International Journal of Integrated Care

Article	Citations
Policy Versus Practice: Facilitators and Barriers of Chronic Care Integration in Dutch General Practice – a Survey Study	71
Cross-sectoral Virtual Meetings. Goals and Plan for the patient's hospitalization	52
The Winding Road from Plan to Action: A Qualitative Study Exploring Operationalization of Person-Centeredness and Engagement in an Integrated Patient Ca	40
Multiple Case Study on Integrated Health and Social Care Initiatives for Older Adults in Canada	34
From transactional client relations to transformational integrated partnerships to deliver maximum value to the patient: A discussion on key success fac	23
Person-centred integrated care with a public health approach to improve population health and wellbeing: A systematic literature review	22
Decision-Making Dilemmas within Integrated Care Service Networks: A Systematic Literature Review	22
Team based triage and pathway care delivery in an ICPOP Hub	22
Connected Care Hub: Filling a gap with virtual transitional care and decreasing Emergency Department visits and inpatient readmissions.	20
Ethical Challenges in End-of-Life Care: Terminal Fasting, Nutritional Care, and Patient Assessment	19
Elevating Healthcare: Revolutionizing Tradition through Patient-Centric Collaboration in Calgary Foothills. Exploring the Integrated Community Care Model and its Transformative Impact.	19
Evaluation of Community Paramedicine Remote Patient Monitoring Program: A performance evaluation report	18
Earlier Diagnosis of Chronic Obstructive Pulmonary Disease (COPD) in Dublin North Central Respiratory Integrated Care (RIC).	17
Learning Disability Services in Belfast Trust – Co-producing to strengthen services	17
Multiple stakeholders’ perspectives on improving virtual cancer care for older Black adults	16
Transforming services in partnership with service users and carers to co-develop the new Integrated Care System for Northern Ireland (ICSNI)	16
Care capacity planning in primary healthcare	16
Measuring integration in “Integrated Youth Services” in Canada: Experiences with research and evaluation	15
Assessing the Readiness and Practice for Implementing Integrated Care in Saudi Arabia Using the SCIROCCO Survey Tool: A Pilot	15
Dementia Care Pathways: A Comprehensive Scoping Review and Insights from Key Informant Interviews	14
Inter-Organizational Coordination to Improve Patient Outcomes in Multimorbid Older Patients Following Hospital Discharge – a Systematic Review	13
Developing the Patient Falls Risk Report: A mixed-methods study on sharing falls-related clinical information from home care with primary care providers	13
Design principles for the development of health technology with and for older adults to enhance well-being and aging in place.	13
Asset-based leadership of practice: learning from an inter-professional development programme	13
New Patterns for Low-income Families - A model for comprehensive and coordinated efforts.	12

Establishing the aims, format and core standards of a frailty at the front door model of care: a mixed methods consensus study	12
Development and first steps towards implementing population health management in Belgium.	12
System Wide Governance and Leadership: A New Governance Model to Rethink How Performance is Measured; How Integrated Services are Contracted, Funded and Co-ordinated and How Outcomes and Benefits are	12
The integration journey in Wales – moving below the waterline. Fitting with the conference theme of ‘Change management implementation' this presentation will explore the journey so far in Wales in cre	12
Pilot Randomized Controlled Trial of Multi-Disciplinary Community-Based Biofeedback Vs Health Promotion Programs on Mental Health And Drug Use Among People Experiencing Homelessness	12
A case study of enabling integrated care through total workspace innovation in a large homecare organization	12
"The infinity loop of healthcare innovation: Development of an integrated rehabilitation pathway for spinal surgery through design thinking"	11
Designing with Older Adults: How University Health Network's NORC Innovation Centre creating an integrated health and social care community for seniors residing in naturally occurring retirement commu	11
How Do Professional Associations Influence Health System Transformation? Lessons from Ontario, Canada	11
Using the settings approach to health promotion in hospital and health services to support collaboration, engagement, and partnership in integrated care systems.	11
Safeguarding nursing homes in a pandemic: lessons learnt and implications for future workforce planning and development.	10
Integrated Care and Population Health Management: Does Your System have the Capacity to Succeed?	10
