International Journal of Integrated Care

Article	Citations
Examining Macro-Level Barriers and Facilitators to Scaling Up Integrated Care from a Complexity Perspective: A Multi-Case Study of Cambodia, Slovenia, and Belgium	62
Policy Versus Practice: Facilitators and Barriers of Chronic Care Integration in Dutch General Practice – a Survey Study	48
Cross-sectoral Virtual Meetings. Goals and Plan for the patient's hospitalization	36
The Winding Road from Plan to Action: A Qualitative Study Exploring Operationalization of Person-Centeredness and Engagement in an Integrated Patient Ca	30
Strategies for engaging patients and families in collaborative mental health care	22
Multiple Case Study on Integrated Health and Social Care Initiatives for Older Adults in Canada	21
From transactional client relations to transformational integrated partnerships to deliver maximum value to the patient: A discussion on key success fac	20
Implementation of an integrated care pathway in primary care clinics to improve the health of older adults: a realist evaluation	19
Case Management Programs for Improving Integrated Care for Frequent Users of Healthcare Services: An Implementation Analysis	19
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	18
The tenuous beginnings of health system transformation: How Ontario Health Teams enacted change in the context of uncertainty	18
Team based triage and pathway care delivery in an ICPOP Hub	17
Elevating Healthcare: Revolutionizing Tradition through Patient-Centric Collaboration in Calgary Foothills. Exploring the Integrated Community Care Model and its Transformative Impact.	16
Ethical Challenges in End-of-Life Care: Terminal Fasting, Nutritional Care, and Patient Assessment	16
Connected Care Hub: Filling a gap with virtual transitional care and decreasing Emergency Department visits and inpatient readmissions.	16
Evaluation of Community Paramedicine Remote Patient Monitoring Program: A performance evaluation report	15
Transforming services in partnership with service users and carers to co-develop the new Integrated Care System for Northern Ireland (ICSNI)	15
Learning Disability Services in Belfast Trust – Co-producing to strengthen services	15
Earlier Diagnosis of Chronic Obstructive Pulmonary Disease (COPD) in Dublin North Central Respiratory Integrated Care (RIC).	15
Dementia Care Pathways: A Comprehensive Scoping Review and Insights from Key Informant Interviews	14
Care capacity planning in primary healthcare	14
Measuring integration in “Integrated Youth Services” in Canada: Experiences with research and evaluation	14
Multiple stakeholders’ perspectives on improving virtual cancer care for older Black adults	14
Assessing the Readiness and Practice for Implementing Integrated Care in Saudi Arabia Using the SCIROCCO Survey Tool: A Pilot	14
Design principles for the development of health technology with and for older adults to enhance well-being and aging in place.	13

Building on advanced practice of community nurses to improve access and continuity of care for refugees: Pilot study in Sherbrooke, Canada	12
Person-centred integrated care with a public health approach to improve population health and wellbeing: A systematic literature review	12
Strengthening multi-sector community driven team-based approaches to develop and implement sustainable supports	12
Inter-Organizational Coordination to Improve Patient Outcomes in Multimorbid Older Patients Following Hospital Discharge – a Systematic Review	12
Assessing patient pathways to improve integrated, people-centred care: the Quebec MSSS experience	11
What Matters to You (WMTY): Creating change within our healthcare system one conversation at a time	11
Calgary Zone Evolution, the benefits of integrated governance structures in primary care	11
Family VOICE: Family group conferencing for children and families: implementation, context and cost-effectiveness	11
Building Brighter Futures: Integrating Health Equity Programs to Enhance Care in Canada	11
Initiating integrated palliative rounds to improve patient outcomes and experiences in the home care setting.	10
Moving from How to Allow - Co-Creation and the mauri of Collective Wisdom	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
Negative Health Impacts of Navigating the Healthcare System for Musculoskeletal Conditions: Healthcare User Perspectives	10
Workforce Development in Integrated Care: Results of A Scoping Review	10
Healthier Together: Strengthening collaboration, social value and getting to health and wellbeing outcomes.	10
