Vol. 14: WCIC Conference supplement 2014

Published: 2014-12-08

Conference Abstracts

A system approach to health and social care integration: a theoretical proposal

Arturo Alvarez-Rosete, Emilio Herrera Molina, Silvia Librada-Flores
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Inspiring our largest resource – the patient. Outcomes in a chronic care management service that enables greater self-management

Erica Lee Amon
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Health care social networking: the TEAMhealth case

Mark James Anderson, Anton Kriz, Prasuna Reddy, Byron Keating
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Empowering consumers to drive system change through the ACI Chronic Care Network

Sarah Barter, Lissa Spencer, Linda Soars, Susan Brownlowe
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Measurement properties of instruments measuring integrated care: a systematic review

Mary Ann Cruz Bautista, Milawaty Nurjono, Ezra Dessers, Yee Wei Lim, Hubertus Johannes Maria Vrijhoef
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Systematic review on policies, programmes and interventions on high quality people-centred integrated care

Liesbeth Borgermans, Yannick Marchal, Nick Goodwin, Lourdes Ferrer, Jan Vandevoorde, Dirk Devroey, Hernan Montenegro Von Mühlenbrock, Edward Kelley
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Innovation in Integrated Care

Patricia Bradd, Tish Bruce, Jocelyn Hickson
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Lessons for integration from 70 primary care projects

Marc A Bruijnzeels, Pim Valentijn, Ronald Batenburg, Antoinette de Bont
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Verbal with visual aides and live demonstration

Paul Campbell, Michael Crampton, Jasmine Glennan
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Improving the clinical value of at home telehealth

Branko Celler, Ross Sparks
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Integrating care for the chronically ill using at home telehealth monitoring

Branko Celler, Leila Alem, Surya Nepal, Marlien Varnfield, Ross Sparks, Jane Li, Simon McBride, Rajiv Jayasena
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Is formal long-term care services utilization determined by caregivers?

Wayne Freeman Chong, Ye Li
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An evaluation of a care transition process pilot in Singapore

Wayne Freeman Chong, Zin Ee Lai, Pei Si Teo, Yong Lai Tang, Lee Kim Ching, Foong Ling Ng
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eHealth integrated interventions for MH

Helen Margaret Christensen, Ian Hickie
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Do-it-Yourself Happiness: integrating well-being into population health

Tony Coggins
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Expanding the Caredoc Community Intervention Team by integrating and cooperating with healthcare providers

Michelle Cunniffe, Sean McGuire, Phonsie McCarron, Margaret Curran, Dorcas Collier
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Older persons mental health in rural Australia: testing a model for integration

Suzanne Kaye Dawson, Candice Oster, Deb O'Kane, Eimear Muir-Cochrane, Sharon Lawn, Julie Henderson, Adam Gerace, Richard Reed, Jeffrey Fuller
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Analysing hydra-headed integrated care: a pilot case study in Flanders (Belgium)

Ezra Dessers, Hubertus JM Vrijhoef, Geert Van Hootegem, Steven Dhondt, Anke Mutsaerts, Sam Pless, Steven van den Oord, Denise van der Klauw, Ellen Vanermen, Nick Verhaeghe, Sonja Vertriest
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Integrating specialist healthcare delivery to optimise patient outcomes

Anand Deva
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Living Well, Living Longer: Working together for better health in people with mental illness

Liesl Duffy, Andrew McDonald, Tim Lambert, Sue Sacker, Michael Moore, Ian Caterson, Jeff Snars, Len Kritharides, Victor Storm, Paul Clenaghan, Janice Purvis, Sameer Bhole, Phil Escott, Angela Meaney, Robert Lusby, Ron Grunstein, Lou-Anne Blunden, Clair Edwards, Deborah Willcox, Tim Sinclair, Madeleine Kitchener, Karen Bedford, Paul Haber, Simon Cowap, Rose Meiruntu, Stephen Simpson, Nick Glozier, Leena Gupta, Teresa Anderson
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“They forget to actually listen”: the ‘dis-integrated’ physical health care experience of people with severe mental illness

