International Journal of Integrated Care

Article	Citations
Cross-sectoral Virtual Meetings. Goals and Plan for the patient's hospitalization	84
The Winding Road from Plan to Action: A Qualitative Study Exploring Operationalization of Person-Centeredness and Engagement in an Integrated Patient Ca	47
From transactional client relations to transformational integrated partnerships to deliver maximum value to the patient: A discussion on key success fac	36
Observational Data for Integrated Maternity Care: Experiences with a Data-Infrastructure for Parents and Children in the Netherlands	26
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	26
Connected Care Hub: Filling a gap with virtual transitional care and decreasing Emergency Department visits and inpatient readmissions.	23
Ethical Challenges in End-of-Life Care: Terminal Fasting, Nutritional Care, and Patient Assessment	22
Team based triage and pathway care delivery in an ICPOP Hub	22
Elevating Healthcare: Revolutionizing Tradition through Patient-Centric Collaboration in Calgary Foothills. Exploring the Integrated Community Care Model and its Transformative Impact.	21
Evaluation of Community Paramedicine Remote Patient Monitoring Program: A performance evaluation report	19
Earlier Diagnosis of Chronic Obstructive Pulmonary Disease (COPD) in Dublin North Central Respiratory Integrated Care (RIC).	18
Learning Disability Services in Belfast Trust – Co-producing to strengthen services	18
Transforming services in partnership with service users and carers to co-develop the new Integrated Care System for Northern Ireland (ICSNI)	17
Care capacity planning in primary healthcare	16
Multiple stakeholders’ perspectives on improving virtual cancer care for older Black adults	16
Assessing the Readiness and Practice for Implementing Integrated Care in Saudi Arabia Using the SCIROCCO Survey Tool: A Pilot	16
Design principles for the development of health technology with and for older adults to enhance well-being and aging in place.	15
Measuring integration in “Integrated Youth Services” in Canada: Experiences with research and evaluation	15
Establishing the aims, format and core standards of a frailty at the front door model of care: a mixed methods consensus study	13
Asset-based leadership of practice: learning from an inter-professional development programme	13
Development and first steps towards implementing population health management in Belgium.	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
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	13
New Patterns for Low-income Families - A model for comprehensive and coordinated efforts.	13
Pilot Randomized Controlled Trial of Multi-Disciplinary Community-Based Biofeedback Vs Health Promotion Programs on Mental Health And Drug Use Among People Experiencing Homelessness	13

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
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
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.	10
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	10
We Are: Giving citizens control over their data.	9
Aiming for equity in care provision	9
Safeguarding nursing homes in a pandemic: lessons learnt and implications for future workforce planning and development.	9
How do I roll out a digital collaboration tool?	9
Integrated Care and Population Health Management: Does Your System have the Capacity to Succeed?	9
Structural reforms in action - Singapore's population health journey and the structural changes at the national and local level	9
“Light through Life”– an inter-disciplinary long-term integrated health promotion programme for overweight and obese people	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.	8
The Collaborative Centre for Cardiometabolic Health in Psychosis (ccCHiP) – An integrated care model for oral health of people living with severe mental	8
BackTrace - digital support of cross sectoral care pathways ensuring coherence and empowerment in low back pain patients	8
Parent attitudes and perceptions of integrated behavioral health care delivery for pediatric patients	8
Applications to prescribe exercise in frail older people: review of the available tools in the market	8
Integrated Health and Social Care in the United States: A Decade of Policy Progress	8
COVID-19: An impetus for delivering truly integrated paediatric healthcare	8
The Role of Nurses as Alternative Providers of Medical Services in Community-Based Care	8
Population Health Management for Healty Regions in The Netherlands – First experiences	8
Caredoc Community Intervention Teams - An Integrated, Multidisciplinary Approach to Delivery of Care in a Community Setting	8
Synthesizing evidence regarding hospital to home transitions supported by volunteers of third sector organizations: A scoping review	8
Negative Health Impacts of Navigating the Healthcare System for Musculoskeletal Conditions: Healthcare User Perspectives	7
Challenges and Recommendations for the Deployment of Information and Communication Technology Solutions for Informal Caregivers: Scoping Review	7
Can local networks for patients with dementia (DementiaNet) be value-adding initiatives? A longitudinal cohort analysis on medical and long-term care cl	7
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	7
