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Comparative case studies in integrated care implementation from across the globe: a quest for action: A quest for action

Research output: Contribution to journalArticle

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Comparative case studies in integrated care implementation from across the globe: a quest for action : A quest for action. / Stadnick, Nicole A.; Sadler, Euan; Sandall, Jane; Turienzo, Cristina Fernandez; Bennett, Ian M.; Borkan, Jeffrey; Oladeji, Bibilola; Gureje, Oye; Aarons, Gregory A.; Sklar, Marisa.

In: BMC Health Services Research, Vol. 19, No. 1, 899, 2019.

Research output: Contribution to journalArticle

Harvard

Stadnick, NA, Sadler, E, Sandall, J, Turienzo, CF, Bennett, IM, Borkan, J, Oladeji, B, Gureje, O, Aarons, GA & Sklar, M 2019, 'Comparative case studies in integrated care implementation from across the globe: a quest for action: A quest for action', BMC Health Services Research, vol. 19, no. 1, 899. https://doi.org/10.1186/s12913-019-4661-5

APA

Stadnick, N. A., Sadler, E., Sandall, J., Turienzo, C. F., Bennett, I. M., Borkan, J., Oladeji, B., Gureje, O., Aarons, G. A., & Sklar, M. (2019). Comparative case studies in integrated care implementation from across the globe: a quest for action: A quest for action. BMC Health Services Research, 19(1), [899]. https://doi.org/10.1186/s12913-019-4661-5

Vancouver

Stadnick NA, Sadler E, Sandall J, Turienzo CF, Bennett IM, Borkan J et al. Comparative case studies in integrated care implementation from across the globe: a quest for action: A quest for action. BMC Health Services Research. 2019;19(1). 899. https://doi.org/10.1186/s12913-019-4661-5

Author

Stadnick, Nicole A. ; Sadler, Euan ; Sandall, Jane ; Turienzo, Cristina Fernandez ; Bennett, Ian M. ; Borkan, Jeffrey ; Oladeji, Bibilola ; Gureje, Oye ; Aarons, Gregory A. ; Sklar, Marisa. / Comparative case studies in integrated care implementation from across the globe: a quest for action : A quest for action. In: BMC Health Services Research. 2019 ; Vol. 19, No. 1.

Bibtex Download

@article{7adfb1074c314c98a3c3f98fbf99c8e9,
title = "Comparative case studies in integrated care implementation from across the globe: a quest for action: A quest for action",
abstract = "Background: Integrated care is the coordination of general and behavioral health and is a highly promising and practical approach to improving healthcare delivery and patient outcomes. While there is growing interest and investment in integrated care implementation internationally, there are no formal guidelines for integrated care implementation applicable to diverse healthcare systems. Furthermore, there is a complex interplay of factors at multiple levels of influence that are necessary for successful implementation of integrated care in health systems. Methods: Guided by the Exploration, Preparation, Implementation, Sustainment (EPIS) framework (Aarons et al., 2011), a multiple case study design was used to address two research objectives: 1) To highlight current integrated care implementation efforts through seven international case studies that target a range of healthcare systems, patient populations and implementation strategies and outcomes, and 2) To synthesize the shared and unique challenges and successes across studies using the EPIS framework. Results: The seven reported case studies represent integrated care implementation efforts from five countries and continents (United States, United Kingdom, Vietnam, Israel, and Nigeria), target a range of clinical populations and care settings, and span all phases of the EPIS framework. Qualitative synthesis of these case studies illuminated common outer context, inner context, bridging and innovation factors that were key drivers of implementation. Conclusions: We propose an agenda that outlines priority goals and related strategies to advance integrated care implementation research. These goals relate to: 1) the role of funding at multiple levels of implementation, 2) meaningful collaboration with stakeholders across phases of implementation and 3) clear communication to stakeholders about integrated care implementation. Trial registration: Not applicable.",
keywords = "EPIS framework, Global healthcare, Integrated care, Multiple case study",
author = "Stadnick, {Nicole A.} and Euan Sadler and Jane Sandall and Turienzo, {Cristina Fernandez} and Bennett, {Ian M.} and Jeffrey Borkan and Bibilola Oladeji and Oye Gureje and Aarons, {Gregory A.} and Marisa Sklar",
year = "2019",
doi = "10.1186/s12913-019-4661-5",
language = "English",
volume = "19",
journal = "BMC Health Services Research",
issn = "1472-6963",
publisher = "BMC Health Services Research",
number = "1",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Comparative case studies in integrated care implementation from across the globe: a quest for action

T2 - A quest for action

AU - Stadnick, Nicole A.

