International Journal of Integrated Care

Article	Citations
Implementation of an integrated care pathway in primary care clinics to improve the health of older adults: a realist evaluation	55
Synthesizing evidence regarding hospital to home transitions supported by volunteers of third sector organizations: A scoping review	46
Social care data and its fitness for purpose and use for integrated care performance intelligence: an exploratory qualitative analysis in the Dutch cont	33
Workforce Development in Integrated Care: Results of A Scoping Review	27
BackTrace - digital support of cross sectoral care pathways ensuring coherence and empowerment in low back pain patients	22
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	18
Integrated Health and Social Care in the United States: A Decade of Policy Progress	18
Population Health Management for Healty Regions in The Netherlands – First experiences	18
Caredoc Community Intervention Teams - An Integrated, Multidisciplinary Approach to Delivery of Care in a Community Setting	18
Can local networks for patients with dementia (DementiaNet) be value-adding initiatives? A longitudinal cohort analysis on medical and long-term care cl	18
COVID-19: An impetus for delivering truly integrated paediatric healthcare	16
Challenges and Recommendations for the Deployment of Information and Communication Technology Solutions for Informal Caregivers: Scoping Review	16
The Rainbow Model of Integrated Care Measurement Tool: validation for the primary elderly care setting	15
electronic Medicines Management (eMM) in Norway	15
The Collaborative Centre for Cardiometabolic Health in Psychosis (ccCHiP) – An integrated care model for oral health of people living with severe mental	14
Evaluation of an integrated care model using the RE-AIM framework: A case study of a community-based lifestyle service in rural Lincolnshire, UK.	14
Applications to prescribe exercise in frail older people: review of the available tools in the market	14
How to manipulate friends and influence practice: using a narrative microbiology report to change clinical behaviours through the application of complexity science	13
Patient-Centered Care based on Fog Computing paradigm: A Case of Sleep Apnea Detection	13
Implementation of digital solutions to provide personalised early detection and intervention to people with increased health and social risks	13
A virtual Community of Practice (vCoP) for the empowerment of people with coronary heart disease (CHD): Co-design of the vCoP with CHD patients and healthcare professionals.	13
Health service change and multi-disciplinary working: Concerns of hospital staff	12
Implementation and validation of the C3-Cloud system: a new generation for integrated care tool developed with and for multimorbid patients	12
Complex methods to assess complex problems: using Natural Language Processing to explore Health Related Qualitiy of Life in endometriosis	12
How can the cancer patient`s family be integrated in Integrated care?	12

Overview of the current state of integrated care in Estonia, Latvia, Lithuania, and Poland	12
How can building design support integrated care in a “one-stop shop” model?	12
Career Panel + Meet & Greet for Emerging Researchers and Professionals in Integrated Care	12
Multiple Case Study on Integrated Health and Social Care Initiatives for Older Adults in Canada	11
The tenuous beginnings of health system transformation: How Ontario Health Teams enacted change in the context of uncertainty	11
Strategies for engaging patients and families in collaborative mental health care	11
Cross-sectoral Virtual Meetings. Goals and Plan for the patient's hospitalization	11
The Winding Road from Plan to Action: A Qualitative Study Exploring Operationalization of Person-Centeredness and Engagement in an Integrated Patient Ca	11
From transactional client relations to transformational integrated partnerships to deliver maximum value to the patient: A discussion on key success fac	10
Informal Caregiving: Implications for Healthcare Expenditures	10
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	10
Asset-based leadership of practice: learning from an inter-professional development programme	9
Policy Versus Practice: Facilitators and Barriers of Chronic Care Integration in Dutch General Practice – a Survey Study	9
Examining Macro-Level Barriers and Facilitators to Scaling Up Integrated Care from a Complexity Perspective: A Multi-Case Study of Cambodia, Slovenia, and Belgium	9
Pilot Randomized Controlled Trial of Multi-Disciplinary Community-Based Biofeedback Vs Health Promotion Programs on Mental Health And Drug Use Among People Experiencing Homelessness	8
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	8
Safeguarding nursing homes in a pandemic: lessons learnt and implications for future workforce planning and development.	8
We Are: Giving citizens control over their data.	8
The Role of Nurses as Alternative Providers of Medical Services in Community-Based Care	8
New Patterns for Low-income Families - A model for comprehensive and coordinated efforts.	8
Structural reforms in action - Singapore's population health journey and the structural changes at the national and local level	8
Aiming for equity in care provision	8
Developing the Patient Falls Risk Report: A mixed-methods study on sharing falls-related clinical information from home care with primary care providers	8