How do I roll out a digital collaboration tool?	10
We Are: Giving citizens control over their data.	10
Aiming for equity in care provision	10
“Light through Life”– an inter-disciplinary long-term integrated health promotion programme for overweight and obese people	10
Structural reforms in action - Singapore's population health journey and the structural changes at the national and local level	10
Synthesizing evidence regarding hospital to home transitions supported by volunteers of third sector organizations: A scoping review	9
The Collaborative Centre for Cardiometabolic Health in Psychosis (ccCHiP) – An integrated care model for oral health of people living with severe mental	9
Evaluation of an integrated care model using the RE-AIM framework: A case study of a community-based lifestyle service in rural Lincolnshire, UK.	9
Integrated Health and Social Care in the United States: A Decade of Policy Progress	9
Population Health Management for Healty Regions in The Netherlands – First experiences	9
The Role of Nurses as Alternative Providers of Medical Services in Community-Based Care	9
COVID-19: An impetus for delivering truly integrated paediatric healthcare	9
Applications to prescribe exercise in frail older people: review of the available tools in the market	9
Parent attitudes and perceptions of integrated behavioral health care delivery for pediatric patients	9
electronic Medicines Management (eMM) in Norway	8
Workforce Development in Integrated Care: Results of A Scoping Review	8
Can local networks for patients with dementia (DementiaNet) be value-adding initiatives? A longitudinal cohort analysis on medical and long-term care cl	8
Social care data and its fitness for purpose and use for integrated care performance intelligence: an exploratory qualitative analysis in the Dutch cont	8
Why do some community health centres teams engage in a QI program whereas others do not? A specific case: The DEQuaP program ("Let's develop the quality	8
Caredoc Community Intervention Teams - An Integrated, Multidisciplinary Approach to Delivery of Care in a Community Setting	8
BackTrace - digital support of cross sectoral care pathways ensuring coherence and empowerment in low back pain patients	8
The Rainbow Model of Integrated Care Measurement Tool: validation for the primary elderly care setting	8
Examining Macro-Level Barriers and Facilitators to Scaling Up Integrated Care from a Complexity Perspective: A Multi-Case Study of Cambodia, Slovenia, and Belgium	7
Strengthening multi-sector community driven team-based approaches to develop and implement sustainable supports	7
Healthier Together: Strengthening collaboration, social value and getting to health and wellbeing outcomes.	7
Calgary Zone Evolution, the benefits of integrated governance structures in primary care	7
Challenges and Recommendations for the Deployment of Information and Communication Technology Solutions for Informal Caregivers: Scoping Review	7
Building Brighter Futures: Integrating Health Equity Programs to Enhance Care in Canada	7
Technology-Enabled Collaborative Care for Type-2 Diabetes and Mental Health (TECC-D): Findings From a Mixed Methods Feasibility Trial of a Responsive Co-Designed Virtual Health Coaching Intervention	7
Initiating integrated palliative rounds to improve patient outcomes and experiences in the home care setting.	7
Assessing patient pathways to improve integrated, people-centred care: the Quebec MSSS experience	7
Building on advanced practice of community nurses to improve access and continuity of care for refugees: Pilot study in Sherbrooke, Canada	7
Moving from How to Allow - Co-Creation and the mauri of Collective Wisdom	7
A collaboration between first- and second-line healthcare for persons with a disability in Flanders to strengthen quality of care, continuity of care and affordability of care.	7
Negative Health Impacts of Navigating the Healthcare System for Musculoskeletal Conditions: Healthcare User Perspectives	7
Family VOICE: Family group conferencing for children and families: implementation, context and cost-effectiveness	7
What Matters to You (WMTY): Creating change within our healthcare system one conversation at a time	7
Strategies for engaging patients and families in collaborative mental health care	6

Efectos en adultos mayores de su participación en un proyecto comunitario basado en activos para la salud	6
Elderly in nursing homes and COVID-19: organization of a unique strategy and opportunity to improve integrated care in Long Term Care Facilities	6
Implementation of an integrated care pathway in primary care clinics to improve the health of older adults: a realist evaluation	6
