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Integrated health and social care in the community: A critical integrative review of the experiences and well‐being needs of service users and their families.
- Source :
- Health & Social Care in the Community; Jul2021, Vol. 29 Issue 4, p1145-1168, 24p, 1 Diagram, 7 Charts
- Publication Year :
- 2021
-
Abstract
- A need for people‐centred health and social support systems is acknowledged as a global priority. Most nations face challenges in providing safe, effective, timely, affordable, coordinated care around the needs and preferences of people who access integrated health and social care (IHSC) services. Much of the current research in the field focuses on describing and evaluating specific models for delivering IHSC. Fewer studies focus on person‐centred experiences, needs and preferences of people who use these services. However, current international guidance for integrated care sets a precedence of person‐centred integrated care that meets the health and well‐being needs of people who access IHSC services. This integrative literature review synthesises empirical literature from six databases (CINAHL; MEDLINE; AMED; TRIP; Web of Science and Science Direct; 2007–2019). This review aims to better understand the experiences and health and well‐being needs of people who use IHSC services in a community setting. Twenty studies met the inclusion criteria and results were thematically analysed. Three overarching themes were identified, including relationships, promoting health and well‐being and difficulty understanding systems. Findings of this review indicate that relationships hold significance in IHSC. People who access IHSC services felt that they were not always involved in planning their care and that there was a lack of clarity in navigating integrated systems; subsequently, this impacted upon their experiences of those services. However, service user and informal carer voices appear to be underrepresented in current literature and studies that included their views were found to be of low quality overall. Collectively, these findings support the need for further research that explores the person‐centred experiences and needs of people who access IHSC. [ABSTRACT FROM AUTHOR]
- Subjects :
- WELL-being
CINAHL database
HEALTH services accessibility
SYSTEMATIC reviews
COMMUNITY health services
PATIENT-centered care
PATIENTS' attitudes
FAMILY attitudes
INTERPROFESSIONAL relations
COMMUNICATION
SOCIAL services
INTEGRATED health care delivery
MEDLINE
PATIENT-professional relations
MEDICAL needs assessment
AMED (Information retrieval system)
HEALTH promotion
Subjects
Details
- Language :
- English
- ISSN :
- 09660410
- Volume :
- 29
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Health & Social Care in the Community
- Publication Type :
- Academic Journal
- Accession number :
- 151003820
- Full Text :
- https://doi.org/10.1111/hsc.13179