Calgary Zone Evolution, the benefits of integrated governance structures in primary care	7
Workforce Development in Integrated Care: Results of A Scoping Review	7
Social care data and its fitness for purpose and use for integrated care performance intelligence: an exploratory qualitative analysis in the Dutch cont	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
electronic Medicines Management (eMM) in Norway	7
The Rainbow Model of Integrated Care Measurement Tool: validation for the primary elderly care setting	7
Building Brighter Futures: Integrating Health Equity Programs to Enhance Care in Canada	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
Building on advanced practice of community nurses to improve access and continuity of care for refugees: Pilot study in Sherbrooke, Canada	6
Internal Medicine 2 Discharge Planning Team: A Project of the Amadora/Sintra Local Health Unit	6
Moving from How to Allow - Co-Creation and the mauri of Collective Wisdom	6
Re-invigorating the Global Network for Integrated Care Education and Training	6
Family VOICE: Family group conferencing for children and families: implementation, context and cost-effectiveness	6
What Matters to You (WMTY): Creating change within our healthcare system one conversation at a time	6
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.	6
A Community-based Intervention for A&E Frequent Attenders in Singapore	6
Leading through Uncertainty: Supporting Bold Leadership in Uncertain Times	6
The Digital Future of Integrated Care: Digital Health and Data Enabling Integrated Care Special Interest Group Meeting	6
Healthier Together: Strengthening collaboration, social value and getting to health and wellbeing outcomes.	6
Strategies for engaging patients and families in collaborative mental health care	6
Integration and innovation during the Northern Rivers 2022 floods	6

The liver toolkit – an innovative IT solution to screen patients in general practice for undiagnosed cirrhosis.	6
"Cultivando Saúde / Cultivating Health Equidade no acesso à Saúde na População Migrante em Odemira"	6
Implementation of an integrated care pathway in primary care clinics to improve the health of older adults: a realist evaluation	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	5
Pilot evaluation of a hospital-to-home care transition program in Ontario, Canada	5
Dementia Care Pathways: A Comprehensive Scoping Review and Insights from Key Informant Interviews	5
“Transdisciplinary” as an integrated care strategy: redesigning healthcare with and around consumers	5
Using virtual workshops to bring together young people, parents and professionals to better understand local experiences of health and care services	5
Examining Macro-Level Barriers and Facilitators to Scaling Up Integrated Care from a Complexity Perspective: A Multi-Case Study of Cambodia, Slovenia, and Belgium	5
The tenuous beginnings of health system transformation: How Ontario Health Teams enacted change in the context of uncertainty	5
Development of a Person-Centred Coordinated Care Pathway in Swedish Healthcare for Low Back Pain	5
Co-Creating Remote Patient Monitoring Dashboards: A Novel Approach Towards Stakeholder-Aligned and Transparent Impact Assessment	5
Public Experiences and Perspectives of Virtual Primary Care Visits: Outcomes and Future Options	5
Strengthening multi-sector community driven team-based approaches to develop and implement sustainable supports	5
Inter-Organizational Coordination to Improve Patient Outcomes in Multimorbid Older Patients Following Hospital Discharge – a Systematic Review	5
The characteristics of person-centred practice in the stroke patient trajectory-A Scoping Review.	5
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	5
A multiple case study on integrated community care approaches in the Netherlands and Belgium	5
Caregiver ID: A Valuable Tool to Engage Caregivers as Partners in Care during Covid-19 and Beyond	5
Evaluating a pilot nurse-pharmacist collaborative intervention for empowering safe medication practices among community-dwelling older adults with chronic conditions	5
Policy Versus Practice: Facilitators and Barriers of Chronic Care Integration in Dutch General Practice – a Survey Study	5
Joining healthcare professionals and older adults with chronic illness perspectives towards collaborative person-centered practice at an inpatient hospital department	4
The MGH2Home Program, a Seamless Journey from Hospital to Home	4
The imperative of working with municipalities to create an integrated health and wellness system.	4
“There’s No Room for Silos.” Interprofessional Education in Hospital-to-Home Integrated Care Programs.	4
Value-creating Learning Health Systems – an Organizing Framework for the Journey to Integrated Care	4
What should we consider when implementing digital assessments in integrated health and social care? Ten action areas for implementation planning 	4
Empowering Communities: The Plymouth Cancer Champions’ Project Tackles Cancer Care Inequities with Asset-Based Community Development	4
Implementation evaluation of the EMBOLDEN program: perceived effectiveness and factors influencing implementation	4
Community Pre-Chemotherapy Phlebotomy Clinic:An integration between Tallaght University Hospital Oncology Day Ward and the South Dublin Community Intervention Team	4