Population Health Management for Healty Regions in The Netherlands – First experiences	10
How do I roll out a digital collaboration tool?	10
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	9
Structural reforms in action - Singapore's population health journey and the structural changes at the national and local level	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	9
Aiming for equity in care provision	9
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	8
"The infinity loop of healthcare innovation: Development of an integrated rehabilitation pathway for spinal surgery through design thinking"	8
“Light through Life”– an inter-disciplinary long-term integrated health promotion programme for overweight and obese people	8
Safeguarding nursing homes in a pandemic: lessons learnt and implications for future workforce planning and development.	8
A case study of enabling integrated care through total workspace innovation in a large homecare organization	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
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.	8
Using the settings approach to health promotion in hospital and health services to support collaboration, engagement, and partnership in integrated care systems.	8
How Do Professional Associations Influence Health System Transformation? Lessons from Ontario, Canada	8
Establishing the aims, format and core standards of a frailty at the front door model of care: a mixed methods consensus study	8
New Patterns for Low-income Families - A model for comprehensive and coordinated efforts.	8
Social care data and its fitness for purpose and use for integrated care performance intelligence: an exploratory qualitative analysis in the Dutch cont	7
Integrated Care and Population Health Management: Does Your System have the Capacity to Succeed?	7
We Are: Giving citizens control over their data.	7
Parent attitudes and perceptions of integrated behavioral health care delivery for pediatric patients	7
Development and first steps towards implementing population health management in Belgium.	7
Asset-based leadership of practice: learning from an inter-professional development programme	7
Applications to prescribe exercise in frail older people: review of the available tools in the market	7
The Role of Nurses as Alternative Providers of Medical Services in Community-Based Care	7
Developing the Patient Falls Risk Report: A mixed-methods study on sharing falls-related clinical information from home care with primary care providers	7
Evaluation of an integrated care model using the RE-AIM framework: A case study of a community-based lifestyle service in rural Lincolnshire, UK.	6
The Collaborative Centre for Cardiometabolic Health in Psychosis (ccCHiP) – An integrated care model for oral health of people living with severe mental	6
Synthesizing evidence regarding hospital to home transitions supported by volunteers of third sector organizations: A scoping review	6
Decision-Making Dilemmas within Integrated Care Service Networks: A Systematic Literature Review	6
Observational Data for Integrated Maternity Care: Experiences with a Data-Infrastructure for Parents and Children in the Netherlands	6
Caregiver ID: A Valuable Tool to Engage Caregivers as Partners in Care during Covid-19 and Beyond	6
Caredoc Community Intervention Teams - An Integrated, Multidisciplinary Approach to Delivery of Care in a Community Setting	6
The Rainbow Model of Integrated Care Measurement Tool: validation for the primary elderly care setting	6
Integrated Health and Social Care in the United States: A Decade of Policy Progress	6

electronic Medicines Management (eMM) in Norway	6
Challenges and Recommendations for the Deployment of Information and Communication Technology Solutions for Informal Caregivers: Scoping Review	6
Integrating Health and Social Services in Finland: Regional Approaches and Governance Models	6
Respuestas actuales a los desafíos de la comunicación para la salud	6
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	6
Can local networks for patients with dementia (DementiaNet) be value-adding initiatives? A longitudinal cohort analysis on medical and long-term care cl	6
COVID-19: An impetus for delivering truly integrated paediatric healthcare	6
BackTrace - digital support of cross sectoral care pathways ensuring coherence and empowerment in low back pain patients	6
Integrated Care for Multimorbidity Population in Asian Countries: A Scoping Review	6