Parent attitudes and perceptions of integrated behavioral health care delivery for pediatric patients	8
Development and first steps towards implementing population health management in Belgium.	7
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	7
Integrated Care and Population Health Management: Does Your System have the Capacity to Succeed?	7
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.	7
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	7
"The infinity loop of healthcare innovation: Development of an integrated rehabilitation pathway for spinal surgery through design thinking"	7
“Light through Life”– an inter-disciplinary long-term integrated health promotion programme for overweight and obese people	7
Using the settings approach to health promotion in hospital and health services to support collaboration, engagement, and partnership in integrated care systems.	7
How do I roll out a digital collaboration tool?	7
A case study of enabling integrated care through total workspace innovation in a large homecare organization	7
Team based triage and pathway care delivery in an ICPOP Hub	6
Connected Care Hub: Filling a gap with virtual transitional care and decreasing Emergency Department visits and inpatient readmissions.	6
Transforming services in partnership with service users and carers to co-develop the new Integrated Care System for Northern Ireland (ICSNI)	6
Establishing the aims, format and core standards of a frailty at the front door model of care: a mixed methods consensus study	6
Ethical Challenges in End-of-Life Care: Terminal Fasting, Nutritional Care, and Patient Assessment	6
Learning Disability Services in Belfast Trust – Co-producing to strengthen services	6
Multiple stakeholders’ perspectives on improving virtual cancer care for older Black adults	6
Integrated health, welfare and educational services for young people in eight OECD countries	6
Elevating Healthcare: Revolutionizing Tradition through Patient-Centric Collaboration in Calgary Foothills. Exploring the Integrated Community Care Model and its Transformative Impact.	6
Earlier Diagnosis of Chronic Obstructive Pulmonary Disease (COPD) in Dublin North Central Respiratory Integrated Care (RIC).	6
Evaluation of Community Paramedicine Remote Patient Monitoring Program: A performance evaluation report	6
Inter-Organizational Coordination to Improve Patient Outcomes in Multimorbid Older Patients Following Hospital Discharge – a Systematic Review	5
Family VOICE: Family group conferencing for children and families: implementation, context and cost-effectiveness	5
Assessing patient pathways to improve integrated, people-centred care: the Quebec MSSS experience	5
Dementia Care Pathways: A Comprehensive Scoping Review and Insights from Key Informant Interviews	5
Assessing the Readiness and Practice for Implementing Integrated Care in Saudi Arabia Using the SCIROCCO Survey Tool: A Pilot	5

Building Brighter Futures: Integrating Health Equity Programs to Enhance Care in Canada	5
Clinical lead and manager perspectives of a co-production model for community mental health service improvement in the NHS: a case study	5
Building on advanced practice of community nurses to improve access and continuity of care for refugees: Pilot study in Sherbrooke, Canada	5
Integrated Care for Multimorbidity Population in Asian Countries: A Scoping Review	5
Initiating integrated palliative rounds to improve patient outcomes and experiences in the home care setting.	5
What Matters to You (WMTY): Creating change within our healthcare system one conversation at a time	5
Care capacity planning in primary healthcare	5
Design principles for the development of health technology with and for older adults to enhance well-being and aging in place.	5
Observational Data for Integrated Maternity Care: Experiences with a Data-Infrastructure for Parents and Children in the Netherlands	5
Negative Health Impacts of Navigating the Healthcare System for Musculoskeletal Conditions: Healthcare User Perspectives	5
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	5
Calgary Zone Evolution, the benefits of integrated governance structures in primary care	5
Strengthening multi-sector community driven team-based approaches to develop and implement sustainable supports	5
Moving from How to Allow - Co-Creation and the mauri of Collective Wisdom	5
Measuring integration in “Integrated Youth Services” in Canada: Experiences with research and evaluation	5
Decision-Making Dilemmas within Integrated Care Service Networks: A Systematic Literature Review	5
Integrating Health and Social Services in Finland: Regional Approaches and Governance Models	5
Healthier Together: Strengthening collaboration, social value and getting to health and wellbeing outcomes.	5
How Do Professional Associations Influence Health System Transformation? Lessons from Ontario, Canada	5
Providing integrated care to families with multiple and complex needs – twelve core components for professionals	4
Participation in a co-design process – learnings and implications for enabling individual and collective participation in co-design	4
Action-based, holistic patient consultations to inform integrated care: validation and value of the Dutch Patient Centered Assessment Method (PCAM)	4