AU - Sadler, Euan

AU - Sandall, Jane

AU - Turienzo, Cristina Fernandez

AU - Bennett, Ian M.

AU - Borkan, Jeffrey

AU - Oladeji, Bibilola

AU - Gureje, Oye

AU - Aarons, Gregory A.

AU - Sklar, Marisa

PY - 2019

Y1 - 2019

N2 - Background: Integrated care is the coordination of general and behavioral health and is a highly promising and practical approach to improving healthcare delivery and patient outcomes. While there is growing interest and investment in integrated care implementation internationally, there are no formal guidelines for integrated care implementation applicable to diverse healthcare systems. Furthermore, there is a complex interplay of factors at multiple levels of influence that are necessary for successful implementation of integrated care in health systems. Methods: Guided by the Exploration, Preparation, Implementation, Sustainment (EPIS) framework (Aarons et al., 2011), a multiple case study design was used to address two research objectives: 1) To highlight current integrated care implementation efforts through seven international case studies that target a range of healthcare systems, patient populations and implementation strategies and outcomes, and 2) To synthesize the shared and unique challenges and successes across studies using the EPIS framework. Results: The seven reported case studies represent integrated care implementation efforts from five countries and continents (United States, United Kingdom, Vietnam, Israel, and Nigeria), target a range of clinical populations and care settings, and span all phases of the EPIS framework. Qualitative synthesis of these case studies illuminated common outer context, inner context, bridging and innovation factors that were key drivers of implementation. Conclusions: We propose an agenda that outlines priority goals and related strategies to advance integrated care implementation research. These goals relate to: 1) the role of funding at multiple levels of implementation, 2) meaningful collaboration with stakeholders across phases of implementation and 3) clear communication to stakeholders about integrated care implementation. Trial registration: Not applicable.

AB - Background: Integrated care is the coordination of general and behavioral health and is a highly promising and practical approach to improving healthcare delivery and patient outcomes. While there is growing interest and investment in integrated care implementation internationally, there are no formal guidelines for integrated care implementation applicable to diverse healthcare systems. Furthermore, there is a complex interplay of factors at multiple levels of influence that are necessary for successful implementation of integrated care in health systems. Methods: Guided by the Exploration, Preparation, Implementation, Sustainment (EPIS) framework (Aarons et al., 2011), a multiple case study design was used to address two research objectives: 1) To highlight current integrated care implementation efforts through seven international case studies that target a range of healthcare systems, patient populations and implementation strategies and outcomes, and 2) To synthesize the shared and unique challenges and successes across studies using the EPIS framework. Results: The seven reported case studies represent integrated care implementation efforts from five countries and continents (United States, United Kingdom, Vietnam, Israel, and Nigeria), target a range of clinical populations and care settings, and span all phases of the EPIS framework. Qualitative synthesis of these case studies illuminated common outer context, inner context, bridging and innovation factors that were key drivers of implementation. Conclusions: We propose an agenda that outlines priority goals and related strategies to advance integrated care implementation research. These goals relate to: 1) the role of funding at multiple levels of implementation, 2) meaningful collaboration with stakeholders across phases of implementation and 3) clear communication to stakeholders about integrated care implementation. Trial registration: Not applicable.

KW - EPIS framework

KW - Global healthcare

KW - Integrated care

KW - Multiple case study

UR - http://www.scopus.com/inward/record.url?scp=85075796136&partnerID=8YFLogxK

U2 - 10.1186/s12913-019-4661-5

DO - 10.1186/s12913-019-4661-5

M3 - Article

C2 - 31775740

AN - SCOPUS:85075796136

VL - 19

JO - BMC Health Services Research

JF - BMC Health Services Research

SN - 1472-6963

IS - 1

M1 - 899

ER -

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