Efectos en adultos mayores de su participación en un proyecto comunitario basado en activos para la salud	6
Public Experiences and Perspectives of Virtual Primary Care Visits: Outcomes and Future Options	6
Elderly in nursing homes and COVID-19: organization of a unique strategy and opportunity to improve integrated care in Long Term Care Facilities	5
School-based integrated care – understanding collaborative partnerships between the health and education sectors (Combined with Paper 16)	5
Value-creating Learning Health Systems – an Organizing Framework for the Journey to Integrated Care	5
Eastern Health Pathways++ a stepped model of care using risk stratification for people with chronic and complex health conditions	5
Complex care forum for enhanced support across care settings	5
Cooperación internacional para formación interdisciplinaria en Cuidados de Fin de Vida a estudiantes de Enfermeria	5
Health literacy interventions and health literacy-related outcomes for older adults: A systematic review	5
Development of a Person-Centred Coordinated Care Pathway in Swedish Healthcare for Low Back Pain	5
Breaking the Gender Gap: Analysis of Gender-Sensitive Healthcare Implementation	5
Integrated Maternal Care Strategies in Low- and Middle-Income Countries: A Systematic Review	5
The pros and cons of integrated care implementation in Central and Eastern Europe – a perspective from 9 CEE countries	5
The imperative of working with municipalities to create an integrated health and wellness system.	5
The MGH2Home Program, a Seamless Journey from Hospital to Home	5
Using virtual workshops to bring together young people, parents and professionals to better understand local experiences of health and care services	5
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
Creating engagement capable environments for healthcare transformation: A framework for action	5
“There’s No Room for Silos.” Interprofessional Education in Hospital-to-Home Integrated Care Programs.	5
The Digital Health/Wellness Capability Maturity Framework (DHW-CMF), a breakthrough tool to accelerate health systems evolution to better digitally enabled performance.	5
"Integrating" Patients and Citizens in Integrated Care: Insights from a large-scale PHM program in France	5
Implementing Measurement-Based Care (MBC) for Mental Health in a Paediatric Hospital Setting	4
Addressing the Patient Experience through Human- Centred Design: A Scoping Review	4
Addressing the social determinants of health: social workers as key players in integrated care	4
Community Pre-Chemotherapy Phlebotomy Clinic:An integration between Tallaght University Hospital Oncology Day Ward and the South Dublin Community Intervention Team	4
Measuring Lessons Learned from Durham Community Hub Model during COVID-19: A Support Solution for the Homeless and other Vulnerable Populations	4
Integrated Diagnosis in Africa’s Low- and Middle-Income Countries: What Is It, What Works, and for Whom? A Realist Synthesis	4
Empowering the voices of persons with disabilities: Co-creating and implementing a community engagement framework for inclusive program design and organizational development	4
Transforming Home Community Nursing Practice Through Nurse Empowerment: H.O.P.E. Approach to Care	4
How caring communities become part of the health system of the future in the Netherlands. Developments, bottlenecks, and impact.	4
Medication reconciliation by community pharmacists: an essential contribution to ensure continuity of care with regard to medications at hospital discharge.	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
A rigorous, stepwise procedure for multi-stakeholder design of implementation actions	4
Can a Voice recognition Dictation Service free up time for the Integrated Care CNSp to see more patients?	4
Using patient and family caregiver experience for quality improvement in rehabilitation settings: Learnings from a scoping review	4
The HOP Pilot: A collaboration to develop an integrated person-centred model for vulnerable people to feel safe accessing health support	4
Consensus Building Method as a participatory tool of health decision making to counteract medical desertification in Europe.	4
Patient-GP-Pharmacist cooperation towards individualized tapering schemes for long term benzodiazepine users	4
Evaluating the maturity of integrated care organizations	4
FlaQuM-Quickscan: an instrument to measure healthcare quality experiences across patients, kin and professionals in hospitals and primary care settings.	4
