OBJECTIVE To evaluate the cost effectiveness, cost utility, and cost-benefit of an integrated care programme compared with usual care for sick listed patients with chronic low back pain. DESIGN Economic evaluation alongside a randomised controlled trial with 12 months' follow-up. SETTING Primary care (10 physiotherapy practices, one occupational health service, one occupational therapy prac...

BACKGROUND The high prevalence of mental health issues among clients attending substance abuse treatment (SAT) has pressured treatment providers to develop integrated substance abuse and mental health care. However, access to integrated care is limited to certain communities. Racial and ethnic minority and low-income communities may not have access to needed integrated care in large urban areas...

Introduction: Within the UK health and social care policy is placing an increasing emphasis on improving the quality of care for older people in care homes through integrated working between health and social care services. This study aims to clarify the research available on integrated working and evaluate its impact on older people in order to devise a typology for informing future service de...

PURPOSE This study reports REACH (the extent to which an intervention or program was delivered to the identified target population) of interventions integrating primary care and behavioral health implemented by real-world practices. METHODS Eleven practices implementing integrated care interventions provided data to calculate REACH as follows: 1) Screening REACH defined as proportion of targe...

PURPOSE Health care reform in the US has introduced terms such as 'the patient-centered medical home' and 'integrated care' that are often unclear and unfamiliar to patients. This study explored patient experiences with the functional domains of integrated care. THEORY AND METHODS Patients first wrote their definitions of integrated care and then participated in focus group discussions about ...

Purpose People experiencing homelessness often have complex needs requiring a range of support. These may include health problems (physical illness, mental and/or substance misuse) as well social, financial and housing needs. Addressing these issues requires high degree coordination amongst services. It is, thus, an example wicked policy issue. The purpose this paper is to examine the challenge...