Person-centred integrated care with a public health approach to improve population health and wellbeing: A systematic literature review	4
Improving the evaluation of integrated healthcare systems using entropy balancing.	4
Addressing the social determinants of health: social workers as key players in integrated care	4
How caring communities become part of the health system of the future in the Netherlands. Developments, bottlenecks, and impact.	4
Shifting to person-centred service delivery with coordinated health and social outcomes	4
A rigorous, stepwise procedure for multi-stakeholder design of implementation actions	4
Untangling the interrelatedness within integrated care programmes for community-dwelling frail older people: a rapid realist review	4
OPEN ARCH: Evaluating the efficacy of an integrated model of care for community dwelling older Australians	4
Barriers and facilitators in implementing integrated youth services: Lessons Learned from Youth Wellness Hubs Ontario	4
Case Management Programs for Improving Integrated Care for Frequent Users of Healthcare Services: An Implementation Analysis	4
Healthcare and Social Care Integration: The COVID-19 Pandemic's Effect on Interorganisational Partnership Working	4
FlaQuM-Quickscan: an instrument to measure healthcare quality experiences across patients, kin and professionals in hospitals and primary care settings.	4
Development and Evaluation of a Novel Population Needs-Based Sub-Segmentation Model (NBSSM) in Singapore	4
Patient-GP-Pharmacist cooperation towards individualized tapering schemes for long term benzodiazepine users	4
Addressing the Patient Experience through Human- Centred Design: A Scoping Review	4
Short Stay Unit at Home, an alternative to Conventional Hospitalization	4
IRL	4
Integrated Care in Aotearoa New Zealand 2008–2020	4
Equally Well: Using a collective impact approach to enable system wide leadership.	4
Much More than a Building: redesigning hospice provision for Isle of Man	4
Reducing Health Inequalities Through Personalised And Person-Centred Healthcare, Delivered Through A Culturally Ethical Framework	4
Measuring Lessons Learned from Durham Community Hub Model during COVID-19: A Support Solution for the Homeless and other Vulnerable Populations	4
Integrating oral care in community- oriented primary care to reduce the health gap at a local level.	4
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	4
Integrating Comprehensive Medication Management services at the primary care level-experiences from the pilot project at the county Health centre Zagreb Centre	3
Serious Games as an Integrated Care tool to support elderly people quality of Life	3
Transforming Home Community Nursing Practice Through Nurse Empowerment: H.O.P.E. Approach to Care	3
Regional Strategic Planning of Care in Flanders based on population needs	3
Integration of maternity care as a part of social welfare and health care reform in Finland	3
What Can Canada Learn From Accountable Care Organizations: A Comparative Policy Analysis	3
Breaking the Gender Gap: Analysis of Gender-Sensitive Healthcare Implementation	3
Eastern Health Pathways++ a stepped model of care using risk stratification for people with chronic and complex health conditions	3
Consensus Building Method as a participatory tool of health decision making to counteract medical desertification in Europe.	3
Public Experiences and Perspectives of Virtual Primary Care Visits: Outcomes and Future Options	3
VERBOTONAL MODEL OF REHABILITATION OF THE PATIENTS WITH APHASIA IN THE CONTEXT OF ICF	3
Patients should be supported, and not blamed for non-adherence’ – the role of digital adherence coach in the GATEKEEPER ecosystem	3
Empowering the voices of persons with disabilities: Co-creating and implementing a community engagement framework for inclusive program design and organizational development	3
A Toolkit to facilitate the implementation of an Integrated Care Network for People living with Parkinson: A Codesign Approach	3
Caregiver ID: A Valuable Tool to Engage Caregivers as Partners in Care during Covid-19 and Beyond	3
Respuestas actuales a los desafíos de la comunicación para la salud	3
Complex care forum for enhanced support across care settings	3
Creating engagement capable environments for healthcare transformation: A framework for action	3
Multi-disciplinary workforce development: How managerial collaboration influences professional roles development in rural regions	3
The pros and cons of integrated care implementation in Central and Eastern Europe – a perspective from 9 CEE countries	3
GPs in schools: what do students and staff want from a school-based healthcare service in Queensland	3
Project e-MOTIPH: Patient Journey of patients with persistent symptoms of schizophrenia	3
Implementing Measurement-Based Care (MBC) for Mental Health in a Paediatric Hospital Setting	3
Evaluating the maturity of integrated care organizations	3
Efectos en adultos mayores de su participación en un proyecto comunitario basado en activos para la salud	3
Always look on the bright side of life? Managing tensions inherent to collaborations – A tensions-based view on networks of integrated care "	3
The imperative of working with municipalities to create an integrated health and wellness system.	3
“There’s No Room for Silos.” Interprofessional Education in Hospital-to-Home Integrated Care Programs.	3
