute for Development Studies, août 2024. http://dx.doi.org/10.62986/dp2024.09.

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The integration of different levels of local health systems into Province- or City-wide Health Systems (P/CWHS) in the Philippines is a reform that is designed to help the achievement of a responsive and efficient health system, financial and social risk protection, and better health outcomes. The majority of Universal Health Care Integration Sites (UISs) have already achieved the Key Result Areas (KRAs) for the Preparatory and Organized Levels. Using the case study approach, this study aimed to explore how local government units (LGUs) and other stakeholders have navigated through the transition process given existing policies and frameworks. It looked into the P/CWHS components and the experiences of the provinces of Bataan and South Cotabato in the integration process, and determined enabling and facilitating factors, innovations, and challenges. Enabling and facilitating factors include LGU initiative and appreciation of P/CWHS benefits; partnerships of provinces with national government agencies (NGAs), nongovernmental organizations (NGOs), development agencies, and private sector that provide technical and financial assistance; presence of legal instruments; and optimization of existing monitoring systems. LGUs have also carried out innovative practices such as documenting efforts during the initial stages and engaging development partners and NGOs that increase understanding of P/CWHS, help address challenging KRA and Health Care Provider Network (HCPN) requirements, and generally facilitate transition. Challenges have, nevertheless, been encountered. These obstacles include the limited awareness of the LGU roles and responsibilities, time and resource costs of requirements to fully integrate and transition, piecemeal understanding of P/CWHS and Universal Health Care (UHC) reforms among local leaders, lack of guidance on how the private sector can integrate, lack of technical assistance from the Central Office, and lack of interoperability of datasets from various health information systems of provinces. Given the findings, this study provides the following policy recommendations to scale up the integration efforts: ensure proper communication of accurate information to stakeholders; jumpstart discussions on private sector integration into the HCPN; implement, evaluate, and progressively enhance the financing reforms to be implemented; provide resources to augment LGU funding for transition requirements; and incorporate plans to ensure optimal participation of the population in the P/CWHS.

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Gillen, Emily, Olivia Berzin, Adam Vincent et Doug Johnston. Certified Electronic Health Record Technology Under the Quality Payment Program. RTI Press, janvier 2018. http://dx.doi.org/10.3768/rtipress.2018.pb.0014.1801.

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The 2016 Quality Payment Program (QPP) is a Medicare reimbursement reform designed to incentivize value-based care over volume-based care. A core tenet of the QPP is integrated utilization of certified electronic health record technology (CEHRT). Adopting and implementing CEHRT is a resource-intensive process, requiring both financial capital and human capital (in the form of knowledge and time). Adoption can be especially challenging for small or rural practices that may not have access to such capital. In this issue brief, we discuss the role of CEHRT in the QPP and offer policy recommendations to help small and rural practices improve their health information technology (IT) capabilities with regards to participation in value-based care. The QPP requires practices to have health IT capabilities, both as a requirement for a complete performance score and to facilitate reporting. Practices that are unable to implement CEHRT will have difficulty complying with the new reimbursement system, and will likely incur financial losses. We recommend monetary support and staff training to small and rural practices for the adoption of CEHRT, and we recommend assistance to help practices comply with the requirements of the QPP and coordinate with other small and rural practices for reporting purposes.

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Ozano, Kim. Integration of HIV, TB and malaria in Africa : A Reflection Workshop. Institute of Development Studies, juillet 2022. http://dx.doi.org/10.19088/k4d.2022.095.

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Recognising the importance of integrated health service management and delivery to accelerate Universal Health Care (UHC) and tackle the Human Immunodeficiency Viruses (HIV), tuberculosis (TB), and malaria epidemics, the UK’s Foreign, Commonwealth and Development Office (FCDO) commissioned the Knowledge, Evidence and Learning for Development (K4D) Programme to undertake an evidence synthesis exercise of a set of BACKUP Health1 and K4D Helpdesk reports across six countries: Uganda, the Democratic Republic of Congo (DRC), Tanzania, Mozambique, Nigeria, and Zimbabwe (Ozano, 2022). The K4D reports highlight country-specific epidemiology, disease control programmes, and key interventions for each disease, including those likely to strengthen health systems and promote integration. The BACKUP reports focus more on integration and add country-specific details with recommendations.

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Sartore, Gina-Maree, Michelle Macvean, Catherine Wade et Kate Spalding. Patient experience surveys for vulnerable families. The Sax Institute, février 2022. http://dx.doi.org/10.57022/cjkl4701.

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This Evidence Check identifies patient‐reported experience measures (PREMs) used to evaluate integrated services. The review was conducted to support the development of a survey to use with families accessing the NSW Vulnerable Families program in order to better understand their experiences. Only a small number of PREMs were identified for use with people with both chronic or complex health conditions and social vulnerabilities. While all the PREMs identified are for use in integrated or coordinated care, only a few have direct applicability to the complex, vulnerable populations participating in Vulnerable Families or to the co-located, cross-service system Vulnerable Families model.

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Choi, Yoojin, Nathan M. Stall, Antonina Maltsev, Chaim M. Bell, Isaac I. Bogoch, Tal Brosh, Gerald A. Evans et al. Lessons Learned from Israel’s Vaccine Rollout. Ontario COVID-19 Science Advisory Table, février 2021. http://dx.doi.org/10.47326/ocsat.2021.02.09.1.0.

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As Ontario expands access to the COVID-19 vaccine beyond the Phase 1 priority populations, strategic planning and execution of mass vaccine rollout will have a significant impact on the health and safety of Ontario’s 14.5 million residents. There are six key elements of Israel’s successful COVID-19 vaccine campaign that can be readily applied to Ontario to expedite and expand the province’s vaccine rollout strategy: a simple vaccine prioritization process; modification to the transport, storage, and distribution of the vaccines; effective communication to promote vaccine confidence; decentralization of vaccination sites; centralized organization through Health Maintenance Organizations (HMOs) using a fully integrated information technology (IT) system in a universal health care system; and the engagement of community-based personnel, infrastructure, and resources.

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Bocioaga, Andreea. Health and Social Care Systems Redesign. Iriss, octobre 2020. http://dx.doi.org/10.31583/esss.20201009.

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Mossialos, Elias Mossialos, Martin Wenzl Wenzl, Robin Osborn Osborn et Dana Sarnak Sarnak. International Profiles of Health Care Systems, 2015. New York, NY United States : Commonwealth Fund, janvier 2016. http://dx.doi.org/10.15868/socialsector.25100.

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Friedman, Nicole Lisa. Impactful Care : Addressing Social Determinants of Health Across Health Systems. Portland State University Library, janvier 2000. http://dx.doi.org/10.15760/etd.6957.

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Klein, Sarah Klein, Douglas McCarthy McCarthy et Alexander Cohen Cohen. Accountable Care : Building Systems for Population Health Management. New York, NY United States : Commonwealth Fund, octobre 2014. http://dx.doi.org/10.15868/socialsector.25012.

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