The pros and cons of integrated care implementation in Central and Eastern Europe – a perspective from 9 CEE countries	6
A Community-based Intervention for A&E Frequent Attenders in Singapore	6
Integrating Health and Social Services in Finland: Regional Approaches and Governance Models	6
The tenuous beginnings of health system transformation: How Ontario Health Teams enacted change in the context of uncertainty	6
Value-creating Learning Health Systems – an Organizing Framework for the Journey to Integrated Care	6
Integrating Gestational Diabetes Screening and Care and Type 2 Diabetes Mellitus Prevention After GDM Into Community Based Primary Health Care in South Africa-Mixed Method Study	6
Using virtual workshops to bring together young people, parents and professionals to better understand local experiences of health and care services	6
Case Management Programs for Improving Integrated Care for Frequent Users of Healthcare Services: An Implementation Analysis	6
Public Experiences and Perspectives of Virtual Primary Care Visits: Outcomes and Future Options	6
The liver toolkit – an innovative IT solution to screen patients in general practice for undiagnosed cirrhosis.	6
Observational Data for Integrated Maternity Care: Experiences with a Data-Infrastructure for Parents and Children in the Netherlands	6
Caregiver ID: A Valuable Tool to Engage Caregivers as Partners in Care during Covid-19 and Beyond	6
Development of a Person-Centred Coordinated Care Pathway in Swedish Healthcare for Low Back Pain	6
Integrated Care for Multimorbidity Population in Asian Countries: A Scoping Review	6
Unlocking Potential: The Potential Impact of ‘Happymakers’ in Alleviating the Labor Shortage in Dementia Care Work: The Paradigm Shift From Care to Well-Being at an Amsterdam-Based	6
Integration and innovation during the Northern Rivers 2022 floods	6
Respuestas actuales a los desafíos de la comunicación para la salud	6
“There’s No Room for Silos.” Interprofessional Education in Hospital-to-Home Integrated Care Programs.	5
Creating engagement capable environments for healthcare transformation: A framework for action	5
"Integrating" Patients and Citizens in Integrated Care: Insights from a large-scale PHM program in France	5
What should we consider when implementing digital assessments in integrated health and social care? Ten action areas for implementation planning 	5
Community Pre-Chemotherapy Phlebotomy Clinic:An integration between Tallaght University Hospital Oncology Day Ward and the South Dublin Community Intervention Team	5
Health literacy interventions and health literacy-related outcomes for older adults: A systematic review	5
The MGH2Home Program, a Seamless Journey from Hospital to Home	5
Complex care forum for enhanced support across care settings	5
The Digital Health/Wellness Capability Maturity Framework (DHW-CMF), a breakthrough tool to accelerate health systems evolution to better digitally enabled performance.	5
The imperative of working with municipalities to create an integrated health and wellness system.	5
Can a Voice recognition Dictation Service free up time for the Integrated Care CNSp to see more patients?	5
Using patient and family caregiver experience for quality improvement in rehabilitation settings: Learnings from a scoping review	5
Eastern Health Pathways++ a stepped model of care using risk stratification for people with chronic and complex health conditions	5
Breaking the Gender Gap: Analysis of Gender-Sensitive Healthcare Implementation	5
Cooperación internacional para formación interdisciplinaria en Cuidados de Fin de Vida a estudiantes de Enfermeria	5
School-based integrated care – understanding collaborative partnerships between the health and education sectors (Combined with Paper 16)	5
The appropriate scale for integrated care: a continuous and ongoing search	5
Integrated Diagnosis in Africa’s Low- and Middle-Income Countries: What Is It, What Works, and for Whom? A Realist Synthesis	5
Implementing Measurement-Based Care (MBC) for Mental Health in a Paediatric Hospital Setting	4
Empowering the voices of persons with disabilities: Co-creating and implementing a community engagement framework for inclusive program design and organizational development	4
The Alfred Health Covid Community Pathway (AHCCP): development of a multidisciplinary, collaborative, and integrated model of care for supporting covid positive patients in the community during the Co	4
A Toolkit to facilitate the implementation of an Integrated Care Network for People living with Parkinson: A Codesign Approach	4
Transforming Home Community Nursing Practice Through Nurse Empowerment: H.O.P.E. Approach to Care	4
