Innovative Policy Supports For Integrated Health And Social Care Programs In High-Income Countries

Wodchis, Walter P.; Shaw, James C.; Sinha, Samir K.; Bhattacharyya, Onil; Shahid, Simone; Anderson, G. Mark

doi:10.1377/hlthaff.2019.01587

Cited by 19 publications

(30 citation statements)

References 7 publications

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“…In parallel, in the V1SAGES and PriCARE program, only a few nurses were trained to carry out case management responsibilities. Wodchis et al (2020) describe four types of policy support for integrated care, two of which are financing and payment, and workforce and staffing [56]. The authors identify expanding the roles of providers, adding new roles, and finding new ways of working as successful innovative policies, which might explain the positive outcomes of both programs despite the variation in financing.…”

Section: Summary Of Findingsmentioning

confidence: 99%

Nursing Care Coordination in Primary Healthcare for Patients with Complex Needs: A Comparative Case Study

Karam¹,

Chouinard²,

Couturier³

et al. 2023

Int J Integr Care

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Introduction: Despite nurses' substantial role in care coordination, few education programs exist to better support them in this role. Identification of a set of core care coordination activities across heterogeneous care coordination programs would facilitate the development of a standard of practice. We sought to examine care coordination activities across two care coordination programs in Family Medicine Groups in Quebec, and their relationship to the program design. Methods:We performed a comparative case study of two care coordination programs in primary care targeting frequent users of healthcare services and people with Alzheimer's disease and related disorders. Data collection included documents and semi-structured interviews with key informants.Results: Several activities were common to both programs, such as patient identification; assessment, development of an individualized service plan; and linking patients and caregivers with professionals and services. However, their components were different due to the impact of the integrated care program design, policy environment, and the target patient populations' complex needs. Discussion:The homogeneity or heterogeneity of patients' complex needs shapes their care trajectory and the intensity of their care coordination needs. As the complexity of these needs grows, so does the necessity to build the care coordinators' capacity for integrated care. RÉSUMÉIntroduction: Malgré le rôle important des infirmières dans la coordination des soins et des services, peu de programmes de formation existent pour mieux les soutenir dans l'exercice de celui-ci. L'identification d'un tronc commun d'activités de coordination des soins et services effectuées par les infirmières à travers différents programmes de coordination faciliterait l'élaboration d'une norme de pratique en vue de rehausser

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Section: Summary Of Findingsmentioning

confidence: 99%

Nursing Care Coordination in Primary Healthcare for Patients with Complex Needs: A Comparative Case Study

Karam¹,

Chouinard²,

Couturier³

et al. 2023

Int J Integr Care

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“…Research on state-level policy frameworks to support health and social service integration demonstrates the need for a comprehensive policy framework to include governance and partnerships, workforce and staffing, financing and payment, and data sharing and use (Wodchis et al, 2020). In addition, policy frameworks should have established amendment mechanisms to reflect shifting patterns of substance use, HIV risk behaviors, and implementation contexts (Oldfield et al, 2019b).…”

Section: State-level Systems That Support Integrationmentioning

confidence: 99%

Coordinating Systems of Care for HIV and Opioid Use Disorder: A Systematic Review of Enablers and Barriers to Integrated Service Access, and Systems and Tools Required for Implementation

Duffy¹,

Ghosh²,

Geltman³

et al. 2021

Med Care Res Rev

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Individuals who have HIV who also use drugs experience increased age-matched morbidity and mortality in comparison with those with HIV who do not use drugs. A systematic review was conducted to describe models of integrated HIV and opioid use disorder (OUD) services, enablers of and barriers to integrated service access, and the coordinated systems and tools at the state and service delivery levels required for implementation. Database searches yielded 235 candidate articles, of which 22 studies met the inclusion criteria. Analysis found that integrated programs operated with minimal coordinated policy and systems guidance at the state level. Service delivery systems and tools used for integration, including use of integrated protocols, risk assessment tools, case management tools, and referral systems, were similar across integration models. Concerted efforts to coordinate state-level systems and develop supportive policies, guidelines, and standardized tools may facilitate integration at the service delivery level.

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“…The evidence highlights that among the economic factors related to nutritional education are the purchasing power of the individual; the consumption of less healthy food or diet patterns in people with a lower socioeconomic level; lower accessibility to the purchase of healthy foods in areas with a lower socioeconomic level; or the number of fast food establishments in urban areas. This thematic axis has identified socio-political strategies to favor accessibility to healthy foods and reduce costs [108][109][110]. Figure 8 displays and visualizes the evolution of the keywords of each of the four detected, by distinguishing the period in which they were incorporated by the driving agents of this topic.…”

Section: Cluster 4-economicsmentioning

confidence: 99%

“…in urban areas. This thematic axis has identified socio-political strategies to favor accessibility to healthy foods and reduce costs [108][109][110]. Figure 8 displays and visualizes the evolution of the keywords of each of the four detected, by distinguishing the period in which they were incorporated by the driving agents of this topic.…”

Section: Cluster 4-economicsmentioning

confidence: 99%

Management Accounting for Healthy Nutrition Education: Meta-Analysis

et al. 2020

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Unequal economic growth shapes food systems. Nutrition problems incorporate inappropriate practices, so nutrition education is key to empowering consumers to choose healthy foods. However, increasing the accessibility of healthy diets is related to reducing the cost of nutritious foods. The accounting management of healthy nutrition should allow for optimal global decision-making. The evolution of scientific production and global research trends on this topic between 1968 and 2019 have been studied. Statistical and mathematical methods have been applied to 1738 documents from the Scopus database. The results provided data on the agents that participate in the development of the theme. Data reveal an exponential trend, especially in the previous decade, with more than 50% of scientific production. Future lines of research have been identified: investment in health systems; green label education; early impact of food insecurity; WIC (Women, Infants, and Children) nutrition education; food waste audit; and ecological footprint of food. The central contribution of the study has been to detect the main future directions of research, providing critical points that will allow us to identify the themes of future publications, in addition to providing an instrument for decision-making carried out by the research funding sponsors.

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Innovative Policy Supports For Integrated Health And Social Care Programs In High-Income Countries

Cited by 19 publications

References 7 publications

Nursing Care Coordination in Primary Healthcare for Patients with Complex Needs: A Comparative Case Study

Nursing Care Coordination in Primary Healthcare for Patients with Complex Needs: A Comparative Case Study

Coordinating Systems of Care for HIV and Opioid Use Disorder: A Systematic Review of Enablers and Barriers to Integrated Service Access, and Systems and Tools Required for Implementation

Management Accounting for Healthy Nutrition Education: Meta-Analysis

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