Carolyn Ehrlich, Michelle Denton, Elizabeth Kendall, Nicolette Frey
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People with severe mental illness as co-producers of health: integrating consumer voice and choice into healthcare systems

Carolyn Ehrlich, Petra Dannapfel
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Consensus building and outcome mapping techniques can achieve an integrated roadmap for action to improve the physical health of people with severe mental illness

Carolyn Ehrlich, Elizabeth Kendall, Nicolette Frey, Michelle Denton, Steve Kisely
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Diagnosis and treatment of behavioural disorders in dementia: a the network of services in Modena according to the model ALCOVE

Andrea Fabbo, Luc Pieter De Vreese, Luigi De Salvatore, Cristina Marchesi
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Opportunities for capacity building and integration in community based health promotion

Letitia Del Fabbro, Carolyn Ehrlich, Elizabeth Kendall
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e-Gears as new tools for enhancing eMental Health interventions in people centered integrated care

Ana Fernandez, Luis Salvador-Carulla
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Cost-utility of of a personalized intervention based on the level and risk profile to prevent major depression in general practice

Ana Fernandez
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People with disabilities and professionals’ views on access to health services in Western Sydney

Gisselle Gallego, Amy Dryden, Angela Dew, Ana Fernandez, Luis Salvador-Carulla, Michelle Lincoln
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Developing a ‘whole of person, whole of life course, whole of system’ strategy for integrated mental health

Stephen Philip Gandar, Sebastian Rosenberg
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Working together, working better

Christopher John Gibbs
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ClinicalLINKS – How to coordinate and integrate between primary, community and hospital-based care

Tiana Maree Gurney, Shirley-Anne Gardiner, Kim Passent, Jodie Edge, Manjeet Singh
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Meeting the physical health needs of people living with mental illness: Current practices within NSW community managed organisations and where to from here

Nicola Hancock, Stephanie Maraz, Jenna Bateman, Carla Cowles, Sue Sacker
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Making technology-enabled change work

Matt Hector-Taylor
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Reducing hospital demand through community-based care

Matt Hector-Taylor
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Sharing is caring: rolling out the electronic shared care record

Martin Hefford
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Map of Medicine: A change management tool for integration of local health services

Amanda Hese, Erin Lilley, Jennifer Pollock
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ycentral - An Integrated Youth Mental Health Service Platform

Deb Howe
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The CHOICE Project: Integrating Peer Support and Shared Decision Making in a Youth Mental Health Service

Deb Howe, Tara Louise Dimopoulos-Bick
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Tick-Tock, Tick-Tock: Valuing patient’s time by creating a collaborative of health-care providers and crossing traditional boundaries

Catherine Hughes, Belinda Moyes, Deb Dutton, Robert Morton, Sarah Woon
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Promoting Trust and Transparency: a commitment to better care for patients receiving specialist outpatient services in Southern Adelaide

Catherine Pia Hughes, Belinda Moyes
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“Sugamama” – Gestational Diabetes Mobile ‘app’ innovation in integrated care Proof Of Concept

Ruth Kaplan
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COPD – the story of 2 GPs, 5 pharmacists, 3 physios and an exercise physiologist

Bridget Kirby
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Integrated Health Care – a population health approach in South Western Sydney

Friedbert Kohler, Siaw-Teng Liaw, Rene Pennock, Josephine Chow
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The impact of incentives upon integrated care for patients with chronic conditions

Jodette Kotz, Paul Dugdale
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Coordinating Care around complex patients- an innovative approach

Rosemary Joan Laing, Annie Hoffmeister
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Implementation of a Tribal Participatory Chronic Care Model (TP-CCM): Integrating Primary and Community-based Care to Coordinate Diabetes Management on Wind River Indian Reservation, Wyoming USA