The appropriate scale for integrated care: a continuous and ongoing search	4
What should we consider when implementing digital assessments in integrated health and social care? Ten action areas for implementation planning 	4
Integration of maternity care as a part of social welfare and health care reform in Finland	4
Shifting to person-centred service delivery with coordinated health and social outcomes	4
Development and Evaluation of a Novel Population Needs-Based Sub-Segmentation Model (NBSSM) in Singapore	4
A Toolkit to facilitate the implementation of an Integrated Care Network for People living with Parkinson: A Codesign Approach	4
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	3
An Integrated Care Approach to Health Equity Data Collection and Use	3
Improving access to primary care through coordinated access and attachment	3
Improving the evaluation of integrated healthcare systems using entropy balancing.	3
Barriers and facilitators in implementing integrated youth services: Lessons Learned from Youth Wellness Hubs Ontario	3
IRL	3
Equally Well: Using a collective impact approach to enable system wide leadership.	3
Critical success factors of a women's supportive care housing program	3
Lessons Learned from the Implementation of Youth Wellness Hubs Ontario, an Integrated Youth Services Network: Perspectives from Network Leads	3
Regional Strategic Planning of Care in Flanders based on population needs	3
The COV-VOL project: The impact of community, charitable and voluntary organisations in supporting older people during the Covid-19 pandemic. Lessons le	3
From Movie to Movement: working together to create conditions for safe care	3
Understanding policy supports that enhance equity in the Primary Health Care System	3
Improving Value-Based Stroke Care by Using Digital Health Within an Integrated Practice Unit (IPU)	3
Demonstrating Integrated SDoH Impact in Behavioral Health	3
Healthcare and Social Care Integration: The COVID-19 Pandemic's Effect on Interorganisational Partnership Working	3
Much More than a Building: redesigning hospice provision for Isle of Man	3
Reducing Health Inequalities Through Personalised And Person-Centred Healthcare, Delivered Through A Culturally Ethical Framework	3
Short Stay Unit at Home, an alternative to Conventional Hospitalization	3
Designing a Person-Centred Integrated Care Programme for People with Complex Chronic Conditions: A Case Study from Catalonia	3
Participation in a co-design process – learnings and implications for enabling individual and collective participation in co-design	3
Floundering or Flourishing? Early Insights from the Inception of Integrated Care Systems in England	3
OPEN ARCH: Evaluating the efficacy of an integrated model of care for community dwelling older Australians	3
Co-Design In Health: The Development and Evaluation of a Universal Information Design Response for Opioid Poisonings	3
Value-Based Healthcare: Measuring True Impact and Deciding When to Shift Focus	3

Developing Collaborative Practices in Co-Located Health and Social Services: An Observational Study of a Multidisciplinary Development Group	3
Integrated Care in Aotearoa New Zealand 2008–2020	3
Provision of integrated care by a National Call Support Program for Alzheimer’s patients and their caregivers	3
Untangling the interrelatedness within integrated care programmes for community-dwelling frail older people: a rapid realist review	3
Action-based, holistic patient consultations to inform integrated care: validation and value of the Dutch Patient Centered Assessment Method (PCAM)	3
Integrating oral care in community- oriented primary care to reduce the health gap at a local level.	3
Providing integrated care to families with multiple and complex needs – twelve core components for professionals	3
Realising the Right to Rehabilitation	2
Alcoholmisuse/dependence carepathway in and outside the general hospital. Detecting, motivating and treating the whole person.	2
What Can Canada Learn From Accountable Care Organizations: A Comparative Policy Analysis	2
Lung cancer registry to promote person-centered care. 	2
Rethinking Primary Care Delivery Models: Can Integrated Primary Care Teams Improve Care Experience?	2
Evaluating the Introduction of Proactive Telecare in Scotland	2
Archetypes of Integrated Care	2
Understanding policy supports for Team-Based primary healthcare models.	2
The ‘recipe for success’: Co-designing strategies to enhance care transitions from hospital to home	2
