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All Together Now: A Conceptual Exploration of Integrated Care

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Kodner, Dennis·2009·Healthcare Quarterly

DOI 10.12927/hcq.2009.21091

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Abstract

Integrated care is a key strategy in reforming health systems around the world. Despite its importance, the concept's polymorphous nature and lack of specificity and clarity significantly hamper systematic understanding, successful application and meaningful evaluation. This article explores the many definitions, concepts, logics and methods found in health system and service integration. In addition to framing this evolving, albeit imprecise field, the article summarizes the main elements or building blocks of integrated care and suggests a way to address its various complexities and unknowns in a real-world sense.

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Items 101–200 of 433

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van Overveld, L. F. J., Takes, R. P., TURAN, A., Braspenning, J. C. C., Smeele, L. E., Merkx, M. A. W., Hermens, R., & the Dutch Head and Neck Audit Group (2017) · Clinical Otolaryngology · doi:10.1111/coa.13021 · Cited by 31
“of services across the entire care continuum with optimal alignment and collaboration of all disciplines is required.(11) Nowadays, providing patient-centred care is an essential component of high-quality integrated care.”
Background
Approche centrée sur le patient et nouvelle gestion publique : confluence et paradoxe
Sebai, J., & Yatim, F. (2018) · Santé Publique · doi:10.3917/spub.185.0517 · Cited by 31
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“In short, the meaning of ‘integrated care’ has multiple meanings depending on the circumstances and period of time [20,21].”
Background
How do you build programmes of integrated care? The need to broaden our conceptual and empirical understanding
Goodwin, N. (2013) · International Journal of Integrated Care · doi:10.5334/ijic.1207 · Cited by 31
“Understanding the development and impact of integrated care has thus been described as a ‘multiple simultaneous equation’ requiring appreciation and consideration of the combination of factors that occur at multiple levels, over time, and in different contexts [2].”
Background
Information and Communications Technologies Enabling Integrated Primary Care for Patients With Complex Care Needs: Scoping Review
Tahsin, F., Armas, A., Kirakalaprathapan, A., Kadu, M., Sritharan, J., & Gray, C. S. (2023) · Journal of Medical Internet Research · doi:10.2196/44035 · Cited by 32
“In contrast, as the normative aspect of integrated care is achieved through functional, organizational, and service integration, typically, the normative aspect of integration is not considered as a stand-alone objective of an intervention [18,79].”
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“Il s’adresse à des personnes présentant des besoins complexes tels que des patients atteints de troubles case manager mentaux ou des personnes âgées dépendantes [13].”
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“Although various forms and types of integration have been conceptualized (Kodner and Spreeuwenberg 2002; Kodner 2009), integration is essentially a social process involving the management and delivery of a continuum of curative and preventative, multi-level health services, according to the needs…”
Background
Finding the Integrated Care Evidence Base in PubMed and Beyond: A Bibliometric Study of the Challenges
Lewis, S. P., Damarell, R., Tieman, J., & Trenerry, C. (2018) · International Journal of Integrated Care · doi:10.5334/ijic.3975 · Cited by 29
“These include: managed care, continuity of care, case/care management, transmural care, patient-centred care, seamless care, collaborative care, transitional care and integrated delivery systems [5, 6].”
Background
Integration vs separation in the provision of health care: 24 OECD countries compared
Toth, F. (2018) · Health Economics Policy and Law · doi:10.1017/s1744133118000476 · Cited by 29
“It is common opinion that this literary current lacks commonly shared definitions and conceptual coherence (Kodner and Spreeuwenberg, 2002; Suter et al., 2007; Thaldorf and Liberman, 2007; Kodner, 2009; Evans et al., 2013; Goodwin et al., 2017).”
Background
A Systematic Investigation on Barriers and Critical Success Factors for Clinical Information Systems in Integrated Care Settings
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Background
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Vik, E., & Hjelseth, A. (2022) · Tidsskrift for samfunnsforskning · doi:10.18261/tfs.63.2.3 · Cited by 28
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“IBHC is intended to enhance system efficacy, reduce health care fragmentation and costs, and improve access, quality of care, and consumer satisfaction.(2) It allows patients to access care in a familiar setting, and utilizes already existing relationships with primary care providers, the latter of which could potenti…”
BackgroundInfluential
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“This contrasts the perspectives of Kodner et. al. and Bengoa et. al. as they emphasize to focus also on the cultural normative aspects of these elements [36, 37].”