Kathryn Langwell, Catherine Keene, Kelley Le Beaux, Linda Chioma Ogu, Matthew Zullo
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Clinical Pathways Using Map of Medicine – Experiences from Queensland and Across the Ditch

Shirley-Anne Lee Gardiner, Hannah Johnson
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SchoolKit® Clinics – a Model and Online Toolkit of Multiagency Collaborative Care for Students with a Disability

Robert Peter Leitner, Lesley Bruce, Anna Lachowicz, Linda Sheldon, Lif O’Connor, Annemaree Bickerton, Jane Kim
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Metro-Regional Intellectual Disability Network (MRID.net) A Statewide Collaborative Multidisciplinary Care Model

Robert Peter Leitner, Bruce Chenoweth, Lif O’Connor, Jurgen Wille, Anne Funke, Rhoshel Lenroot
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The monitoring of elderly people with dementia: a "primary care" model of the Local Authority for Health of Modena

Giuseppe Licitra, Oreste Capelli, Luc Pieter De Vreese, Monica Lorenzini, Monica Pini, Silvia Riccomi, Lara Rovesta, Valentina Solfrini, Andrea Fabbo
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Case studies for integrated Care development in US Children’s Hospitals, acute, primary and community services in NE Netherlands, and whole of state services in Jersey, UK

Malcolm Lowe-Lauri, Anna van Pouke, Hilary Thomas
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The development of a preliminary taxonomy on case management of brain injury for a common language

Sue Lukersmith, Ana Fernandez, Millington Michael, Luis Salvador-Carulla
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Instruments to assess integrated care: A systematic review

Anne Marie Lyngsø, Nina Skavlan, Dorte Høst, Anne Frølich
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Investigate The Impact Of Online Patient Engagement & Involvement In Integrated Care

Talac Mahmud
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An Integrated Chronic Disease Management Model- A diagonal approach to health system strengthening

Ozayr Mahomed, Melvyn Freeman, Shaidah Asmall
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Implementation of an Integrated Chronic Disease Management Model in South Africa

Ozayr Mahomed, Melvyn Freeman, Shaidah Asmall
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By nurses, for nurses: An alliance of nursing organisations building the capacity of nurses to integrate mental health and chronic disease care

Peta Marks, Mary Roberts, Trevor Saunders, Kim Ryan
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Using a Collaborative Approach to Unite Physical Health Needs and Mental Health Care of People with Severe Mental Illness

Irene McCarthy, Sally Plever, Brett Emmerson
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An integrated management strategy of MH care in Inner Sydney

Alistair Peter McGeorge
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Recovery oriented consumer focused practice: Emerging critical success factors in establishing a culture of collaboration to support our most vulnerable community members

John Mendoza, Marion Wands, Mary Hackett, Lydia Patricia Najlepszy
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Increased service integration paves the way for better mental health outcomes for school aged children and young people in schools

John Mendoza, Marion Wands
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Breaking the cycle of poverty - service integration facilitates employment, education and social participation outcomes for long term unemployed families

John Mendoza, Marion Wands
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An exploration of patient-reported experiences of aspects of integrated care in New South Wales

Katinka Moran, Diane Hindmarsh, Anna Do, Kim Sutherland, Jean-Frederic Levesque
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Brake the Break: The first community based partnership providing an Osteoporotic Refracture Prevention Service in New South Wales

Lillias Nairn, Wendy Uptin, Klaus Stelter, Jennifer Pollock, Jamie Hallen, Julie Dixon, Jocelyn Hickson
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The Virtual Hospice: a working, integrated end-of-life care programme

Susan Maree Newton, Sally Therese O'Hara
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Measurement of Integrated Care on the level of Regional Health System in Singapore

Milawaty Nurjono, Mary Ann Cruz Bautista, Pim Valentijn, Yee Wei Lim, Hubertus Johannes Mar Vrijhoef
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Healthy Minds: Improving Access, Integration and Efficiency in Primary Mental Health Care

Wendy Pannach
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Primary Health Care Quality Improvement Initative using Pen Clinical Audit Tool in South Eastern Sydney

Jennifer Pollock, Francis Lai, Amanda Ratttray
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Integrated Care - ED Alternatives for the Ageing Population

Jan Potter
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Is integration an add-on or a new way of working for health professionals in co-located medical practices?

