Exploration of understanding of integrated care from a public health perspective: A scoping review

Noor, Fadumo Abdi; Gulis, Gabriel; Karlsson, Leena Eklund

doi:10.1177/22799036231181210

Cited by 3 publications

(3 citation statements)

References 43 publications

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“…PH regards health as a multi-dimensional construct involving a wide range of life domains and disciplines. Its broad perspective aligns with the current trend in which collaborations across multiple disciplines and sectors to enhance overall health and wellbeing are stimulated [15,76,77]. It also aligns with the notion that the influence of the living environment on perceived health is undeniably significant [78].…”

Section: Reflectionsmentioning

confidence: 75%

Rapid Review on the Concept of Positive Health and Its Implementation in Practice

Van Vliet,

De Kleijn,

Van den Brekel

et al. 2024

Preprint

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Positive Health (PH) has been described as a promising transformative innovation to address the challenges of promoting well-being and reducing the burden of disease. The aim of this study is to review the current state of knowledge about PH as introduced by Huber et al. (2016) within the available scientific literature. A rapid review of the literature following the Cochrane Rapid Review recommendations. Three databases were searched (PubMed, Google Scholar, and CINAHL). Data were extracted and synthesized using a narrative approach. A total of 55 articles were included. Initial evaluation studies reveal promising results both at individual and collective levels. However, a need is expressed in several articles for further refinement of the conceptualization of PH and ways to make the effects of the PH approach more measurable. Professionals also expressed a desire for a more informed application and elaboration of the PH method across various settings and populations to enhance its effectiveness in practice. This rapid review highlights the transformative potential of PH in shifting from a disease-focused to a health-oriented paradigm of healthcare. It underscores the need for continued research regarding further development of the concept and its practical method, along with the necessity for methodological innovation.

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Section: Reflectionsmentioning

confidence: 75%

Rapid Review on the Concept of Positive Health and Its Implementation in Practice

Van Vliet,

De Kleijn,

Van den Brekel

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…PH regards health as a multi-dimensional construct involving a wide range of life domains and disciplines. Its broad perspective aligns with the current trend in which collaborations across multiple disciplines and sectors to enhance overall health and well-being are stimulated [ 15 , 76 , 77 ]. It also aligns with the notion that the influence of the living environment on perceived health is undeniably significant [ 78 ].…”

Section: Discussionmentioning

confidence: 99%

Rapid Review on the Concept of Positive Health and Its Implementation in Practice

van Vliet,

de Kleijn,

van den Brekel-Dijkstra

et al. 2024

Healthcare

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Positive health (PH) has been described as a promising transformative innovation to address the challenges of promoting well-being and reducing the burden of disease. For this study, we conducted a scientific literature review of the current state of knowledge about PH as introduced by Huber and colleagues, following the Cochrane Rapid Review recommendations. Three databases were searched (PubMed, Google Scholar, and CINAHL). Data were extracted and synthesised using a narrative approach. A total of 55 articles were included. The initial evaluation revealed promising results at both the individual and collective levels. However, several articles gave reason for further refinement of the conceptualisation of PH and of ways to measure the effects of PH interventions in greater detail. Professionals also expressed a desire for a more informed application and elaboration of the PH method, in various settings and populations, to increase its effectiveness in practice. The results from the rapid review highlight the transformative potential of PH in shifting from a disease-oriented to a health-oriented paradigm of healthcare. This underlines the need for continued research regarding further development of the concept and its practical method, along with the necessity for methodological innovation.

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“…Therefore, knowledge of healthcare system practices is essential to ensure integrated, coordinated, and high-quality care. Patient perspectives are critical, considering the lack of literature on how patients perceive their transition from hospital to autonomous care management [ 25 , 26 ].…”

Section: Introductionmentioning

confidence: 99%

Navigating outpatient care of patients with type 2 diabetes after hospital discharge - a qualitative longitudinal study

Solh Dost,

Gastaldi,

Dos Santos Mamed

et al. 2024

BMC Health Serv Res

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Background The transition from hospital to outpatient care is a particularly vulnerable period for patients as they move from regular health monitoring to self-management. This study aimed to map and investigate the journey of patients with polymorbidities, including type 2 diabetes (T2D), in the 2 months following hospital discharge and examine patients’ encounters with healthcare professionals (HCPs). Methods Patients discharged with T2D and at least two other comorbidities were recruited during hospitalization. This qualitative longitudinal study consisted of four semi-structured interviews per participant conducted from discharge up to 2 months after discharge. The interviews were based on a guide, transcribed verbatim, and thematically analyzed. Patient journeys through the healthcare system were represented using the patient journey mapping methodology. Results Seventy-five interviews with 21 participants were conducted from October 2020 to July 2021. The participants had a median of 11 encounters (min–max: 6–28) with HCPs. The patient journey was categorized into six key steps: hospitalization, discharge, dispensing prescribed medications by the community pharmacist, follow-up calls, the first medical appointment, and outpatient care. Conclusions The outpatient journey in the 2 months following discharge is a complex and adaptive process. Despite the active role of numerous HCPs, navigation in outpatient care after discharge relies heavily on the involvement and responsibilities of patients. Preparation for discharge, post-hospitalization follow-up, and the first visit to the pharmacy and general practitioner are key moments for carefully considering patient care. Our findings underline the need for clarified roles and a standardized approach to discharge planning and post-discharge care in partnership with patients, family caregivers, and all stakeholders involved.

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Exploration of understanding of integrated care from a public health perspective: A scoping review

Cited by 3 publications

References 43 publications

Rapid Review on the Concept of Positive Health and Its Implementation in Practice

Rapid Review on the Concept of Positive Health and Its Implementation in Practice

Rapid Review on the Concept of Positive Health and Its Implementation in Practice

Navigating outpatient care of patients with type 2 diabetes after hospital discharge - a qualitative longitudinal study

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