BackgroundResult
Towards accessible integrated palliative care
der Eerden, M. D. H.-V., Ewert, B., Hodiamont, F., Hesse, M., Hasselaar, J. G. J., & Radbruch, L. (2017) · Journal of Integrated Care · doi:10.1108/jica-03-2017-0006 · Cited by 25
“It involves various structures and processes that should be pursued at several care levels in order to achieve comprehensive service delivery, addressing individual patient and population needs (Valentijn et al., 2013; Kodner, 2009).”
Background
Project INTEGRATE: Developing a Framework to Guide Design, Implementation and Evaluation of People-centred Integrated Care Processes
Cash‐Gibson, L., Tigova, O., Alonso, A., Binkley, G., & Rosenmöller, M. (2019) · International Journal of Integrated Care · doi:10.5334/ijic.4178 · Cited by 25
“Degree and breadth of integration [13, 14, 48, 49]: Describe the current connectivity between the different PCIC process steps between and across different levels of services and other care providers and teams, degree and breadth of integration.”
Background
Outcome mapping for health system integration
Tsasis, P., Evans, J. M., Forrest, & Jones (2013) · Journal of Multidisciplinary Healthcare · doi:10.2147/jmdh.s41575 · Cited by 25
“In the context of multiple meanings and approaches to integration, stakeholder agreement within system boundaries has been identified as a necessary antecedent to developing effective and sustainable integrated systems.(5,9,10) One approach for building these conceptual prerequisites to integrated care is to use outco…”
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“Recognizing that terminology plays a critical role in shaping the design and delivery of health care services [80], it might be useful to establish an operational definition of integrated care that fosters shared understanding, meaningful application, and comprehensive evaluation in future…”
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Benefits and challenges perceived by patients with cancer when offered a nurse navigator
Thygesen, M. K., Pedersen, B. D., Kragstrup, J., Wagner, L., & Mogensen, O. E. (2011) · International Journal of Integrated Care · doi:10.5334/ijic.629 · Cited by 24
“This nearly corresponds to the This article is published in a peer reviewed section of the International Journal of Integrated Care 9 period of help offered from an NN to both male and female patients with head and neck cancer in a qualitative longitudinal study by Fillion et al. in Canada [12].”
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Health care agreements as a tool for coordinating health and social services
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“Similarly, the potential for savings or cost-effectiveness diminishes [5,6,9,10].”
Background
Integration: work still in progress
Wistow, G., & Dickinson, H. (2012) · Journal of Health Organization and Management · doi:10.1108/14777261211275881 · Cited by 23
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Santana, S., Szczygieł, N., & Redondo, P. (2014) · International Journal of Integrated Care · doi:10.5334/ijic.989 · Cited by 22
“Depending on the author, integration might be: (of) care, (of) clinical team, functional, normative, systemic [8]; functional, organisational, professional, service or clinical, normative, systemic integration [9]; or structural (vertical, horizontal), functional (clinical, information, financial, administrative), nor…”
Background
Integrated Healthcare Delivery: A Qualitative Research Approach to Identifying and Harmonizing Perspectives of Integrated Neglected Tropical Disease Programs
Means, A. R., Jacobson, J., Mosher, A. W., & Walson, J. L. (2016) · PLoS neglected tropical diseases · doi:10.1371/journal.pntd.0005085 · Cited by 22
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Integrated care organizations in Switzerland.
Berchtold, P., & Peytremann‐Bridevaux, I. (2011) · PubMed Central · Cited by 21
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“The essence of integrated care is a continuum of care for service users, which crosses the boundaries of public health, primary, secondary, and tertiary care [3, 15, 16].”
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“Similarly, for the subjective component of each of the 29 questions, the maximum allowable score (10) is divided by the number of response codes.”
Background
Relevant patient characteristics for guiding tailored integrated diabetes primary care: a systematic review
Hertroijs, D. F. L., Elissen, A., Brouwers, M. C. G. J., Schaper, N. C., & Ruwaard, D. (2018) · Primary Health Care Research & Development · doi:10.1017/s146342361800004x · Cited by 20
“The implementation of integrated care programs is widespread in North America, Europe, and other parts of the world (Kodner, 2009; Shaw et al., 2011).”
