scholarly journals Impact of Relaxation and Group Psycho-Education on Health Outcomes Using Integrated Care Models and Quality Improvement

2014 ◽  
Vol 04 (12) ◽  
pp. 887-896 ◽  
Author(s):  
Martha Okafor ◽  
Victor Ede ◽  
Rosemary Kinuthia ◽  
Debbie Strotz ◽  
Cathryn Marchman ◽  
...  
2018 ◽  
Vol 21 (4) ◽  
pp. 120-139 ◽  
Author(s):  
Marta Marino ◽  
Antonio G de Belvis ◽  
Maria Tanzariello ◽  
Emanuele Dotti ◽  
Sabina Bucci ◽  
...  

Introduction The management of patients with complex health and social needs is one of the main challenges for healthcare systems. Integrated care seems to respond to this issue, with collaborative working and integration efforts of the care system components professionals and service providers aimed at improving efficiency, appropriateness and person centeredness of care. We conducted a narrative review to analyse the available evidences published on effectiveness and cost-effectiveness of integrated care models targeted on the management of such elderly patients. Methods MEDLINE, Scopus and EBSCO were searched. We reported this narrative review according to the PRISMA Checklist. For studies to be included, they had to: (i) refer to integrated care models through implemented experimental or demonstration projects; (ii) focus on frail elderly ≥65 years old, with complex health and social needs, not disease-specific; (iii) evaluate effectiveness and/or cost and/or cost-effectiveness; (iv) report quantitative data (e.g. health outcomes, utilization outcomes, cost and cost-effectiveness). Results Thirty articles were included, identifying 13 integrated care models. Common features were identified in case management, geriatric assessment and multidisciplinary team. Favourable impacts on healthcare facilities utilization rates, though with mixed results on costs, were found. The development of community-based and cost-effective integrated systems of care for the elderly is possible, thanks to the cooperation across care professionals and providers, to achieving a relevant impact on healthcare and efficient resource management. The elements of success or failure are not always unique and identifiable, but the potential clearly exists for these models to be successful and generalized on a large scale. Discussion We found out a favourable impact of integrated care models/methods on health outcomes, care utilization and costs. The selected interventions are likely to be implemented at community level, focused on the patient management in terms of continuity of care. Thus, we propose a value-based framework for the evaluation of these services.


Tehnika ◽  
2019 ◽  
Vol 74 (1) ◽  
pp. 147-151
Author(s):  
Bojana Knežević ◽  
Valentina Marinković

2019 ◽  
Vol 59 (2) ◽  
pp. 148-153 ◽  
Author(s):  
Kimberly Burkhart ◽  
Kenneth Asogwa ◽  
Nida Muzaffar ◽  
Mary Gabriel

Psychiatric disorders are becoming more frequently diagnosed within the pediatric primary care setting. Despite increased diagnosis within primary care, only a minority of patients receive further psychiatric or specialty care. The integrated/collaborative care treatment model was designed to improve access within primary care. The purpose of this review is to identify randomized controlled trials and quasi-experimental studies that have investigated whether increased access improves treatment engagement, satisfaction, and improved mental health outcomes. Six studies met inclusion criteria. Studies reviewed indicated increased access to behavioral health treatment through use of the integrated/collaborative care model and improved mental health outcomes. Recommendations for screening and treatment are provided. Limitations of the reviewed studies include lack of generalizability to urban populations, minority youth, and youth younger than 4 years of age. Practice recommendations to address these limitations are identified.


PEDIATRICS ◽  
2019 ◽  
Vol 145 (1) ◽  
pp. e20183747 ◽  
Author(s):  
Ingrid Wolfe ◽  
Rose-Marie Satherley ◽  
Elizabeth Scotney ◽  
James Newham ◽  
Raghu Lingam

2008 ◽  
Vol 103 (7) ◽  
pp. 1810-1823 ◽  
Author(s):  
Samuel B. Ho ◽  
Erik Groessl ◽  
Adrian Dollarhide ◽  
Shannon Robinson ◽  
David Kravetz ◽  
...  

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