Publications
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Context matters: a qualitative study of the practicalities and dilemmas of delivering integrated chronic care within primary and secondary care settings in a rural Malawian district Institute of Tropical Medicine
BACKGROUND: With the increasing double burden of communicable and non-communicable diseases (NCDs) in sub-Saharan Africa, health systems require new approaches to organise and deliver services for patients requiring long-term care. There is increasing recognition of the need to integrate health services, with evidence supporting integration of HIV and NCD services through the reorganisation of health system inputs, across system levels. This ...
Stakeholders’ experiences and perception on transitional care initiatives within an integrated care project in Belgium: a qualitative interview study. KU Leuven
BACKGROUND: In 2015, a plan for integrated care was launched by the Belgium government that resulted in the implementation of 12 integrated care pilot project across Belgium. The pilot project Zorgzaam Leuven consists of a multidisciplinary local consortium aiming to bring lasting change towards integrated care for the region of Leuven. This study aims to explore experiences and perceptions of stakeholders involved in four transitional care ...
Reducing oral health inequalities for frail older people by improving access to oral care and integrated oral care Ghent University
Background: Oral health among frail home-dwelling older persons in Flanders (Belgium) is often insufficient, partly due to limited access to oral care and insufficient interprofessional collaboration in primary care. Objective: Frail home-dwelling people aged 65 and above have limited access to oral health care due to e.g. problems with transport and mobility, financial constraints, and the lack of knowledge about the importance and added value ...
Integrated Care Components in Transitional Care Models from Hospital to Home for Frail Older Adults: A Systematic Review. KU Leuven
INTRODUCTION: Frail older adults frequently experience transitions from hospital to home due to their complex care needs. Transitional care models (TCMs) are recommended to tackle adverse outcomes in frail patients. This review summarizes the use of integrated care components in addressing transitional care from hospital to home, provides an overview on reported outcomes and describes the impact of identified components on the outcomes hospital ...
Assessment of cancer patients' quality of life and psychosocial care needs. A plea for more integrated and patient-centered care. Hasselt University
Summary In the report ‘Crossing the quality chasm: a new health system for the 21st century’, the Institute Of Medicine (IOM) suggested that patient-centeredness one of the critical components in the pursuit of high-quality care. The IOM stated that ‘care should be respectful of and responsive to patients’ experiences, values, preferences and needs, and patients’ input on these should guide all clinical decisions’. When confronted with cancer ...
Effectiveness of an integrated outpatient care programme compared with present-day standard care in early rheumatoid arthritis KU Leuven
Objectives: To investigate the effectiveness of an integrated care programme in daily practice compared with present-day standard care for ambulatory early rheumatoid arthritis patients.Methods: In this cross-sectional study, group A received programmed multidisciplinary outpatient care and group B standard rheumatologist-centred care. Demographics, disease duration, initial and actual treatment, disease activity (Disease Activity-28 Score), ...