Background
Comparative Health Systems
Toth, F. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108775397 · Cited by 23
The evolution and inter‐sectoral interaction mechanism of China's national medical alliance: An analysis based on complex systems theory
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“Current organizational structures and techniques, such as disease management and case management, are frequently confused with being integrated care [1, 3].”
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“Despite there being no one-size-fits-all model of care provision suitable to all system configurations (Kodner, 2009) there are common elements indicative of interprofessional collaboration and functionality that suggest the extent to which horizontal integration exists among a care network of…”
Background
Coordination within medical neighborhoods
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“As medical knowledge has advanced, health care nodes have become siloed by setting with regard to policy, payment, structure, delivery, and culture (Kodner, 2009).”
Background
Evaluating Program Integration and the Rise in Collaboration: Case study of A Palliative Care Network
Bainbridge, D. B., Brazil, K., Krueger, P. D., Ploeg, J., Taniguchi, A., & Darnay, J. (2011) · Journal of Palliative Care · doi:10.1177/082585971102700403 · Cited by 20
“Integration in the form of care provider organization partnerships is critical to sustaining systems of high-quality health care (18).”
Background
Progress toward integrating care for seniors in Canada
MacAdam, M. (2011) · International Journal of Integrated Care · doi:10.5334/ijic.563 · Cited by 20
User involvement in service integration and carers' views of co-locating children's services
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“and research has contributed an enormous amount of conceptual work (Hudson and Henwood, 2002; Kodner and Spreeuwenberg, 2002; Ham and De Silva, 2009; Kodner, 2009; Williams and Sullivan, 2009, 2010; Shaw et al., 2011).”
Background
Organization-level principles and practices to support spiritual care at the end of life: a qualitative study
Holyoke, P., & Stephenson, B. (2017) · BMC Palliative Care · doi:10.1186/s12904-017-0197-9 · Cited by 20
Healthcare system navigation difficulties among informal caregivers of older adults: a logistic regression analysis of social capital, caregiving support and utilization factors
Kim, B., Wister, A., Mitchell, B., Li, L., & Kadowaki, L. (2024) · BMC Health Services Research · doi:10.1186/s12913-024-11549-0 · Cited by 21
Interventions to integrate care for people with serious mental illness and substance use disorders: a systematic scoping review protocol
Richardson, A., Richard, L., Gunter, K. E., & Derrett, S. (2019) · BMJ Open · doi:10.1136/bmjopen-2019-031122 · Cited by 24
Can integrated care improve the efficiency of hospitals? Research based on 200 Hospitals in China
Peng, Z., Zhu, L., Wan, G., & Coyte, P. C. (2021) · Cost Effectiveness and Resource Allocation · doi:10.1186/s12962-021-00314-3 · Cited by 19
Equity Promoting Integrated Care: Definition and Future Development
Wankah, P., Gordon, D., Shahid, S., Chandra, S., Abejirinde, I. O., Yoon, R., Wodchis, W. P., O'Campo, P. J., Gray, C. S., Clark, N., et al. (2023) · International Journal of Integrated Care · doi:10.5334/ijic.7614 · Cited by 19
A quasi-experimental study of the effects of an integrated care intervention for the frail elderly on informal caregivers’ satisfaction with care and support
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“Integrated care has been proposed to increase the coherence, continuity and quality of elderly care [19,20] and to provide more adequate and effective support for informal caregivers [9].”
Background
Integrated Health Care Barcelona Esquerra (Ais-Be): A Global View of Organisational Development, Re-Engineering of Processes and Improvement of the Information Systems. The Role of the Tertiary University Hospital in the Transformation
Altimiras, X. (2016) · International Journal of Integrated Care · doi:10.5334/ijic.2476 · Cited by 19
Integrating palliative care into the community: the role of hospices and schools
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“(2) Bereavement training Design and deliver bereavement training for all school staff to raise awareness about childhood bereavement and develop appropriate skills to manage related issues.”
Background
IT-supported integrated care pathways for diabetes: A compilation and review of good practices
Vrijhoef, H. J., de Belvis, A. G., de la Calle, M., de Sabata, M. S., Hauck, B., Montante, S., Moritz, A., Pelizzola, D., Saraheimo, M., & Guldemond, N. (2017) · International Journal of Care Coordination · doi:10.1177/2053434517714427 · Cited by 19
“17 However, due to the complex, disruptive and context-speciﬁc nature of health care service transformation, it is often diﬃcult to directly measure its eﬀects in terms of eﬃcacy and eﬃciency.”
