ArticleInternational journal of integrated care2018
Barriers and Facilitators to Workforce Changes in Integrated Care.
Article in International journal of integrated care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Effectiveness of a Primary-Care-Centered Integrated Care Intervention for Stratified Cardiovascular Risk Control in China: Study Protocol for a Pragmatic Cluster Randomized Controlled Trial.Health care science · 2026Article
- The Structural Imbalance and Trajectory of Chinese National Policies on Medical-Preventive Integration: A Three-Dimensional Analysis of Policy Instruments (2015-2025).Healthcare (Basel, Switzerland) · 2026Article
- Perspectives From Multidisciplinary Professionals in France on Shared Patient Portals for Integrated Pediatric Rehabilitation: Qualitative Study.JMIR rehabilitation and assistive technologies · 2025Article
- Wearables in Healthcare Organizations: Implications for Occupational Health, Organizational Performance, and Economic Outcomes.Healthcare (Basel, Switzerland) · 2025Review
- Factors that influence inter-organisational integration: a qualitative exploration of service providers' perspectives from an integrated care initiative.BMC health services research · 2025Article
- Evaluating the current management approach of scabies at selected primary health care in the Deder district, Ethiopia.Heliyon · 2023Article
- Facilitators and barriers to professional nurses implementing integrated services in urban primary health care clinics in Kavango East region, Namibia.African journal of primary health care & family medicine · 2022Article
- Health Education Programmes to Improve Foot Self-Care Knowledge and Behaviour among Older People with End-Stage Kidney Disease (ESKD) Receiving Haemodialysis (A Systematic Review).Healthcare (Basel, Switzerland) · 2022Review
- Building integrated, adaptive and responsive healthcare systems - lessons from paramedicine in Ontario, Canada.BMC health services research · 2022Article
- Healthcare provider person-centred practice: relationships between prerequisites, care environment and care processes using structural equation modelling.BMC health services research · 2022Article
- Healthcare stakeholders' perspective on barriers to integrated care in Switzerland: Results from the open-ended question of a nationwide survey.Journal of evaluation in clinical practice · 2022Article
- A qualitative examination of the factors affecting the adoption of injury focused wearable technologies in recreational runners.PloS one · 2022Article
- Barriers and facilitators of the uptake of digital health technology in cardiovascular care: a systematic scoping review.European heart journal. Digital health · 2021Article
- Towards an Integrated Care Organisation from a CEO Perspective.International journal of integrated care · 2020Article
- Unknown makes unloved-A case study on improving integrated health and social care in the Netherlands using a participatory approach.Health & social care in the community · 2020Article
- The Odyssey of Integration: Is Management its Achilles' Heel?International journal of integrated care · 2020Article
- Embedding collective leadership to foster collaborative inter-professional working in the care of older people (ECLECTIC): Study protocol.HRB open research · 2020Article
- Article
- The Use of Telerehabilitation Technologies for Cardiac Patients to Improve Rehabilitation Activities and Unify Organizations: Qualitative Study.JMIR rehabilitation and assistive technologies · 2018Article
- County-Level Integrated Healthcare Practice in China: A Kaiser Permanente-Inspired Approach.International journal of integrated careArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe aim of the study is to investigate the barriers and facilitators to the implementation of workforce changes implemented as part of integrated chronic care interventions.
methodsWe used a qualitative multimethod design that combined expert questionnaires, a systematic literature review, and secondary analysis of two case reports. Twenty-five experts, twenty-one studies and two case reports were included in the study.
resultsMost barriers related to problematic delivery structures, health professionals' skills and enthusiasm, IT, funding, culture and cooperation and communication. Most facilitators related to health professionals' motivation and enthusiasm, good delivery structures, communication and cooperation, IT, patients, leadership and senior management. Overall, similar categories of barriers and facilitators were found. DISCUSSION: We recommend that future research focusses on more complex designs including multiple data sources, as these are better able to capture the complexity of interventions such as integrated care. We recommend that health managers and policy-makers should invest in delivery structures and skills and motivation of health professionals to improve the implementation of workforce changes in integrated chronic care interventions.
conclusionThe added value of the present study lies in its provision of information on which factors might mitigate the success of an intervention, which helps to prevent premature conclusions of ineffectiveness for complex interventions.
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