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      Integrated care: a comprehensive bibliometric analysis and literature review

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          Abstract

          Introduction

          Integrated care could not only fix up fragmented health care but also improve the continuity of care and the quality of life. Despite the volume and variety of publications, little is known about how ‘integrated care’ has developed. There is a need for a systematic bibliometric analysis on studying the important features of the integrated care literature.

          Aim

          To investigate the growth pattern, core journals and jurisdictions and identify the key research domains of integrated care.

          Methods

          We searched Medline/PubMed using the search strategy ‘(delivery of health care, integrated [MeSH Terms]) OR integrated care [Title/Abstract]’ without time and language limits. Second, we extracted the publishing year, journals, jurisdictions and keywords of the retrieved articles. Finally, descriptive statistical analysis by the Bibliographic Item Co-occurrence Matrix Builder and hierarchical clustering by SPSS were used.

          Results

          As many as 9090 articles were retrieved. Results included: (1) the cumulative numbers of the publications on integrated care rose perpendicularly after 1993; (2) all documents were recorded by 1646 kinds of journals. There were 28 core journals; (3) the USA is the predominant publishing country; and (4) there are six key domains including: the definition/models of integrated care, interdisciplinary patient care team, disease management for chronically ill patients, types of health care organizations and policy, information system integration and legislation/jurisprudence.

          Discussion and conclusion

          Integrated care literature has been most evident in developed countries. International Journal of Integrated Care is highly recommended in this research area. The bibliometric analysis and identification of publication hotspots provides researchers and practitioners with core target journals, as well as an overview of the field for further research in integrated care.

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          Most cited references57

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          Five laws for integrating medical and social services: lessons from the United States and the United Kingdom.

          W Leutz (1999)
          Because persons with disabilities (PWDs) use health and social services extensively, both the United States and the United Kingdom have begun to integrate care across systems. Initiatives in these two countries are examined within the context of the reality that personal needs and use of systems differ by age and by type and severity of disability. The lessons derived from this scrutiny are presented in the form of five "laws" of integration. These laws identify three levels of integration, point to alternative roles for physicians, outline resource requirements, highlight friction from differing medical and social paradigms, and urge policy makers and administrators to consider carefully who would be most appropriately selected to design, oversee, and administer integration initiatives. Both users and caregivers must be involved in planning to ensure that all three levels of integration are attended to and that the borders between medical and other systems are clarified.
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            Interdisciplinary education and teamwork: a long and winding road.

            This article examines literature on interdisciplinary education and teamwork in health care, to discover the major issues and best practices. A literature review of mainly North American articles using search terms such as interdisciplinary, interprofessional, multidisciplinary with medical education. Two issues are emerging in health care as clinicians face the complexities of current patient care: the need for specialized health professionals, and the need for these professionals to collaborate. Interdisciplinary health care teams with members from many professions answer the call by working together, collaborating and communicating closely to optimize patient care. Education on how to function within a team is essential if the endeavour is to succeed. Two main categories of issues emerged: those related to the medical education system and those related to the content of the education. Much of the literature pertained to programme evaluations of academic activities, and did not compare interdisciplinary education with traditional methods. Many questions about when to educate, who to educate and how to educate remain unanswered and open to future research.
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              Teamwork: a concept analysis.

              This paper is a report of an analysis of the concept of teamwork. Teamwork is seen as an important facilitator in delivering quality healthcare services internationally. However, research studies of teamwork in health care are criticized for lacking a basic conceptual understanding of what this concept represents. A universal definition for healthcare settings and professionals is missing from published literature. Walker and Avant's approach was used to guide this concept analysis. Literature searches used bibliographic databases (Medline, CINAHL, Web of Science, Proquest CSA), internet search engines (GoogleScholar), and hand searches. Literature published between 1976 and 2006 was reviewed but only material in English was included. Based on the analysis undertaken, teamwork is proposed as a dynamic process involving two or more healthcare professionals with complementary backgrounds and skills, sharing common health goals and exercising concerted physical and mental effort in assessing, planning, or evaluating patient care. This is accomplished through interdependent collaboration, open communication and shared decision-making, and generates value-added patient, organizational and staff outcomes. Praising the value of teamwork without a common understanding of what this concept represents endangers both research into this way of working and its effective utilization in practice. The proposed definition helps reconcile discrepancies between how this concept is understood by nurses and doctors, as well as allied health professionals. A common understanding can facilitate communication in educational, research and clinical settings and is imperative for improving clarity and validity of future research.
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                Author and article information

                Contributors
                Journal
                Int J Integr Care
                Int J Integr Care
                ijic
                International Journal of Integrated Care
                Igitur publishing (Utrecht, The Netherlands )
                1568-4156
                Apr-Jun 2014
                12 June 2014
                : 14
                : e017
                Affiliations
                Research Centre of Rural Healthcare Services, School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China
                Research Centre of Rural Healthcare Services, School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China
                Research Centre of Rural Healthcare Services, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China
                Research Centre of Rural Healthcare Services, School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China
                Tongji Hospital, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China
                Research Centre of Rural Healthcare Services, School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China
                Author notes
                Correspondence to: Liang Zhang, Research Centre of Rural Healthcare Services, School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science& Technology, 13 Hangkong Road, Wuhan 430030, Hubei Province, China. Phone: +86-27-83610982; Fax: +86-27-83692525. E-mail: zhangliang@ 123456mails.tjmu.edu.cn
                Article
                IJIC-14-2014017
                10.5334/ijic.1659
                4059213
                24987322
                291ecea6-025d-40f0-a2e7-9a7a1f25175c
                Copyright 2014, Authors retain the copyright of their article

                This work is licensed under a ( http://creativecommons.org/licenses/by/3.0) Creative Commons Attribution 3.0 Unported License

                History
                : 16 November 2013
                : 20 April 2014
                : 13 May 2014
                Categories
                Research and Theory
                Custom metadata
                Int J Integr Care 2014; Apr–Jun; URN:NBN:NL:UI:10-1-114784

                Health & Social care
                integrated care,bibliometric analysis,delivery of health care,integrated,literature review

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