Background
Cost-effectiveness of planned birth in a birth centre compared with alternative planned places of birth: results of the Dutch Birth Centre study
Hitzert, M. F., Marieke, M. H., Boesveld, I. C., Franx, A., Karin, K. V. D. P.-D. B., Eric, E. S., & EIske, M. V. D. A.-V. M. (2017) · BMJ Open · doi:10.1136/bmjopen-2017-016960 · Cited by 18
Integrated care for diabetes - The Singapore Approach
Yeo, S. Q., Harris, M. J., & Majeed, A. (2012) · International Journal of Integrated Care · doi:10.5334/ijic.810 · Cited by 18
“There are many definitions of integrated care, and many synonyms are used, such as disease management, case management, care management, managed care, transmural care, patient-centred care, and coordinated care [6, 8, 9].”
Background
Integrated Palliative Care for Nursing Home Residents: Exploring the Challenges in the Collaboration between Nursing Homes, Home Care and Hospitals
Hermans, S., Sevenants, A., Declercq, A., Broeck, N. V., Deliëns, L., Cohen, J., & Audenhove, C. V. (2019) · International Journal of Integrated Care · doi:10.5334/ijic.4186 · Cited by 18
Learning to Learn: towards a Relational and Transformational Model of Learning for Improved Integrated Care Delivery
Tsasis, P., Evans, J. M., Rush, L., & Diamond, J. (2013) · Administrative Sciences · doi:10.3390/admsci3020009 · Cited by 25
“research focus instead on the redesign of organizational structures and processes [14,15].”
Background
The Impact of Wilderness Therapy
Tucker, A. R., Norton, C. L., DeMille, S. M., & Hobson, J. (2015) · Journal of Experiential Education · doi:10.1177/1053825915607536 · Cited by 19
“…is moving toward an integrated care approach that supports the incorporation of behavioral health services into primary care, with the purpose of addressing both physical and mental health (Kodner, 2008); however, very little research exists on integrated care treatment approaches with adolescents.”
Background
Key stakeholder experiences of an integrated healthcare pilot in Australia: a thematic analysis
Trankle, S. A., Usherwood, T. P., Abbott, P., Roberts, M. M., Crampton, M., Girgis, C. M., Riskallah, J., Chang, Y., Saini, J., & Reath, J. (2020) · BMC Health Services Research · doi:10.1186/s12913-020-05794-2 · Cited by 17
“An integrated health system relies on trust between different service providers, common understandings of integrated care and shared goals (8-12).”
Background
Intersectoral collaboration at a decentralized level: information flows in child welfare and healthcare networks
Blanken, M., Mathijssen, J. J. P., van Nieuwenhuizen, C., Raab, J., & van Oers, H. (2022) · BMC Health Services Research · doi:10.1186/s12913-022-07810-z · Cited by 23
Putting personalisation and integration into practice in primary care
Clark, M., Moreland, N., Greaves, I., Greaves, N., & Jolley, D. J. (2013) · Journal of Integrated Care · doi:10.1108/14769011311316033 · Cited by 17
Protocol for a process-oriented qualitative evaluation of the Waltham Forest and East London Collaborative (WELC) integrated care pioneer programme using the Researcher-in-Residence model
Eyre, L., George, B., & Marshall, M. (2015) · BMJ Open · doi:10.1136/bmjopen-2015-009567 · Cited by 17
“Today, integration is widely accepted as ‘a demand-driven response to what generally ails modern day healthcare: access concerns, fragmented services, disjointed care, less than optimal quality, system inefficiencies, and difficult to control costs’.(2) As more people are living for longer they are progressively more…”
BackgroundInfluential
Integrated Chronic Care Management For Patients With Atrial Fibrillation - A Rationale For Redesigning Atrial Fibrillation Care.
Hendriks, J., Crijns, H. J. G. M., & Vrijhoef, H. J. (2015) · PubMed Central · doi:10.4022/jafib.1177 · Cited by 17
General practitioners’ views on the influence of long-term care reforms on integrated elderly care in the Netherlands: a qualitative interview study
Grol, S. M., Molleman, G. R. M., van Heumen, N., van den Muijsenbergh, M. E. T. C., Haan, N. S., & Schers, H. (2021) · Health Policy · doi:10.1016/j.healthpol.2021.04.011 · Cited by 17
Effects of Vertical Integration Reform on Primary Healthcare Institutions in China: Evidence From a Longitudinal Study
Yuan, S., Fan, F., & Zhu, D. (2021) · International Journal of Health Policy and Management · doi:10.34172/ijhpm.2021.93 · Cited by 19
“1,24 and adaptation to the Chinese context, specific integrative strategies implemented in practice were divided into three aspects: administrative, organizational, and service delivery (Table 1).”