Integrated Care in Aotearoa New Zealand 2008–2020	4
Action-based, holistic patient consultations to inform integrated care: validation and value of the Dutch Patient Centered Assessment Method (PCAM)	4
Improving the evaluation of integrated healthcare systems using entropy balancing.	4
Short Stay Unit at Home, an alternative to Conventional Hospitalization	4
How caring communities become part of the health system of the future in the Netherlands. Developments, bottlenecks, and impact.	4
Medication reconciliation by community pharmacists: an essential contribution to ensure continuity of care with regard to medications at hospital discharge.	4
Measuring Lessons Learned from Durham Community Hub Model during COVID-19: A Support Solution for the Homeless and other Vulnerable Populations	4
FlaQuM-Quickscan: an instrument to measure healthcare quality experiences across patients, kin and professionals in hospitals and primary care settings.	4
A rigorous, stepwise procedure for multi-stakeholder design of implementation actions	4
Patient-GP-Pharmacist cooperation towards individualized tapering schemes for long term benzodiazepine users	4
Development and Evaluation of a Novel Population Needs-Based Sub-Segmentation Model (NBSSM) in Singapore	4
Provision of integrated care by a National Call Support Program for Alzheimer’s patients and their caregivers	4
Untangling the interrelatedness within integrated care programmes for community-dwelling frail older people: a rapid realist review	4
Shifting to person-centred service delivery with coordinated health and social outcomes	4
Evaluating the maturity of integrated care organizations	4
The HOP Pilot: A collaboration to develop an integrated person-centred model for vulnerable people to feel safe accessing health support	4
Addressing the Patient Experience through Human- Centred Design: A Scoping Review	4
Addressing the social determinants of health: social workers as key players in integrated care	4
Integration of maternity care as a part of social welfare and health care reform in Finland	4
Consensus Building Method as a participatory tool of health decision making to counteract medical desertification in Europe.	4
IRL	4
Equally Well: Using a collective impact approach to enable system wide leadership.	4
Much More than a Building: redesigning hospice provision for Isle of Man	4
Reducing Health Inequalities Through Personalised And Person-Centred Healthcare, Delivered Through A Culturally Ethical Framework	4
Integrated Maternal Care Strategies in Low- and Middle-Income Countries: A Systematic Review	3
An Integrated Care Approach to Health Equity Data Collection and Use	3
Improving Value-Based Stroke Care by Using Digital Health Within an Integrated Practice Unit (IPU)	3
Healthcare and Social Care Integration: The COVID-19 Pandemic's Effect on Interorganisational Partnership Working	3
Developing Collaborative Practices in Co-Located Health and Social Services: An Observational Study of a Multidisciplinary Development Group	3
Lessons Learned from the Implementation of Youth Wellness Hubs Ontario, an Integrated Youth Services Network: Perspectives from Network Leads	3
Participation in a co-design process – learnings and implications for enabling individual and collective participation in co-design	3
Realising the Right to Rehabilitation	3
Improving cancer prevention and early detection among people experiencing homelessness in the UK: Health Navigator Model.	3
Floundering or Flourishing? Early Insights from the Inception of Integrated Care Systems in England	3
What Can Canada Learn From Accountable Care Organizations: A Comparative Policy Analysis	3
Understanding policy supports that enhance equity in the Primary Health Care System	3
Value-Based Healthcare: Measuring True Impact and Deciding When to Shift Focus	3

Critical success factors of a women's supportive care housing program	3
Barriers and facilitators in implementing integrated youth services: Lessons Learned from Youth Wellness Hubs Ontario	3
The COV-VOL project: The impact of community, charitable and voluntary organisations in supporting older people during the Covid-19 pandemic. Lessons le	3
Providing integrated care to families with multiple and complex needs – twelve core components for professionals	3
A COPD Self-Management Day	3
Development of a Transcultural Social Ethical and Integrated Care Model, for Dependent and Older People Populations at Risk of Exclusion in the Mediterranean Sea Basin (TEC-MED): A Research Protocol	3
Diverse experiences of private allied health practices managing through the COVID-19 pandemic: lesson for funding reform	3
OPEN ARCH: Evaluating the efficacy of an integrated model of care for community dwelling older Australians	3
