The Advantages and Disadvantages of Integrated Care Implementation in Central and Eastern Europe – Perspective from 9 CEE Countries

Kurpas, Donata; Stefanicka-Wojtas, Dorota; Shpakou, Andrei; Halata, David; Mohos, András; Skarbalienė, Aelita; Dumitra, Gindrovel; Klimatckaia, Liudmila G.; Bendova, Jana; Ткаченко, В. І.

doi:10.5334/ijic.5632

Cited by 13 publications

(11 citation statements)

References 24 publications

(32 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The results of the in-depth interviews show that the barriers are not only related to the specifics of hip and knee osteoarthritis, but to the health system in general. This is not an isolated case, as a study in nine Central and Eastern European countries shows that an individualistic culture cannot or does not understand the culture of cooperation, which can be found in other post-socialist countries as well [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…Croatian, Czech, Slovak and Polish) underwent significant changes during the transition period. The recognition of the barriers to inter-organizational collaboration in Slovenia, such as the lack of culture of cooperation, a large deficit in public funding of health care systems, and a lack of sufficient human resources (GPs, nurses, other health professionals) [ 13 ] suggests such barriers in other Central and Eastern European countries as well.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Barriers to Inter-Organi<sub>sational Collaboration</sub> in the Preoperative Management of Patients with Osteoarthritis of the Hip or Knee

Hussein¹,

Velikonja²,

Erjavec³

2023

Int J Integr Care

View full text Add to dashboard Cite

Introduction: Integrated clinical pathways should provide the best and most efficient treatment. As no study on barriers to inter-organisational collaboration has investigated the barriers to unimplemented integrated clinical care in a country with less efficiently organised health system, the study aimed to identify these barriers in the preoperative management of patients with hip or knee osteoarthritis in Slovenia. Methods:A cross-sectional study was conducted using multiple methods, including a quantitative survey with participants involved in target patient groups, and in-depth interviews with involved key actors at micro, meso and macro levels in Slovenia. Results:Respondents predominantly expressed a lack of inter-organisational collaboration. The exposed barriers are individualistic culture, the level of development of the health system, financing, administration, and regulatory frame at the macro level, shortage of staff at the meso level, and the lack of technological standards, trust, communication, and perception of pressures at the micro level. Discussion and conclusion:In addition to the barriers identified in previous studies, our study shows that individualistic culture and the level of development of the health system at the macro level, manifested as a pressure on health professionals and other actors at the micro level, are important barriers to inter-organisational collaboration.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Barriers to Inter-Organi<sub>sational Collaboration</sub> in the Preoperative Management of Patients with Osteoarthritis of the Hip or Knee

Hussein¹,

Velikonja²,

Erjavec³

2023

Int J Integr Care

View full text Add to dashboard Cite

show abstract

“…Higher levels of support have been found to reduce the usage of illicit substances and improve mental ill health (Laudet et al, 2007). Advantages include faster access to care under a multidisciplinary team and the ability to discuss health promotion with patients (Kurpas et al, 2021). However, disadvantages include a less specialised team of staff unless teams for each speciality run seamlessly together.…”

Section: Discussionmentioning

confidence: 99%

Mental ill health experiences of female sex workers and their perceived risk factors: A systematic review of qualitative studies

Morgan,

Welborn,

Feist-Paz

et al. 2023

Preprint

View full text Add to dashboard Cite

Background: Female sex workers globally face a high prevalence of mental ill health due to social inequalities, including classism, gender inequality, discrimination and criminalisation, coupled with stigma and violence. However, few reviews comprehensively discuss the combined impact of these perceived risk factors on the mental well-being of female sex workers worldwide. Aim: This systematic qualitative literature review seeks to explore the mental health experiences of female sex workers and their perceived risk factors for mental ill health. Design: A systematic qualitative literature review. Methods: Searches across ten databases, including CINAHL Plus, Cochrane Library, Medline (1949 to current date 2022), ProQuest, PTSDPubs, PsycINFO, EMBASE, Web of Science (Core Collection), AMED, and Google Scholar. Included studies were assessed for quality using the Critical Appraisal Skills Programme (CASP) Qualitative Studies Checklist and subsequently thematically analysed. Results: Seventeen studies met the inclusion criteria, leading to the development of five key themes through thematic analysis: (1) mental ill health, (2) addiction, (3) stigma, (4) normalisation of violence, and (5) lack of support systems. Notable findings include the adverse impact of stigma on the mental well-being of female sex workers, the prevalence of mental illnesses related to their involvement in the sex industry, the role of violence as a critical risk factor for mental ill health, and the utilisation of addiction as a coping mechanism. Conclusions: The identified themes contribute to our existing understanding of the mental health experiences of female sex workers and have practical implications. Practice recommendations encompass initiatives such as public education, soliciting feedback from sex workers about their healthcare experiences, establishing community-based support teams, and providing integrated services for those with dual diagnoses. Further research is necessary to assess the effectiveness of public education schemes, address stigma within the sex industry, and investigate the mental health experiences of sex workers in American and Western European contexts.

show abstract

“…Así, países tan distantes como Portugal, Rumanía, Lituania, Hungría, consiguieron un grado variable de implantación de sus respectivas reformas. La integración de servicios y la relación con los hospitales es igualmente variable 26 .…”

Section: Se Necesita La Colaboración Entre Países: La Atención Primar...unclassified

La atención primaria del futuro: ¿qué puede aprender la atención primaria europea de las innovaciones y retos de la pandemia de COVID-19?

Vilaseca¹,

Howe²

2022

Atención Primaria Práctica

View full text Add to dashboard Cite

The Advantages and Disadvantages of Integrated Care Implementation in Central and Eastern Europe – Perspective from 9 CEE Countries

Cited by 13 publications

References 24 publications

Barriers to Inter-Organi<sub>sational Collaboration</sub> in the Preoperative Management of Patients with Osteoarthritis of the Hip or Knee

Barriers to Inter-Organi<sub>sational Collaboration</sub> in the Preoperative Management of Patients with Osteoarthritis of the Hip or Knee

Mental ill health experiences of female sex workers and their perceived risk factors: A systematic review of qualitative studies

La atención primaria del futuro: ¿qué puede aprender la atención primaria europea de las innovaciones y retos de la pandemia de COVID-19?

Contact Info

Product

Resources

About