Unraveling care integration: Assessing its dimensions and antecedents in the Italian Health System
Calciolari, S., & Ilinca, S. (2015) · Health Policy · doi:10.1016/j.healthpol.2015.12.002 · Cited by 17
Current efforts in medical education to incorporate national health priorities
Nair, M., & Fellmeth, G. L. (2017) · Medical Education · doi:10.1111/medu.13395 · Cited by 17
“various levels of healthcare (vertical and horizontal), between patients and providers, and between patient experiences and clinical outcomes.(32)”
Background
Case definition for health and social care services integrated initiatives
Cheng, S. M., & Catallo, C. (2019) · Journal of Integrated Care · doi:10.1108/jica-09-2018-0057 · Cited by 17
Follow-up management service and health outcomes of hypertensive patients in China: A cross-sectional analysis from the national health service survey in Jiangsu province
Peng, M., Shi, X., Zhu, L., & Wang, Z. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.956711 · Cited by 16
Integration of clinical pharmacy services into the Brazilian health system using Problematization with Maguerez Arc
Júnior, G. A. D. S., Onozato, T., Rocha, K. S. S., Ramos, S. F., Pereira, A. M., Cruz, C. F. D. S., Brito, G. D. C., & de Lyra, D. P. (2018) · Research in Social and Administrative Pharmacy · doi:10.1016/j.sapharm.2018.04.009 · Cited by 16
Clinical laboratory services for primary healthcare centers in urban cities: a pilot ACO model of ten primary healthcare centers
Tashkandi, S. A., Alenezi, A., Bakhsh, I., AlJuryyan, A., Alshehry, Z. H., AlRashdi, S., Guzman, M., Pono, M., Lim, F., Tabudlong, A. R., et al. (2021) · BMC Family Practice · doi:10.1186/s12875-021-01449-1 · Cited by 16
“Integration is perceived as a challenge to the current fragmentation in services, which are market-driven [11].”
Background
Towards a comprehensive research design for studying integrated care
Dessers, E., Vrijhoef, H. J., Annemans, L., Cambré, B., Dhondt, S., Hellings, J., Hermans, K., Kenis, P., Nys, H., Vandijck, D. M., et al. (2014) · International Journal of Care Coordination · doi:10.1177/2053434514562082 · Cited by 16
How To Build an Integrated Neighborhood Approach to Support Community-Dwelling Older People?
Nieboer, A. P. (2016) · International Journal of Integrated Care · doi:10.5334/ijic.1596 · Cited by 16
“Service integration ensures the provision of tailored and coherent services across time, space, and disciplines [20].”
Background
First contact of care for persons with spinal cord injury: a general practitioner or a spinal cord injury specialist?
Touhami, D., Brach, M., Essig, S., Ronca, E., Debecker, I., Hoogland, I. E., Scheel‐Sailer, A., Münzel, N., & Gemperli, A. (2021) · BMC Family Practice · doi:10.1186/s12875-021-01547-0 · Cited by 15
“The fragmentation of services and the lack of integrated care across physicians also pose a challenge to meeting the health-care needs of persons with complex medical conditions [13].”
Background
Mandated Local Health Networks across the province of Québec: a better collaboration with primary care working in the communities?
Breton, M., Maillet, L., Haggerty, J. L., & Vedel, I. (2014) · London Journal of Primary Care · doi:10.1080/17571472.2014.11493420 · Cited by 15
Comparing (and learning from) integrated care initiatives: an analytical framework
Calciolari, S., & Ilinca, S. (2011) · Journal of Integrated Care · doi:10.1108/14769011111191412 · Cited by 15
Relations between mental health team characteristics and work role performance
Fleury, M., Grenier, G., Bamvita, J., & Farand, L. (2017) · PLoS ONE · doi:10.1371/journal.pone.0185451 · Cited by 15
“This seems to indicate that service integration focuses on users with complex problems [58] (e.”