Integrating oral care in community- oriented primary care to reduce the health gap at a local level.	3
Improving access to primary care through coordinated access and attachment	3
Regional Strategic Planning of Care in Flanders based on population needs	3
Demonstrating Integrated SDoH Impact in Behavioral Health	3
From Movie to Movement: working together to create conditions for safe care	3
Co-Design In Health: The Development and Evaluation of a Universal Information Design Response for Opioid Poisonings	3
Pharmacy in Schools Programme	3
How can we best use national levers around integration? A comparison of policy and progress across the UK’s four countries	3
Co-developing and unlocking Integrated Proactive Neighbourhood Teams in Gloucestershire to improve care for people living with frailty	3
A qualitative study investigating the experiences of unmet social needs for children with cerebral palsy and their families	3
Trans-disciplinary learnings from lived experience: person-centred integrated infertility care.	2
Managing Institutional Diversity in Integrated Care: A Systematic Literature Review of Institutional Logics and Management Strategies	2
Bridging the health/social care divide – integrated care from the perspective of disability providers.	2
Workshop launch of the IJIC Thematic issue on scale-up of integrated care interventions for chronic diseases in three diverse settings.	2
Exploring system resiliency within the North York Toronto Health Partners North York Community Access to Resources Enabling Support Program – A pragmati	2
Improving older people health fostering physical activities in the neighbourhood contributing to build the community sense through the ValueCare PROJECT	2
Strengthening the response of the Mexican health system to face COVID-19: a perception of key-actors	2
Building a Better System to Support Family Caregivers: Engaging Multi-level Interdisciplinary Stakeholders in Micro, Meso, and Macro Level Learning Health System Design.  	2
The Hotspotters Project: a proactive, integrated and personalized care approach	2
Alcoholmisuse/dependence carepathway in and outside the general hospital. Detecting, motivating and treating the whole person.	2
Health and economic outcomes for founding medicine on a comparable value: experiences from the VOICE Community in breast and lung cancer.	2
Stakeholders’ Perspectives on the Quality of End-of-Life Health Care Services for Chronic Obstructive Airways Disease: A Focus Group Study	2
"Older persons providing or not providing informal care to non-family peers - The experience of Health-related Quality of Life. Results from the Swedish Citizen Panel survey "	2
A qualitative case study of dis-integrated care utilising the ‘Your Voice Matters’ framework for data analysis.	2
Activating people to partner in health and self-care: The use of the Patient Activation Measure	2
Removing the Silos: Interprofessional Education to Support Hospital-to-Home Integrated Care	2
Partnering for Partnerships: How Industry and Health care system partnerships can improve health outcomes.	2
Patient-to-Patient Research to Develop Resources Tailored to the Needs of People Living with Chronic Pain.	2
Community Hospitals in Rural Mid Wales	2
Effect of Community-based integrated care for patients with diabetes and depression in China: interim analysis of a pragmatic cluster-randomized trial	2
Patient and public involvement (PPI) in health care: A systematic mapping review of systematic reviews	2
Dental Health Services Victoria’s Co-designed Value Based Health Care Framework: Leading Patient Centred Care in Public Dental Sector	2
Characterizing Project ECHO Autism Case Recommendations and Implementation	2
Integrative approach as a dormant element of integrated healthcare	2
Implementation of a multidisciplinary Enhanced Care Response Service to reduce avoidable hospital admissions among residents of care homes.	2
Prioritized health outcomes of acutely hospitalized older patients.	2
Improving Palliative and End of Life Care on the Central Coast, Australia: Results from Two Clinically-Led Mixed-Methods Research Projects	2
How to develop a Caring and Compassionate Neighbourhood?	2
The importance and added value of patient involvement in person-centred medication reviews.	2
Patient-sharing relationships among primary healthcare professionals taking care of patients with mental health problems or substance abuse: the social network approach.	2
Implementation of experts by experience in hospitals: No one-size-fits-all solution but an experience-based co-design (EBCD)	2
The Application of Complexity Theory in Health and Social Care Research: A Scoping Review	2
