Vol. 20: April-June 2020 | International Journal of Integrated Care

Editorials

Different Contexts, Similar Challenges. SUSTAIN’s Experiences with Improving Integrated Care in Europe

Simone R. de Bruin, Jenny Billings, Annerieke Stoop, Manon Lette, Eliva A. Ambugo, Erica Gadsby, Christina Häusler, Konrad Obermann, Gerli-Paat Ahi, Jillian Reynolds, Georg Ruppe, Nhu Tram, Gerald Wistow, Nick Zonneveld, Giel Nijpels, Caroline Baan, On behalf of the SUSTAIN consortium

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Starting the Transition Towards Integrated Community Care 4all

Tinne Vandensande

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Perspective papers

Challenges in Implementing Integrated Care in Central and Eastern Europe – Experience of Poland

Donata Kurpas

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Population Health Management Approach: Integration of Community-Based Pharmacists into Integrated Care Systems: Reflections from the U.S., Achievements in Scotland and Discussions in Germany

Lauren F. Lyles, Helmut Hildebrandt, Alpana Mair

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Integrated Care Cases

“Improving Access to Early Childhood Developmental Surveillance for Children from Culturally and Linguistically Diverse (CALD) Background”

Karen Edwards, Tania Rimes, Rebecca Smith, Ritin Fernandez, Lisa Stephenson, Jane Son, Vanessa Sarkozy, Deborah Perkins, Valsamma Eapen, Sue Woolfenden

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Evaluation of an Assertive Management and Integrated Care Service for Frequent Emergency Department Attenders with Substance Use Disorders: The Impact Project: Evaluating an assertive management service for frequent ED attenders with substance use disorders

Nicholas Lintzeris, Rachel M. Deacon, Marian Shanahan, James Clarke, Stephanie MacFarlane, Stefanie Leung, Michelle Schulz, Anthony Jackson, Daniel Khamoudes, David E. A. Gordon, Apo Demirkol

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Collaboration for Impact: Co-creating a Workforce Development Toolkit Using an Arts-based Approach

Juliet Rayment, Manbinder Sidhu, Polly Wright, Patrick Brown, Sheila Greenfield, Stephen Jeffreys, Nicola Gale

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Research & theory

Communication and Coordination Processes Supporting Integrated Transitional Care: Australian Healthcare Practitioners’ Perspectives

Jacqueline Allen, Alison M. Hutchinson, Rhonda Brown, Patricia M. Livingston

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The Manage Care Model – Developing an Evidence-Based and Expert-Driven Chronic Care Management Model for Patients with Diabetes

Patrick Timpel, Caroline Lang, Johan Wens, Juan Carlos Contel, Peter E. H. Schwarz, on behalf of the MANAGE CARE Study Group

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A “Behind-the-Scenes” Look at Interprofessional Care Coordination: How Person-Centered Care in Safety-Net Health System Complex Care Clinics Produce Better Outcomes

E. Marshall Brooks, Jodi M. Winship, Anton J. Kuzel

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Challenges to Introducing Integrated Diabetes Care to an Inner-Regional Area in South Western Sydney, Australia

Reetu Zarora, Rati Jani, Freya MacMillan, Anna Pham, Ally Dench, David Simmons

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Impact Assessment of an Innovative Integrated Care Model for Older Complex Patients with Multimorbidity: The CareWell Project

Maider Mateo-Abad, Ane Fullaondo, Marisa Merino, Stefano Gris, Francesco Marchet, Francesca Avolio, Elisabetta Graps, Mario Ravic, Mario Kovac, Vanesa Benkovic, Ranko Stevanovic, Antoni Zwiefka, Daniel Davies, Silvia Mancin, Antonella Forestiero, Panos Stafylas, Mayte Hurtado, Marco d´Angelantonio, Signe Daugbjerg, Claus Duedal Pedersen, Reinhard Hammerschmidt, Veli Stroetmann, Lierni Azkargorta, Anna Giné, Dolores Verdoy, Myriam Soto-Gordoa, Joana Mora, Javier Mar, Itziar Vergara, Esteban de Manuel Keenoy, on behalf of the CareWell project group

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Communication, Collaboration and Care Coordination: The Three-Point Guide to Cancer Care Provision for Aboriginal and Torres Strait Islander Australians

Audra de Witt, Veronica Matthews, Ross Bailie, Gail Garvey, Patricia C. Valery, Jon Adams, Jennifer H. Martin, Frances C. Cunningham

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Relationships Among Structures, Team Processes, and Outcomes for Service Users in Quebec Mental Health Service Networks

Marie-Josée Fleury, Guy Grenier, Jean-Marie Bamvita

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Defining Coordinated Care for People with Rare Conditions: A Scoping Review

Holly Walton, Emma Hudson, Amy Simpson, Angus I. G. Ramsay, Joe Kai, Stephen Morris, Alastair G. Sutcliffe, Naomi J. Fulop

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Advancing Integrated Care through Practice Coaching

Benjamin F. Henwood, Elizabeth Siantz, Kimberly Center, Gale Bataille, Elise Pomerance, Jennifer Clancy, Todd P. Gilmer

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Improving Person-Centredness in Integrated Care for Older People: Experiences from Thirteen Integrated Care Sites in Europe

Annerieke Stoop, Manon Lette, Eliva A. Ambugo, Erica Wirrmann Gadsby, Nick Goodwin, Julie MacInnes, Mirella Minkman, Gerald Wistow, Nick Zonneveld, Giel Nijpels, Caroline A. Baan, Simone R. de Bruin, on behalf of the SUSTAIN consortium

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Book Reviews

CMSA’s Integrated Case Management – A Manual for Case Managers by Case Managers

Sebastian Lindblom

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