Integration of health and social care: necessary but challenging for all

Mercer, Stewart W; Henderson, David; Huang, Huayi; Donaghy, Eddie; Stewart, Ellen; Guthrie, Bruce; Wang, Haoxiang

doi:10.3399/bjgp21x717101

Cited by 8 publications

(7 citation statements)

References 9 publications

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“…Higher sum scores indicate heavier psychological burden from patients and diseases. HAMA score was divided into no anxiety (≤ 7), possible anxiety (7)(8)(9)(10)(11)(12)(13)(14), definitely anxiety (14-21), obvious anxiety (21)(22)(23)(24)(25)(26)(27)(28)(29), and severe anxiety levels (≥ 29) [40,41]. Additionally, in DT, a cut-off value of ≥ 5 is considered clinically relevant distress with a need of professional psychological support [42,43].…”

Section: Psychological Impactmentioning

confidence: 99%

“…Under the severe demand of ageing populations and elderly care needs, governments around the world are seeking to integrate health and social care systems in an attempt to meet the triple aim of improving the individual experience of care, improving the health of populations, and reducing costs. The conclusion is that to form a systems-wide approach to health and social care integration to go beyond local and professional level change, which is necessary to meet the complex and growing needs of an ageing, multimorbid population [ 6 , 7 ]. The integrated model of health and social care delivery encompasses a coordinated approach to providing comprehensive services to individuals with complex needs.…”

Section: Introductionmentioning

confidence: 99%

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Availability and stability of palliative care for family members of terminally ill patients in an integrated model of health and social care

Wang,

Bi,

et al. 2024

BMC Palliat Care

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Background Palliative care and the integration of health and social care have gradually become the key direction of development to address the aging of the population and the growing burden of multimorbidity at the end of life in the elderly. Aims To explore the benefits/effectiveness of the availability and stability of palliative care for family members of terminally ill patients in an integrated institution for health and social care. Methods This prospective observational study was conducted at an integrated institution for health and social care. 230 patients with terminal illness who received palliative care and their family members were included. Questionnaires and scales were administered to the family members of patients during the palliative care process, including quality-of-life (SF-8), family burden (FBSD, CBI), anxiety (HAMA), and distress (DT). We used paired t-tests and correlation analyses to analyze the data pertaining to our research questions. Results In the integrated institution for health and social care, palliative care can effectively improve quality of life, reduce the family’s burden and relieve psychological impact for family members of terminally ill patients. Palliative care was an independent influencing factor on the quality of life, family burden, and psychosocial status. Independently of patient-related and family-related factors, the results are stable and widely applicable. Conclusion The findings underline the availability and stability of palliative care and the popularization of an integrated service model of health and social care for elder adults.

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Section: Psychological Impactmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Availability and stability of palliative care for family members of terminally ill patients in an integrated model of health and social care

Wang,

Bi,

et al. 2024

BMC Palliat Care

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“…A literatura especializada sobre empatia nos cuidados em saúde apresenta desde as suas primeiras publicações, como a de Mercer e Reynolds (2002), os benefícios da empatia para pacientes, profissionais de saúde e os sistemas de saúde (Bas-Sarmiento et al 2020). Atualmente, verificam-se estudos numerosos de saúde (Kerasidou Horn 2018), que evidenciam os efeitos benéficos da empatia para os resultados do paciente, sendo considerada um elemento central da provisão de cuidados em saúde.…”

Section: Benefícios Da Empatia Nos Cuidados Em Saúde Para Os Paciente...unclassified

“…Atualmente, verificam-se estudos numerosos de saúde (Kerasidou Horn 2018), que evidenciam os efeitos benéficos da empatia para os resultados do paciente, sendo considerada um elemento central da provisão de cuidados em saúde. Constata-se que há variados estudos que demonstram a importância da empatia para melhores resultados em saúde, seja do ponto de vista psicológico ou farmacológico (Mercer Reynolds 2002).…”

Section: Benefícios Da Empatia Nos Cuidados Em Saúde Para Os Paciente...unclassified

Interconexión entre empatía en la atención de la salud y los derechos de los pacientes

Albuquerque

2021

Cálamo

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Este estudio, que se caracteriza por ser una investigación teórica, tiene como objetivo desarrollar aportes teóricos que apoyen las interconexiones entre la empatía en la atención de la salud y los derechos de los pacientes, entendidos como los derechos que tienen todas las personas cuando se encuentran bajo la atención de salud. Se sabe que, en vista del paternalismo médico histórico y el alejamiento del paciente del centro asistencial, una ley de derechos del paciente no es fácil de implementar. Por tanto, se concluye en este artículo que el movimiento en torno a la empatía es un aliado en la implementación de los derechos de los pacientes, ya que ambos combinan supuestos básicos, como la esencialidad de las interacciones sociales y la percepción del otro como persona con un valor único, que da lugar a mandatos morales de respeto y trato digno.

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“…The question of why attempts to change often works out differently, also concerns the making of large-scale policy to instigate change (an area I'm currently active in as a research fellow) (Stewart et al, 2022;Huang et al, 2021;Mercer et al, 2021). A most recent example of this, in the ongoing responses to COVID national policies from citizens across the globe.…”

Section: Introductionmentioning

confidence: 99%

Reflections from Research Practice

Huang¹

2022

EIRJ

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Scientific and Critical Realism attracts increasing attention as a new paradigm of explanation, for many empirical knowledge disciplines. This new approach to explaining our social and material worlds is underpinned by its ‘depth ontology’, encompassing the reality of our senses to the more meta-physical. In this article we introduce and explore this ‘depth ontology’, through rich illustration of these alternative ideas about reality in context of our everyday and early career research experiences. We explain and clarify the realist compromise - between its positivist and constructivist ancestry. We then trace the flow of these philosophical premises into conceptual variation evident around the realist sense of ‘mechanism’, in current evaluation research literature. To further clarify its possible meanings, this synthesis contextualises past and current realist thinking in light of historical ideas of change from Aristotle and Plato, as improvement and degeneration. This article offers a new view on realism and its foundations then, to aid readers’ own understandings and explorations of the natural and social reasons for existence and its changes, sitting in the depths of the universe of the realist.

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Integration of health and social care: necessary but challenging for all

Cited by 8 publications

References 9 publications

Availability and stability of palliative care for family members of terminally ill patients in an integrated model of health and social care

Availability and stability of palliative care for family members of terminally ill patients in an integrated model of health and social care

Interconexión entre empatía en la atención de la salud y los derechos de los pacientes

Reflections from Research Practice

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