Cooperación internacional para formación interdisciplinaria en Cuidados de Fin de Vida a estudiantes de Enfermeria	4
Breaking the Gender Gap: Analysis of Gender-Sensitive Healthcare Implementation	4
Eastern Health Pathways++ a stepped model of care using risk stratification for people with chronic and complex health conditions	4
Complex care forum for enhanced support across care settings	4
Can a Voice recognition Dictation Service free up time for the Integrated Care CNSp to see more patients?	4
Empowering Collaborative Care: Challenges and Insight from the ‘One Care Plan’ Pilot	4
ConnectAble: Integrating Mood-Enhancing Products into Dementia Care—A Living Lab Approach for Patients and Caregivers	4
The appropriate scale for integrated care: a continuous and ongoing search	4
"Integrating" Patients and Citizens in Integrated Care: Insights from a large-scale PHM program in France	4
The Digital Health/Wellness Capability Maturity Framework (DHW-CMF), a breakthrough tool to accelerate health systems evolution to better digitally enabled performance.	4
Creating engagement capable environments for healthcare transformation: A framework for action	4
Health literacy interventions and health literacy-related outcomes for older adults: A systematic review	4
School-based integrated care – understanding collaborative partnerships between the health and education sectors (Combined with Paper 16)	4
Best practice transfer on integrated care: the case of Personalised Action Plans within the CIRCE-JA joint action	4
Intermediate care in mental health: a pilot model of crisis care to improve patients’ experience and opportunities for admission avoidance	4
Using patient and family caregiver experience for quality improvement in rehabilitation settings: Learnings from a scoping review	4
A rigorous, stepwise procedure for multi-stakeholder design of implementation actions	3
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	3
Integration of maternity care as a part of social welfare and health care reform in Finland	3
How to implement goal-oriented care in primary care? Experiences from 25 primary care organizations in Belgium.	3
Towards innovative and person-centred quality monitoring of complex integrated care models in neurodegenerative diseases	3
Exploring actions and perceived impact of Learning Communities about healthy weight approaches across Dutch municipalities	3
Transdisciplinary Care Program METAVIE: Surprising Benefits for Non-Adherent Patients to Previous Methods	3
Open Table Philosophy: Establishment of the Integrated and End-of-Life Care Working Group in the Latin American Region	3
Addressing the social determinants of health: social workers as key players in integrated care	3
Addressing the Patient Experience through Human- Centred Design: A Scoping Review	3
Empowering the voices of persons with disabilities: Co-creating and implementing a community engagement framework for inclusive program design and organizational development	3
Rethinking discharge destinations for cognitively impaired patients. A Home 1st approach combining physiotherapy and psychology to reduce care home discharges	3
Value-Based Healthcare: Measuring True Impact and Deciding When to Shift Focus	3
IDEAHL's European Health Literacy Strategy: citizen participation to inform public health policies	3
Partnership for integrated care: lessons learned from a care coordination curriculum	3
Lessons Learned from the Implementation of Youth Wellness Hubs Ontario, an Integrated Youth Services Network: Perspectives from Network Leads	3
FlaQuM-Quickscan: an instrument to measure healthcare quality experiences across patients, kin and professionals in hospitals and primary care settings.	3
Measuring Lessons Learned from Durham Community Hub Model during COVID-19: A Support Solution for the Homeless and other Vulnerable Populations	3
Empowering Communities through a 21st Century Digital Model for Chronic Disease Management	3
Care Integration for the Person with Inflammatory Bowel Disease: From Necessity to Reality	3
Adolescents in marginalised areas: co-designing a system to lessen administrative burden in healthcare	3
Prehospital Assessment Units as a supplement to the existing acute care service in the Region of Southern Denmark	3
Offering Hyper-Local Community Health and Information Fairs through an Ontario Health Team to Provide Low-Barrier Access to Sexual Health Services	3
The COV-VOL project: The impact of community, charitable and voluntary organisations in supporting older people during the Covid-19 pandemic. Lessons le	2
Increasing Equitable Access to Interprofessional Primary Care Teams in North Toronto	2
Implementing Measurement-Based Care (MBC) for Mental Health in a Paediatric Hospital Setting	2
Floundering or Flourishing? Early Insights from the Inception of Integrated Care Systems in England	2
Transforming Home Community Nursing Practice Through Nurse Empowerment: H.O.P.E. Approach to Care	2
Integrated Diagnosis in Africa’s Low- and Middle-Income Countries: What Is It, What Works, and for Whom? A Realist Synthesis	2
Patient-GP-Pharmacist cooperation towards individualized tapering schemes for long term benzodiazepine users	2
A COPD Self-Management Day	2
Much More than a Building: redesigning hospice provision for Isle of Man	2