“Open Door” to Community Connected Pathways for Integrated Care	2
Activating people to partner in health and self-care: The use of the Patient Activation Measure	2
Characterizing Project ECHO Autism Case Recommendations and Implementation	2
Improving Health Care for Patients with Multimorbidity: A Mixed-Methods Study to Explore the Feasibility and Process of Aligning Scheduled Outpatient Appointments through Collaboration between Medical	2
Enhancing integration of community out-of-hours urinary catheter care in South Dublin	2
A COPD Self-Management Day	2
Nurse-Led Community Fall Prevention Program: A Singapore Experience	2
Exploring system resiliency within the North York Toronto Health Partners North York Community Access to Resources Enabling Support Program – A pragmati	2
Co-developing and unlocking Integrated Proactive Neighbourhood Teams in Gloucestershire to improve care for people living with frailty	2
Implementation of a multidisciplinary Enhanced Care Response Service to reduce avoidable hospital admissions among residents of care homes.	2
How can we best use national levers around integration? A comparison of policy and progress across the UK’s four countries	2
Patient-sharing relationships among primary healthcare professionals taking care of patients with mental health problems or substance abuse: the social network approach.	2
The Danish Ibbis Trials for Sickness Absentees with Common Mental Disorders: A Phase 4 Prospective Study Comparing Randomized Trial and Real-World Data	2
Prioritized health outcomes of acutely hospitalized older patients.	2
Implementation of Preventive Care in the setting of primary care: opportunities, hurdles and policy needs for integration of Preventive Care in the daily practice of primary care practitioners.	2
A new model of community nurse clinic based on telemedicine in alpine Tesino area using TreC+ platform.	2
Improving older people health fostering physical activities in the neighbourhood contributing to build the community sense through the ValueCare PROJECT	2
Evaluation of the North West London Diabetes Foot Care Transformation Project: A Mixed-Methods Evaluation	2
Clusters of medical specialities around patients with multimorbidity – employing fuzzy c-means clustering to explore multidisciplinary collaboration.	2
Achieving person-centered care through integrated care	2
Advancing a Transitions in Care Guideline: Reflections on Strategies to Engage Staff	2
Integrated care for children and youth through interRAI: Promoting efficiency across mental health care service sectors in Ontario	2
Patients' and healthcare professionals' experiences regarding patient safety when using telemonitoring of chronic diseases at home.	2
Examining the Use and Application of the WHO Integrated People-Centred Health Services Framework in Research Globally – a Systematic Scoping Review	2
Dental Health Services Victoria’s Co-designed Value Based Health Care Framework: Leading Patient Centred Care in Public Dental Sector	2
Observe, Coach, Assist, Report: A personal support practice framework to build Home and Community Care workforce capacity in Ontario, Canada	2
Creating an Integrated Care Fellowship in Rural Ireland	2
Is this really equity? Engaging experts-by-experience in Learning Health Systems to generate meaningful change solutions	2
Pharmacy in Schools Programme	2
Workshop launch of the IJIC Thematic issue on scale-up of integrated care interventions for chronic diseases in three diverse settings.	2
Improving cancer prevention and early detection among people experiencing homelessness in the UK: Health Navigator Model.	2
Building a Better System to Support Family Caregivers: Engaging Multi-level Interdisciplinary Stakeholders in Micro, Meso, and Macro Level Learning Health System Design.  	2
Care Everywhere: Implementing and Evaluating a Network-level Digital Transformation to Improve Coordination and Access across a Health System	2
How to develop a Caring and Compassionate Neighbourhood?	2
Integrative approach as a dormant element of integrated healthcare	2
"Older persons providing or not providing informal care to non-family peers - The experience of Health-related Quality of Life. Results from the Swedish Citizen Panel survey "	2
Removing the Silos: Interprofessional Education to Support Hospital-to-Home Integrated Care	2
Partnering for Partnerships: How Industry and Health care system partnerships can improve health outcomes.	2