The Digital Health/Wellness Capability Maturity Framework (DHW-CMF), a breakthrough tool to accelerate health systems evolution to better digitally enabled performance.	3
Using virtual workshops to bring together young people, parents and professionals to better understand local experiences of health and care services	3
Elderly in nursing homes and COVID-19: organization of a unique strategy and opportunity to improve integrated care in Long Term Care Facilities	3
Health literacy interventions and health literacy-related outcomes for older adults: A systematic review	2
Lessons Learned from the Implementation of Youth Wellness Hubs Ontario, an Integrated Youth Services Network: Perspectives from Network Leads	2
"Integrating" Patients and Citizens in Integrated Care: Insights from a large-scale PHM program in France	2

Partnering for Partnerships: How Industry and Health care system partnerships can improve health outcomes.	2
Nurse-Led Community Fall Prevention Program: A Singapore Experience	2
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	2
Community Hospitals in Rural Mid Wales	2
Bridging the health/social care divide – integrated care from the perspective of disability providers.	2
From Movie to Movement: working together to create conditions for safe care	2
Realising the Right to Rehabilitation	2
Designing a Person-Centred Integrated Care Programme for People with Complex Chronic Conditions: A Case Study from Catalonia	2
A COPD Self-Management Day	2
Floundering or Flourishing? Early Insights from the Inception of Integrated Care Systems in England	2
User-involvement in a migrant health clinic – A clinical study	2
Improving Value-Based Stroke Care by Using Digital Health Within an Integrated Practice Unit (IPU)	2
Development of a Person-Centred Coordinated Care Pathway in Swedish Healthcare for Low Back Pain	2
Systems Theory for Integrated Care Design	2
Using patient and family caregiver experience for quality improvement in rehabilitation settings: Learnings from a scoping review	2
Strengthening the response of the Mexican health system to face COVID-19: a perception of key-actors	2
Can a Voice recognition Dictation Service free up time for the Integrated Care CNSp to see more patients?	2
Improving cancer prevention and early detection among people experiencing homelessness in the UK: Health Navigator Model.	2
The MGH2Home Program, a Seamless Journey from Hospital to Home	2
Critical success factors of a women's supportive care housing program	2
New Care Models: How Health and Life Insurers Can Rise to the Challenge of Older and Sicker Societies	2
Care Everywhere: Implementing and Evaluating a Network-level Digital Transformation to Improve Coordination and Access across a Health System	2
Elevating Healthcare: Revolutionizing Tradition through Patient-Centric Collaboration in Calgary Foothills. Exploring the Integrated Community Care Model and its Transformative Impact.	2
Improving older people health fostering physical activities in the neighbourhood contributing to build the community sense through the ValueCare PROJECT	2
An Integrated Care Approach to Health Equity Data Collection and Use	2
Co-developing and unlocking Integrated Proactive Neighbourhood Teams in Gloucestershire to improve care for people living with frailty	2
Co-Design In Health: The Development and Evaluation of a Universal Information Design Response for Opioid Poisonings	2
Effect of Community-based integrated care for patients with diabetes and depression in China: interim analysis of a pragmatic cluster-randomized trial	2
Integrated Diagnosis in Africa’s Low- and Middle-Income Countries: What Is It, What Works, and for Whom? A Realist Synthesis	2
Implementation of a multidisciplinary Enhanced Care Response Service to reduce avoidable hospital admissions among residents of care homes.	2
Value-creating Learning Health Systems – an Organizing Framework for the Journey to Integrated Care	2
The Hotspotters Project: a proactive, integrated and personalized care approach	2
School-based integrated care – understanding collaborative partnerships between the health and education sectors (Combined with Paper 16)	2
Provision of integrated care by a National Call Support Program for Alzheimer’s patients and their caregivers	2
Exploring system resiliency within the North York Toronto Health Partners North York Community Access to Resources Enabling Support Program – A pragmati	2
Community Pre-Chemotherapy Phlebotomy Clinic:An integration between Tallaght University Hospital Oncology Day Ward and the South Dublin Community Intervention Team	2
Evaluating the Introduction of Proactive Telecare in Scotland	2
What should we consider when implementing digital assessments in integrated health and social care? Ten action areas for implementation planning 	2
Cooperación internacional para formación interdisciplinaria en Cuidados de Fin de Vida a estudiantes de Enfermeria	2
The COV-VOL project: The impact of community, charitable and voluntary organisations in supporting older people during the Covid-19 pandemic. Lessons le	2
Medication reconciliation by community pharmacists: an essential contribution to ensure continuity of care with regard to medications at hospital discharge.	2