Co-developing and unlocking Integrated Proactive Neighbourhood Teams in Gloucestershire to improve care for people living with frailty	2
Consensus Building Method as a participatory tool of health decision making to counteract medical desertification in Europe.	2

Nurse-Led Community Fall Prevention Program: A Singapore Experience	2
Integrated Care in Aotearoa New Zealand 2008–2020	2
A qualitative study investigating the experiences of unmet social needs for children with cerebral palsy and their families	2
The ‘recipe for success’: Co-designing strategies to enhance care transitions from hospital to home	2
Improving the evaluation of integrated healthcare systems using entropy balancing.	2
Resetting Leadership Towards a More Just World For All	2
Improving access to primary care through coordinated access and attachment	2
Designing services and change in clinical settings.  Soaring into the solution stratosphere	2
Co-Design In Health: The Development and Evaluation of a Universal Information Design Response for Opioid Poisonings	2
Developing an integrated care framework and indicators in primary health care	2
From Movie to Movement: working together to create conditions for safe care	2
A Toolkit to facilitate the implementation of an Integrated Care Network for People living with Parkinson: A Codesign Approach	2
Policy supports for integrated care: Lessons from international approaches to collaborative governance and policy transfer for Ontario Health Teams.	2
The HOP Pilot: A collaboration to develop an integrated person-centred model for vulnerable people to feel safe accessing health support	2
Effect of Community-based integrated care for patients with diabetes and depression in China: interim analysis of a pragmatic cluster-randomized trial	2
Evaluating the maturity of integrated care organizations	2
Observe, Coach, Assist, Report: A personal support practice framework to build Home and Community Care workforce capacity in Ontario, Canada	2
Provision of integrated care by a National Call Support Program for Alzheimer’s patients and their caregivers	2
Improving cancer prevention and early detection among people experiencing homelessness in the UK: Health Navigator Model.	2
Shifting to person-centred service delivery with coordinated health and social outcomes	2
Participation in a co-design process – learnings and implications for enabling individual and collective participation in co-design	2
Untangling the interrelatedness within integrated care programmes for community-dwelling frail older people: a rapid realist review	2
Bridging the health/social care divide – integrated care from the perspective of disability providers.	2
Providing integrated care to families with multiple and complex needs – twelve core components for professionals	2
Realising the Right to Rehabilitation	2
Healthcare and Social Care Integration: The COVID-19 Pandemic's Effect on Interorganisational Partnership Working	2
Enhancing integration of community out-of-hours urinary catheter care in South Dublin	2
Integrated care for children and youth through interRAI: Promoting efficiency across mental health care service sectors in Ontario	2
Developing Collaborative Practices in Co-Located Health and Social Services: An Observational Study of a Multidisciplinary Development Group	2
Community Hospitals in Rural Mid Wales	2
Integrating oral care in community- oriented primary care to reduce the health gap at a local level.	2
Connecting Knowledge: Integrated Care for Youth and families.	2
Understanding policy supports that enhance equity in the Primary Health Care System	2
Variability in Screening and Intervention for Adverse Childhood Experiences (ACEs) across Integrated Primary Care Clinics	2
Regional Strategic Planning of Care in Flanders based on population needs	2
Equally Well: Using a collective impact approach to enable system wide leadership.	2
Care Everywhere: Implementing and Evaluating a Network-level Digital Transformation to Improve Coordination and Access across a Health System	2
Medication reconciliation by community pharmacists: an essential contribution to ensure continuity of care with regard to medications at hospital discharge.	2
Diverse experiences of private allied health practices managing through the COVID-19 pandemic: lesson for funding reform	2
How caring communities become part of the health system of the future in the Netherlands. Developments, bottlenecks, and impact.	2
Integrated Maternal Care Strategies in Low- and Middle-Income Countries: A Systematic Review	2
Development and Evaluation of a Novel Population Needs-Based Sub-Segmentation Model (NBSSM) in Singapore	2
How can we best use national levers around integration? A comparison of policy and progress across the UK’s four countries	2
Short Stay Unit at Home, an alternative to Conventional Hospitalization	2
Pharmacy in Schools Programme	2
Reducing Health Inequalities Through Personalised And Person-Centred Healthcare, Delivered Through A Culturally Ethical Framework	2
Creating an Integrated Care Fellowship in Rural Ireland	2
Demonstrating Integrated SDoH Impact in Behavioral Health	2
IRL	2
Partnering for Partnerships: How Industry and Health care system partnerships can improve health outcomes.	2
Barriers and facilitators in implementing integrated youth services: Lessons Learned from Youth Wellness Hubs Ontario	2