Background
Incorporating digital self-services into integrated mental health care: a physician’s perspective
Taiminen, H. M., Saraniemi, S., & Parkinson, J. E. (2018) · European Journal of Marketing · doi:10.1108/ejm-02-2017-0158 · Cited by 15
Primary healthcare professionals’ perspective on vertical integration of healthcare system in China: a qualitative study
Yuan, S., Fan, F., van de Klundert, J. J., & van Wijngaarden, J. D. H. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-057063 · Cited by 15
Factors associated with patients’ healthcare-seeking behavior and related clinical outcomes under China’s hierarchical healthcare delivery system
Guo, L., Du, X., Wu, H., Xia, S., Du, J. K., Kong, X., Yang, X., Wang, C., Dong, J., Ma, C., et al. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1326272 · Cited by 14
“The hierarchical healthcare delivery system is one of the effective measures for countries to improve the allocation of medical resources and improve the efficiency of diagnosis and treatment (1, 2).”
Background
Perception of integrated practice in home care services
Guðnadóttir, M., Björnsdóttir, K., & Jónsdóttir, S. (2018) · Journal of Integrated Care · doi:10.1108/jica-07-2018-0050 · Cited by 14
Mixed-method evaluation of CARITAS: a hospital-to-community model of integrated care for dementia
Ha, N. H. L., Chan, I., Yap, P. L. K., Nurjono, M., Vrijhoef, H. J., Nicholas, S. O., & Wee, S. L. (2020) · BMJ Open · doi:10.1136/bmjopen-2020-039017 · Cited by 16
“We could be good partners if we work together”: the perspectives of health and social service providers on the barriers to forming collaborative partnerships with social housing providers for older adults
Sheppard, C. L., Gould, S., Guilcher, S. J. T., Liu, B., Linkewich, E., Austen, A., & Hitzig, S. L. (2022) · BMC Health Services Research · doi:10.1186/s12913-022-07671-6 · Cited by 14
“Inter-organizational collaborations spanning health and social service sectors are essential for improving functional outcomes, quality of life, and quality of care, particularly for older adults with multiple health and social challenges [18, 21].”
Background
Differences in optimality index between planned place of birth in a birth centre and alternative planned places of birth, a nationwide prospective cohort study in The Netherlands: results of the Dutch Birth Centre Study
Hermus, M. A. A., Hitzert, M. F., Boesveld, I. C., Marle, M. E. V. D. A., van Dommelen, P., Franx, A., de Graaf, J. P., Lith, J. M. M. V., Luurssen‐Masurel, N., Steegers, E. A. P., et al. (2017) · BMJ Open · doi:10.1136/bmjopen-2017-016958 · Cited by 14
Integrated Care Search: development and validation of a PubMed search filter for retrieving the integrated care research evidence
Damarell, R., Lewis, S. P., Trenerry, C., & Tieman, J. (2020) · BMC Medical Research Methodology · doi:10.1186/s12874-020-0901-y · Cited by 14
Progress toward integrating care for seniors in Canada: "We have to skate toward where the puck is going to be, not to where it has been.".
MacAdam, M. (2011) · PubMed Central · Cited by 14
Factors Influencing the Integration of Traditional Medicine and Mainstream Medicine in Mental Health Services in West Africa: A Systematic Review Using Narrative Synthesis
Soori, B. I. P., Regmi, K., & Pappas, Y. (2024) · Community Mental Health Journal · doi:10.1007/s10597-024-01263-w · Cited by 13
“Clinical or ‘service’ integration is seen as the ‘coordination of services and the integration of care into a single process across time, place and discipline’ (Kodner, 2009, p. 11).”
BackgroundInfluential
Integrated healthcare in Ireland - a critical analysis and a way forward.
Darker, C. D. (2013) · Cited by 13
Elaborating on modular interfaces in multi-provider contexts
Peters, V. J. T., Vähätalo, M., Meijboom, B. R., Barendregt, A., Bok, L. A., & de Vries, E. (2020) · International Journal of Operations & Production Management · doi:10.1108/ijopm-12-2019-0822 · Cited by 13
“The integration of services is often put forward as the opposite of service fragmentation and is said to have multiple benefits, for example, greater efficiency (Kodner, 2009).”