Observe, Coach, Assist, Report: A personal support practice framework to build Home and Community Care workforce capacity in Ontario, Canada	2
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	2
Enhancing integration of community out-of-hours urinary catheter care in South Dublin	2
Creating an Integrated Care Fellowship in Rural Ireland	2
Demonstrating Integrated SDoH Impact in Behavioral Health	2
Pharmacy in Schools Programme	2
Improving access to primary care through coordinated access and attachment	2
How can we best use national levers around integration? A comparison of policy and progress across the UK’s four countries	2
The HOP Pilot: A collaboration to develop an integrated person-centred model for vulnerable people to feel safe accessing health support	2
COSSAD: Social and Health Coordination in Home Care	2
Value-Based Healthcare: Measuring True Impact and Deciding When to Shift Focus	2
Understanding policy supports that enhance equity in the Primary Health Care System	2
Peer support program for long COVID sufferers: an opportunity to co-design	2
Integrated Maternal Care Strategies in Low- and Middle-Income Countries: A Systematic Review	2
Patients' and healthcare professionals' experiences regarding patient safety when using telemonitoring of chronic diseases at home.	2
The appropriate scale for integrated care: a continuous and ongoing search	2
Examining the Use and Application of the WHO Integrated People-Centred Health Services Framework in Research Globally – a Systematic Scoping Review	2
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
Development of an evaluation framework and toolkit for health promotion and improvement practice in HSE Community Healthcare East	1
Importance of broad, equity-based approach to community engagement in supporting Ontario Health Teams and redesigning integrated care delivery	1
Creating a patient reported outcome measure for medication-related quality of life: a concept mapping brainstorming study in Ontario, Canada	1
Kalgal Burnbona: An Integrated Model of Care Between the Health and Education Sector	1
Supporting Quality Integrated Care for Adolescent Depression in Primary Care: A Learning System Approach	1
“It is about telling my story in a trustful relationship” Learning about goal-oriented care through the experiences of patients with chronic conditions	1
Transforming a conference into a community of practice around client needs - the groan zone	1
Integrating care through continued chronic disease management in the community: A nurse led step down program for at risk patients.	1
Integrating Non-Clinical Supports into Care: A Systematic Review of Social Prescribing Referral Pathways for Mental Health, Wellbeing, and Psychosocial Improvement	1
Enhancing Care Integration and Accessibility through Patient Navigation	1
Integrated People-Centred Care in Canada – Policies, Standards, and Implementation Tools to Improve Outcomes	1
A Community of Practice for Social Determinants of Health Practitioners in an Ontario Health Team	1
Building Peer Support for Community and voluntary Sector in Mental Health	1
Integrating Care using a Social Medicine Approach	1
Digital tools to augment care ecosystems around older patients with palliative care needs	1
Prevention Platform	1
Developing a quality standard for youth experiencing mental health and/or substance use concerns in emergency department settings	1
Fostering Behavioural Change Towards Integrated Care – a Multi-Team Case Study in Specialised Youth Services	1
Governance and Leadership Challenges and Strategies for Ontario Health Teams	1
Creating the Conditions for Integration: Bridging Evidence, Policy, and Practice for Transformative Healthcare	1
Delivering a population health profile for pilot Area Integrated Partnership Board (AIPB) in Northern Ireland through development of a dashboard	1
Strengthening Social Determinants of Health through Collaborative Continuum of Care within CRC Community Health Programming	1
How to cope with complex problems in integrated care, a world café method	1
How Different Quality Paradigms Undermine a Shared Value Base for Integrated Care: The Need for Collective Reflexivity	1
The role of Hospice Care at the end of life: perspectives from formal and informal caregivers  	1
Co-designing a model of palliative care for people with advanced dementia	1
SHAPES of things to come- medicine control and optimisation	1
Transforming Health through Integrated Care. A Canadian collective research platform.	1
Hospital Admission and Discharge: Lessons Learned from a Large Programme in Southwest Germany	1
Values as differentiation and integration mechanisms: a multiple case study of interorganizational integrated care networks	1
The Use of Implementation Science to Foster Innovative Collaborations in Seniors Care	1
Facilitating “Ageing Well and Independently at Home" Through Establishing a Career Pathway for Ireland’s Home Support Workers	1
Actioning integrated person-centred care: What does it take to learn from patient and caregiver experiences?	1
Prioritizing lived experiences to foster integrated care: How Impact Narratives can drive change	1
People powered health in action - Integrating the lived experience into organizational practices	1
Reimagining Day Rehabilitation For Frailty and Neurodegenerative Conditions through the integrated Rehabilitation and EnAblement Program (iREAP)	1