Kathryn Joy Powell, Nigel Stocks, Gerard Gill, Esther May, Caroline Laurence, Paul Aylward
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Unqualified Health Care Providers in Rural Health Care System in Bangladesh: Quality of services and effects on Maternal and Child Health

Syed Azizur Rahman, Ahmed Mustafa, Mustak Hassan Iftekhar
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Pulmonary rehabilitation – providing integrated care to patients with chronic obstructive pulmonary disease

Mary M Roberts, Jin-Gun Cho, Ludwig Engel, John R Wheatley
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Achieving primary care integration: Learning from the co-location of community health services and general practice in Northern New South Wales, Australia

Vicki Rose, Dan Ewald, Kerry Wilcox, Tracy Baker, Bernadette Carter, Alison Roots, Susan Nancarrow
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Cost-effectiveness and cost-utility of a community pharmacist intervention in patients with depression (PRODEFAR study)

Maria Rubio-Valera, Ana Fernández, Ana Fernández, Judith Bosmans, Judith Bosmans, Maite Peñarrubia-Maria, Maite Peñarrubia-Maria, Marian March, Marian March, Juan Bellon, Juan Bellon, Antoni Serrano-Blanco, Antoni Serrano-Blanco
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eTools for the standard classification of health and social services: eDESDE-LTC

Luis Salvador-Carulla, Federico Alonso-Trujillo, Mencía R Gutiérrez-Colosía, Carlos García-Alonso, Sandra Pinzon, Ana Fernandez, Maria F Raposo, Jose A Salinas, Jose D Soto, Cristina Molina
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Sydney District Nursing: the common thread enabling integrated care

Miranda Jane Shaw, Jodi McLeod, Ivanka Komusanac, Dianna Jagers
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Integrating care for chronic mental ill-health: the Partners in Recovery Western Sydney Study

Jennifer Smith-Merry, Jim Gillespie, Nicola Hancock, Ivy Yen
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Building regional change at scale and pace: Integration lessons from the NSW Chronic Disease Management Program

Linda Soars, Lissa Spencer, Susan Brownlowe, Sarah Barter
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Serving citizens, patients and communities in South Eastern Sydney – making the system balance

Linda Soars, Thomas Chapman, Deborah Kelly, Michael Napoli, Wei-Li Hume
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Possibilities in diabetes service integration – consumers informing changes to local service delivery

Linda Soars, Sarah McCosker, Jayne James, Matthew Day, Margaret Broadbent, Sarah-Jane Messum, Michael Napoli
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CarePoint Integrated Care Program

Elissa Stafford, Laura Waite, Kevin Cheng, Josephine Beer
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Health care professionals` experiences with the implementation of The Coordination Reform at a University Hospital in Norway. A qualitative study

Aslak Steinsbekk, Kristin Jøraandstad, Erling Tronvik
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From fragmented to integrated healthcare: an imperative for rural populations

Kim Sutherland, Jean-Frederic Levesque, Katinka Moran, Jan-Willem Weenink
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“It’s in Our Veins”: Caring Natures and Material Motivations of Community Health Workers in Contexts of Economic Marginalisation

Alison Swartz
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Annual health promotion programmes in remote rural Sabah

Naing Oo Tha, San San Win, Than Myint, Ohnmar Thwin, Soong Hui Fun, D Kamarudin D Mudin
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TOP 5 - improving the care of people with dementia across health care settings

Melissa Tinsley, Erin Gilmore, Mei Chan, Anne Axam, Karen Luxford
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Opening the black box of integrated care; an exploratory study of a large scale integrated care program in the Netherlands