The Role of Medical Entities and Community Involvement in Addressing Vaccine Hesitancy	2
Critical success factors of a women's supportive care housing program	2
Elevating Healthcare: Revolutionizing Tradition through Patient-Centric Collaboration in Calgary Foothills. Exploring the Integrated Community Care Model and its Transformative Impact.	2
Standardizing fluctuations: A collaborative approach to designing a standardized tool to support community care for persons with fluctuating presentations	2
Improving Value-Based Stroke Care by Using Digital Health Within an Integrated Practice Unit (IPU)	2
Competency Requirements for Person Centred Integrated Care. Focus Group Interviews with Healthcare Providers and Patients for managing Chronic Diseases	2
An Integrated Care Approach to Health Equity Data Collection and Use	2
OPEN ARCH: Evaluating the efficacy of an integrated model of care for community dwelling older Australians	2
Action-based, holistic patient consultations to inform integrated care: validation and value of the Dutch Patient Centered Assessment Method (PCAM)	2
Identifying Strategic Priorities to Leverage Pharmacists Provision of Sexual Health Services in Canada:  A Document Analysis	1
Integrated Clinical Pathways for COPD and CHF: Collaborative Approaches to Value-Based Care	1
GP Integration Units: Facilitating Seamless Health Care Transitions in the South Australian Healthcare System	1
Reimagining Day Rehabilitation For Frailty and Neurodegenerative Conditions through the integrated Rehabilitation and EnAblement Program (iREAP)	1
Patient and healthcare professional perspectives on a digital first general practice: an evaluation study	1
Patient satisfaction of advanced practice physiotherapy internationally. Findings from a systematic mixed studies review.	1
Cutting-edge innovation on Artificial Intelligence for integrated care on neuromusculoskeletal disorders	1
Population analysis of temporal trends and between-hospital variation in mortality, readmission and prolonged length-of-stay between 2008 and 2018: improving integrated care by knowledge sharing of ho	1
Strengthening Social Determinants of Health through Collaborative Continuum of Care within CRC Community Health Programming	1
Exploring Patient and Provider Experiences with the PREM-C9+ Survey in COPD Primary Care	1
Assessing Integrated Care Maturity for Pressure Ulcer and Wound Management: A SCIROCCO Tool Evaluation in Ireland, Spain, and Poland	1
Integrating the Social Determinants in Health Care Delivery: A Social Medicine Care Model	1
The 10 "Sins" and "Wins" of Integrated Care	1
Integrating Digital Solutions for Suicide Prevention: Exploring Mental Health Professionals’ Practices and Perspectives on e-Mental Health Tools for Suicide Prevention	1
Kalgal Burnbona: An Integrated Model of Care Between the Health and Education Sector	1
Putting the ‘to’ in Participatory Research to Action: Research and service-design collaboration on sustainable solutions for integrated mental health care	1
Values as differentiation and integration mechanisms: a multiple case study of interorganizational integrated care networks	1
Delivering a population health profile for pilot Area Integrated Partnership Board (AIPB) in Northern Ireland through development of a dashboard	1
The development of a web-based patient decision aid for type 2 diabetes to support patients and their healthcare professionals in the treatment decision-making process.	1
Enhancing Care Integration and Accessibility through Patient Navigation	1
How to cope with complex problems in integrated care, a world café method	1
Voluntary & Community Organisations: Not the Third but the First Sector of Integrated Care?	1
Appreciative dialogue using the Partnership Pentagram Plus model and Appreciative Inquiry to facilitate actions for integrated care	1
Evaluating the diabetes barometer: supporting pharmacists in proactive diabetes care and multidisciplinary collaboration	1
Bienestar Metropolitano en Chile: Plataforma Web al servicio de la accesibilidad en salud mental	1
The challenges of promoting shared care between Primary Care and Specialized Outpatient Care in Brazil	1
Do Integrated Community Psychiatry Services in Primary Health Care Settings Improve Continuity of Care? A Mixed-methods Study of Health Care Users’ Experiences in South Africa	1
The Use of Implementation Science to Foster Innovative Collaborations in Seniors Care	1
Real World Examples: Actioning Person Centred Care and Self-Management	1
Development of an evaluation framework and toolkit for health promotion and improvement practice in HSE Community Healthcare East	1
How to achieve delivery of a cardiovascular health intervention in community mental health settings: a process evaluation of Flinders Program using RE-AIM framework	1
The co-design and co-creation of an integrated geriatric care system: A case study from Ontario, Canada, in partnership with older adult patients and providers	1
Exploring the routine use of patient-reported experience measures for medications in primary healthcare in Ontario, Canada: A qualitative study	1
Digital health technologies to promote integrated care pathways in paediatric rehabilitation: a multi-stakeholder’s perspective	1
Advancing Integrated Care in Slovenian Specialist Outpatient Settings: Towards Comprehensive Bundled Payment Models	1