Increasing Equitable Access to Interprofessional Primary Care Teams in North Toronto	2
Advancing a Transitions in Care Guideline: Reflections on Strategies to Engage Staff	2
Achieving person-centered care through integrated care	2
Compassionate communities: a public health approach to palliative and end of life care	2
Elevating Healthcare: Revolutionizing Tradition through Patient-Centric Collaboration in Calgary Foothills. Exploring the Integrated Community Care Model and its Transformative Impact.	2
Neighbourhood Care Team - Integrated care-model for team based primary care and aging at home	2
Care Everywhere: Implementing and Evaluating a Network-level Digital Transformation to Improve Coordination and Access across a Health System	2
Archetypes of Integrated Care	2
Creating an Integrated Care Fellowship in Rural Ireland	2
Essential Care Partner Programs: A Strategy to Advance Integrated Care through the Inclusion of Caregivers	2
Journey Through Healthcare of People With Complications of Type 2 Diabetes: A Qualitative Study of Lived Experiences	2
Clusters of medical specialities around patients with multimorbidity – employing fuzzy c-means clustering to explore multidisciplinary collaboration.	2
Systems Theory for Integrated Care Design	2
Implementation of Preventive Care in the setting of primary care: opportunities, hurdles and policy needs for integration of Preventive Care in the daily practice of primary care practitioners.	2
COSSAD: Social and Health Coordination in Home Care	2
Lung cancer registry to promote person-centered care. 	2
Health Ambassadors – the bridge between professionals and vulnerable groups	2
Integrated care for children and youth through interRAI: Promoting efficiency across mental health care service sectors in Ontario	2
Elderly Abuse: the importance of a scientific and a participatory approach	2
Utilizing dyadic and triadic family interviews to better understand the integrated care needs of older adults: Examples from a Canadian study exploring the needs of older adults at risk of admission t	2
Nurse-Led Community Fall Prevention Program: A Singapore Experience	2
“Open Door” to Community Connected Pathways for Integrated Care	2
The ‘recipe for success’: Co-designing strategies to enhance care transitions from hospital to home	2
Understanding policy supports for Team-Based primary healthcare models.	2
Enhancing integration of community out-of-hours urinary catheter care in South Dublin	2
Observe, Coach, Assist, Report: A personal support practice framework to build Home and Community Care workforce capacity in Ontario, Canada	2
Building, scaling and spreading community-based transitional care programs—Bold change leadership for evidence-based integrated care	1
Bevan Exemplar Showcase	1
Beyond the Point of No Return: A Discourse Analysis of Healthcare Professionals’ Perceptions of Digitally Supported Person-Centred, Integrated, and Proactive Care	1
Measuring the Impact of Integrated Care: from Principles to Real-World Impact	1
Towards local integrated care through the convention for a psychological offer in primary care	1
Integrating care with equity-deserving communities from the ground-up: High Priority Communities Strategy in Markham, Ontario	1
Working Together to Deliver The Future	1
Strategies for integrating the Making Every Contact programme for the prevention and management of chronic disease across Irish Health Service	1
The inTouch Integrated Care Framework – Reimagining Integrated Health Service Delivery	1
Creating a patient reported outcome measure for medication-related quality of life: a concept mapping brainstorming study in Ontario, Canada	1
Patients and Care Providers Translating Care Transition, Integration, Coordination and Continuity Practices into Real Experiences	1
An IT-supported multidimensional approach for frailty screening in community-dwelling older adults	1
The power of community - Getting evidence and policy into practice with HealthPathways	1
An IT tool for knowledge transfer and coordination of long-term care for a community-dwelling patient with a frailty syndrome - pilot carried out as par	1
Standardized assessment to support integrated care: Use of self-report instruments with vulnerable community-dwelling older adults during the pandemic	1
New perspective on social cost-benefit analysis in health care and social welfare. A personalised integrated care approach.	1
Enhancing transmural continuity of care for vulnerable patients with kidney problems. A mixed-methods multi-stakeholder needs-assessment	1
Place-based partnerships serving the most vulnerable youth that have complex health and social needs.	1
Team Primary Care: Training for Transformation in Canada	1