Essential Care Partner Programs: A Strategy to Advance Integrated Care through the Inclusion of Caregivers	2
Elevating Healthcare: Revolutionizing Tradition through Patient-Centric Collaboration in Calgary Foothills. Exploring the Integrated Community Care Model and its Transformative Impact.	2
A qualitative case study of dis-integrated care utilising the ‘Your Voice Matters’ framework for data analysis.	2
Increasing Equitable Access to Interprofessional Primary Care Teams in North Toronto	2
New Care Models: How Health and Life Insurers Can Rise to the Challenge of Older and Sicker Societies	2
Healthcare Professionals’ Views of the Integrated County Healthcare Consortium in Zhejiang, China	2
Community Hospitals in Rural Mid Wales	2
Effect of Community-based integrated care for patients with diabetes and depression in China: interim analysis of a pragmatic cluster-randomized trial	2
Bridging the health/social care divide – integrated care from the perspective of disability providers.	2
Peer support program for long COVID sufferers: an opportunity to co-design	2
Working Together to Deliver The Future	1
An IT-supported multidimensional approach for frailty screening in community-dwelling older adults	1
Team Primary Care: Training for Transformation in Canada	1
What Makes Integration of Chronic Care so Difficult? A Macro-Level Analysis of Barriers and Facilitators in Belgium.	1
Nothing about me without me: Co-creating healthcare innovations for people with Parkinson’s disease and their caregivers	1
A novel model of consent to promote embodied safety and trust between care providers and patients	1
Building, scaling and spreading community-based transitional care programs—Bold change leadership for evidence-based integrated care	1
An orientation model for implementing and sustaining integrated health and social care hubs for early childhood development.	1
Place-based partnerships serving the most vulnerable youth that have complex health and social needs.	1
New perspective on social cost-benefit analysis in health care and social welfare. A personalised integrated care approach.	1
Evaluation of the Implementation of Integrated Primary Care for Patients with Type 2 Diabetes and Hypertension in Belgium, Cambodia, and Slovenia	1
The power of community - Getting evidence and policy into practice with HealthPathways	1
Standardized assessment to support integrated care: Use of self-report instruments with vulnerable community-dwelling older adults during the pandemic	1
An IT tool for knowledge transfer and coordination of long-term care for a community-dwelling patient with a frailty syndrome - pilot carried out as par	1
Partnering with health, social and community service organizations to build and implement a population health needs framework	1
RadarHeart – Digital as a lever for Care Coordination	1
Collaboration has a remarkable impact to resilience of people working in disability services	1
It Takes a Village: Coordinating and Streamlining Access to Palliative Care Resources through a Centralized Referral and Contact	1
Beyond the Point of No Return: A Discourse Analysis of Healthcare Professionals’ Perceptions of Digitally Supported Person-Centred, Integrated, and Proactive Care	1
Defining a Vision and Laying the Foundation for Integrated Care of Older Adults in Algoma	1
Bevan Exemplar Showcase	1
The inTouch Integrated Care Framework – Reimagining Integrated Health Service Delivery	1
Integrating care with equity-deserving communities from the ground-up: High Priority Communities Strategy in Markham, Ontario	1
Enhancing transmural continuity of care for vulnerable patients with kidney problems. A mixed-methods multi-stakeholder needs-assessment	1
A novel model of integrated care that aims to reduce avoidable hospital presentations for children with medical complexity through partnerships between	1
"Does One Size Fit All? - People’s expectations of future health and welfare services "	1
Qualitative and Quantitative Evaluation of an Innovative Primary and Secondary Diabetes Clinic in Western Sydney	1
Optimizing Women's Health: Cancer Screening Strategies for Long-Stay Mental Health Inpatients in Canada	1
Accuracy of THINK Center telephone triage in post-discharge patients: an observational study in real patients.	1
An integrated care pathway designing hospital care at home for elderly with an acute respiratory infection.	1
A Mixed Methods Evaluation of the Community Remote Care Management Program: An Integrated and Person-Centred Hybrid Model of Chronic Disease Management	1