Background
Change management in integrated care: what helps and hinders middle managers – a case study
Lunts, P. (2012) · Journal of Integrated Care · doi:10.1108/14769011211255285 · Cited by 13
Integrating Human Immunodeficiency Virus and Reproductive, Maternal and Child, and Tuberculosis Health Services Within National Health Systems
Davey, D. J., Myer, L., Bukusi, E. A., Ramogola‐Masire, D., Kilembe, W., & Klausner, J. D. (2016) · Current HIV/AIDS Reports · doi:10.1007/s11904-016-0316-x · Cited by 13
Advancing integrated care and its evaluation by means of a universal typology
Busetto, L., Luijkx, K. G., & Vrijhoef, H. J. (2017) · International Journal of Care Coordination · doi:10.1177/2053434517705732 · Cited by 13
“3 For example, in the United Kingdom the so-called integrated care pilots concern the integration of health and social care services, 4 whereas the so-called vanguard sites target integrated primary and acute care systems, enhanced health in care homes and multispecialty community provider systems.”
Background
Coordenação do cuidado e ordenação nas redes de atenção pela Atenção Primária à Saúde – uma proposta de itens para avaliação destes atributos
Chueiri, P. S., Harzheim, E., & Takeda, S. (2017) · Revista Brasileira de Medicina de Família e Comunidade · doi:10.5712/rbmfc12(39)1363 · Cited by 13
Typology of birth centres in the Netherlands using the Rainbow model of integrated care: results of the Dutch Birth Centre Study
Boesveld, I. C., Bruijnzeels, M. A., Hitzert, M. F., Hermus, M. A. A., Bruin, K. M. V. D. P., Marle, M. E. V. D. A., Steegers, E. A. P., Franx, A., Vries, R. G. D., & Wiegers, T. A. (2017) · BMC Health Services Research · doi:10.1186/s12913-017-2350-9 · Cited by 13
Mental Health and Work
Arends, I., Baer, N., Miranda, V., Prinz, C., & Singh, S. (2014) · OECD social employment and migration working papers · doi:10.1787/5jxsvvn6pq6g-en · Cited by 13
Strengthening Integrated Care in Central and Eastern Europe
Somanathan, A., Finkel, E., & Arur, A. (2019) · World Bank, Washington, DC eBooks · doi:10.1596/33405 · Cited by 12
Exploring the Use of a Facebook-Based Support Group for Caregivers of Children and Youth With Complex Care Needs: Qualitative Descriptive Study
Kelly, K. J., Doucet, S. A., Luke, A., Azar, R., & Montelpare, W. J. (2022) · JMIR Pediatrics and Parenting · doi:10.2196/33170 · Cited by 13
“Barriers related to financial resources, continuity of care, and service navigation make accessing timely support challenging for these caregivers [6-8].”
Background
Potentially Inappropriate End of Life Care and Healthcare Costs in the Last 30 Days of Life in Regions Providing Integrated Palliative Care in the Netherlands: A Registration-based Study
Pereira, C. F. R., Dijxhoorn, A.-F. Q., Koekoek, B., van den Broek, M. V. D., Vandersteen, K., Engel, M., van Rijn, M., Meijers, J., Hasselaar, J., van der Heide, A., et al. (2024) · International Journal of Integrated Care · doi:10.5334/ijic.7504 · Cited by 11

Authors: Kodner, D.
Affiliations: American Medical Association (US)
Corresponding author: Kodner, Dennis
Venue: Healthcare Quarterly
Publisher: Longwoods Publishing
Published: 2009-10-16
Volume: 13
Issue: sp
Pages: 6-15
ISSN: 1710-2774 (ISSN-L)
1929-6347
DOI: 10.12927/hcq.2009.21091
OpenAlex: W2138401727
Cited by: 434
References: 40
Citations by year: 2026: 8 · 2025: 26 · 2024: 23 · 2023: 24 · 2022: 31 · 2021: 42 · 2020: 30 · 2019: 22 · 2018: 36 · 2017: 33 · 2016: 38 · 2015: 29 · 2014: 25 · 2013: 29 · 2012: 19
FWCI: 2.20
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Healthcare Quarterly (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › General Health Professions › Health Services Management and Policy
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Quality and Management
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Systems and Practices
Keywords: integrated care, health care reform, service integration, conceptual definitions, health system integration, care coordination
MeSH terms: Canada, Continuity of Patient Care, Decision Support Techniques, Humans, Managed Care Programs, Models, Theoretical, Operations Research, Philosophy, Medical, United States, Models, Organizational, Practice Guidelines as Topic, Health Care Reform, Systems Integration, Delivery of Health Care, Integrated, Case Management, Critical Pathways, Disease Management

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