Pim Peter Valentijn, Dirk Ruwaard, Hubertus Vrijhoef, Marc Bruijnzeels
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Bringing order out of chaos: Development of a taxonomy of integrated care

Pim Peter Valentijn, Dirk Ruwaard, Hubertus Vrijhoef, Marc Bruijnzeels
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More black box to explore: How collaborative partnerships shape integrated care

Pim Peter Valentijn, Hubertus Vrijhoef, Dirk Ruwaard, Rosa Arends, Marc Bruijnzeels
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Analysis of drug prescription appropriateness in the integrated management of dementia in a Health District of Modena

Luc Pieter De Vreese, Oreste Capelli, Giuseppe Licitra, Monica Lorenzini, Monica Pini, Silvia Riccomi, Lara Rovesta, Valentina Solfrini, Andrea Fabbo
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Telehealth as a tool for integration; results from a qualitative study of Australian telehealth services

Victoria Anne Wade
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The Connections Program: From Correctional to Community Integration

Stephen Ward
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Chronic Disease Management for Individuals with Serious Mental Illness

Teresa Williams, William Wilson
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Research on the effect assessment of township and village health services integration policy in in the minority-inhabited areas in western China

Yuanxi Xiang, Zhanchun Feng, Miaomiao Tian, Zhang Xinping
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Poster Abstracts

Enlightening the integrated care agenda in the devolved Spain: the role of the Observatorio de Modelos Integrados en Salud (OMIS)

Arturo Alvarez-Rosete, Silvia Librada-Flores, Emilio Herrera-Molina
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Expectations and perceptions of patients on the transfer of care to the primary healthcare setting

Elian Hui San Chia, Wilson Tee, Emily Tse Lin Ho
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Engaging older adults in health care decision-making: Key findings and recommendations from the CHOICE knowledge synthesis project

Jacobi Elliott, Heather McNeil, Paul Stolee
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A model of integrated care for people with dementia in Primary Care

Andrea Fabbo, Oreste Capelli, Maria Luisa De Luca, Luc Pieter De Vreese, Monica Pini, Lara Rovesta, Valentina Solfrini, Cristina Marchesi
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Explaining the process of dental caries from women’s viewpoint: study using the grounded theory approach

Arezoo Fallahi
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ClinicalLINKS Project within DDSWQ Medicare Local

Shirley-Anne Lee Gardiner, Tiana Gurney
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A continuum of care model for comprehensive chronic disease management: the Parkinson's Wellbeing Program

Jeremey Horne
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Safety Chasm: Antibiotics Using in Vertical Continuity of Care in Basic Medical Service Net in Rural Area of China

Boyang Li, Liang Zhang
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Engaging older adults in health care research and policy: Guidelines from the CHOICE project

Heather McNeil, Jacobi Elliott, Paul Stolee
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Nurse-led care management motor neuron disease

Mariani hj Mustapa
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Enhancing multi-site technical assistance with cloud computing: bridging the digital divide for underserved communities with an affordable, scalable, ICT solution

Linda Chioma Ogu, Oladoyin Idowu, Ciara Zachary, Monique Sheppard
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Living long but living well? Health-related Quality of Life Tools for Singapore's Integrated Care Sector

Caroline Pang, Lingling Xu, Rainny Xie
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Respiratory hotline – appropriate care where and when patients need it

Mary M Roberts, Jin-Gun Cho, Ludwig Engel, John R Wheatley
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Medical Social Worker (MSW) as case manager for high risk neurology patients

Nur Azimah Sazali, Dayangku Siti Nur Ashikin Pengiran Tengah
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Heart to Heart: Partnership to improve outcomes for Chronic Heart Failure Patients in Western Sydney

Naomi Van Steel, Julie Jones, Remia Morada, Glen Maberly, Emma Clarke, Alan Robert Denniss, David Simmonds, Andrew Newton, Kim Hill
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