ArticleImplementation science : IS2018
Using information communication technology in models of integrated community-based primary health care: learning from the iCOACH case studies.
Article in Implementation science : IS, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.
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Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it.
- How can interprofessional collaboration be fostered and sustained in team-based care integration for older people in community settings? A realist evidence synthesis.Systematic reviews · 2025Pooled it
- A Home-Based Dyadic Music-with-Movement Intervention for People with Dementia and Caregivers: A Hybrid Type 2 Cluster-Randomized Effectiveness-Implementation Design.Clinical interventions in aging · 2022Trial
- Evaluating health organization readiness for implementing a learning health system: a scoping review.Health research policy and systems · 2025Article
- Toward a Conceptual Framework for Digitally Supported Communication, Coordination, Cooperation, and Collaboration in Interprofessional Health Care: Scoping Review.Journal of medical Internet research · 2025Article
- What is successful integration in primary health care: qualitative insights from the Chinese public.Global health action · 2024Article
- The Political Economy of Digital Health Equity: Structural Analysis.Journal of medical Internet research · 2024Article
- Older Adults' Experiences With Participation and eHealth in Care Coordination: Qualitative Interview Study in a Primary Care Setting.Journal of participatory medicine · 2023Article
- Patient-clinician digital health interventions for the hip fracture population: a scoping review.BMC health services research · 2023Article
- Information and Communications Technologies Enabling Integrated Primary Care for Patients With Complex Care Needs: Scoping Review.Journal of medical Internet research · 2023Article
- Implementation considerations for non-communicable disease-related integration in primary health care: a rapid review of qualitative evidence.BMC health services research · 2023Review
- The digitized chronic disease management model: scalable strategies for implementing standardized healthcare and big data analytics in Shanghai.Frontiers in big data · 2023Article
- End Users' and Other Stakeholders' Needs and Requirements in the Development of a Personalized Integrated Care Platform (PROCare4Life) for Older People With Dementia or Parkinson Disease: Mixed Methods Study.JMIR formative research · 2022Article
- Examining Use Behavior of a Goal-Supporting mHealth App in Primary Care Among Patients With Multiple Chronic Conditions: Qualitative Descriptive Study.JMIR human factors · 2022Article
- Improving Primary Care Quality Through Supportive Supervision and Mentoring: Lessons From the African Health Initiative in Ethiopia, Ghana, and Mozambique.Global health, science and practice · 2022Article
- Information and Communication Technologies (ICTs) enabling integrated primary care for complex patients: a protocol for a scoping review.Systematic reviews · 2022Article
- An Integrated Community-Based Blood Pressure Telemonitoring Program - A Population-Based Observational Study.Acta Cardiologica Sinica · 2022Article
- Lessons Learned Through Two Phases of Developing and Implementing a Technology Supporting Integrated Care: Case Study.JMIR formative research · 2022Article
- Perceived technology use, attitudes, and barriers among primary care nurses.Health SA = SA Gesondheid · 2022Article
- Barriers and Benefits of Information Communication Technologies Used by Health Care Aides.Applied clinical informatics · 2022Review
- Improving performance intelligence for governing an integrated health and social care delivery network: a case study on the Amsterdam Noord district.BMC health services research · 2021Article
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Authors and funding
9 authors.
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Abstract
backgroundInformation communication technology (ICT) is a critical enabler of integrated models of community-based primary health care; however, little is known about how existing technologies have been used to support new models of integrated care. To address this gap, we draw on data from an international study of integrated models, exploring how ICT is used to support activities of integrated care and the organizational and environmental barriers and enablers to its adoption.
methodsWe take an embedded comparative multiple-case study approach using data from a study of implementation of nine models of integrated community-based primary health care, the Implementing Integrated Care for Older Adults with Complex Health Needs (iCOACH) study. Six cases from Canada, three each in Ontario and Quebec, and three in New Zealand, were studied. As part of the case studies, interviews were conducted with managers and front-line health care providers from February 2015 to March 2017. A qualitative descriptive approach was used to code data from 137 interviews and generate word tables to guide analysis.
resultsDespite different models and contexts, we found strikingly similar accounts of the types of activities supported through ICT systems in each of the cases. ICT systems were used most frequently to support activities like care coordination by inter-professional teams through information sharing. However, providers were limited in their ability to efficiently share patient data due to data access issues across organizational and professional boundaries and due to system functionality limitations, such as a lack of interoperability.
conclusionsEven in innovative models of care, managers and providers in our cases mainly use technology to enable traditional ways of working. Technology limitations prevent more innovative uses of technology that could support disruption necessary to improve care delivery. We argue the barriers to more innovative use of technology are linked to three factors: (1) information access barriers, (2) limited functionality of available technology, and (3) organizational and provider inertia.
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