Factors supporting the implementation of integrated care between physical and mental health services: an integrative review
| العنوان: | Factors supporting the implementation of integrated care between physical and mental health services: an integrative review |
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| المؤلفون: | Danielle Coppleson, Jo Travaglia, Dominiek Coates |
| المصدر: | Journal of Interprofessional Care. 36:245-258 |
| بيانات النشر: | Informa UK Limited, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Mental Health Services, Interprofessional Relations, health care facilities, manpower, and services, education, Nursing, 1117 Public Health and Health Services, 03 medical and health sciences, Health services, 0302 clinical medicine, medicine, Humans, 030212 general & internal medicine, health care economics and organizations, 030504 nursing, Delivery of Health Care, Integrated, Australia, General Medicine, Mental illness, medicine.disease, Mental health, Comorbidity, Integrated care, Mental health care, Continuity of care, 0305 other medical science, Psychology |
| الوصف: | In Australia and internationally there is a strong policy commitment to the redesign of health services toward integrated physical and mental health care. When executed well, integrated care has been demonstrated to improve the access to, clinical outcomes from, and quality of care while reducing overtreatment and duplication. Despite the demonstrated effectiveness and promise of integrated care, exactly how integrated care is best achieved remains less clear. The aim of this review study was to identify factors that support the implementation of integrated care between physical and mental health services. An integrative review was conducted following the framework developed by Whittemore and Knafl, with quantitative and qualitative evidence systematically considered. To identify studies, Medline, PubMed, PsychINFO, CINAHL were searched for the period from 2003 to 2018, and reference lists of included studies and review articles were examined. Nineteen studies were included. Synthesis of study findings identified seven key factors supporting the implementation of integrated care between physical and mental health services: (a) adequate resourcing, (b) shared values, (c) effective communication, (d) information technology (IT) infrastructure, (e) flexible administrative organizations, (f) role clarity and accountability, and (g) staff engagement and training. There was little theoretical development in included studies, with little insight into the contextual factors or underlying mechanism required to support the implementation of integrated care initiatives. This review identified a set of inter-related barriers and facilitators which, if addressed, can improve the implementation and sustainability of truly integrated care. |
| وصف الملف: | Print-Electronic; application/pdf |
| تدمد: | 1469-9567 1356-1820 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d70c4063682aba00c923a76e2f7d295f https://doi.org/10.1080/13561820.2020.1862771 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....d70c4063682aba00c923a76e2f7d295f |
| قاعدة البيانات: | OpenAIRE |
PDF full text from Publisher | تدمد: | 14699567 13561820 |
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