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Capturing the Role of Context in Complex System Change: An Application of the Canadian Context and Capabilities for Integrating Care (CCIC) Framework to an Integrated Care Organisation in the UK Cover

Capturing the Role of Context in Complex System Change: An Application of the Canadian Context and Capabilities for Integrating Care (CCIC) Framework to an Integrated Care Organisation in the UK

International Journal of Integrated Care
Volume 20 (2020): Issue 1
By: Sheena Asthana,  Felix Gradinger,  Julian Elston,  Susan Martin and  Richard Byng  
Open Access
|Feb 2020

References

  1. 1Farmanova E, Kirvan C, Verma J, Mukerji G, Akunov N, Phillips K, Samis S. Triple Aim in Canada: developing capacity to lead to better health, care and cost. International Journal for Quality in Health Care, 2016; 28(6): 830–837. DOI: 10.1093/intqhc/mzw118
    Back to article
  2. 2NHS England. NHS Five Year Forward View. London: NHS England; 2014. Available from https://www.england.nhs.uk/publication/nhs-five-year-forward-view/.
    Back to article
  3. 3NAIC. Summary Report. Assessing progress in services for older people aimed at maximising independence and reducing use of hospitals. National Audit of Intermediate Care; 2015. Available from https://static1.squarespace.com/static/58d8d0ffe4fcb5ad94cde63e/t/58f08efae3df28353c5563f3/1492160300426/naic-report-2015.pdf.
    Back to article
  4. 4NHS England. The NHS Long Term Plan. London: NHS England; 2019. Available from https://www.longtermplan.nhs.uk/publication/nhs-long-term-plan/.
    Back to article
  5. 5Lloyd HM, Pearson M, Sheaff R, Asthana S, Wheat H, Sugavanam TP, Britten N, Valderas J, Bainbridge M, Witts L, Westlake D, Horrell J, Byng R. Collaborative action for person-centred coordinated care (P3C): an approach to support the development of a comprehensive system-wide solution to fragmented care. Health Res Policy Syst, 2017; 15: 98. DOI: 10.1186/s12961-017-0263-z
    Back to article
  6. 6DH. National Service Framework for Older People. Modern Standards and Service Models. London: Department of Health; 2001.
    Back to article
  7. 7Licchetta M, Stelmach M. Fiscal sustainability analytical paper: Fiscal sustainability and public spending on health. London: Office for Budget Responsibility; 2016.
    Back to article
  8. 8NAO. The health and social care interface: Report by the Comptroller and Auditor General. HC 950 SESSION 2017–2019. London: National Audit Office; 2018.
    Back to article
  9. 9NHS England. New care models: Vanguards – developing a blueprint for the future of NHS and care services. London: NHS England; 2016. Available from https://www.england.nhs.uk/wp-content/uploads/2015/11/new_care_models.pdf.
    Back to article
  10. 10DSCH and MHCLG. 2019–20 Better Care Fund: Policy Framework. London: Department of Health and Social Care and the Ministry of Housing, Communities and Local Government; 2019.
    Back to article
  11. 11Ham C. Making sense of integrated care systems, integrated care partnerships and accountable care organisations in the NHS in England. London: The King’s Fund; 2018. Available from https://www.kingsfund.org.uk/publications/making-sense-integrated-care-systems.
    Back to article
  12. 12Charles A, Wenzel L, Kershaw M, Ham C, Walsh N. A year of integrated care systems. reviewing the journey so far. London: The King’s Fund; 2018.
    Back to article
  13. 13NAO. Health and social care integration: Report by the Comptroller and Auditor General. HC 1011 SESSION 2016–17. London: National Audit Office; 2017.
    Back to article
  14. 14Erens B, Wistow G, Mounier-Jack S, Douglas N, Jones L, Manacorda T, Mays N. Early evaluation of the Integrated Care and Support Pioneers Programme: Final Report. London: Policy Innovation Research Unit, London School of Hygiene and Tropical Medicine; 2015.
    Back to article
  15. 15Greenhalgh T, Robert G, Macfarlane F, Bate P, Kyriakidou O, Diffusion of Innovations in Service Organizations: Systematic Review and Recommendations. Milbank Quarterly, 2004; 82: 581–629. DOI: 10.1111/j.0887-378X.2004.00325.x
    Back to article
  16. 16Greenhalgh T, Wherton J, Papoutsi C, Lynch J, Hughes G, A’Court C, Hinder S, Fahy N, Procter R, Shaw S. Beyond Adoption: A New Framework for Theorizing and Evaluating Nonadoption, Abandonment, and Challenges to the Scale-Up, Spread, and Sustainability of Health and Care Technologies. J Med Internet Res, 2017; 19(11): e367. DOI: 10.2196/jmir.8775
    Back to article
  17. 17Best A, Terpstra J, Moor G, Riley B, Norman C, Glasgow R. Building knowledge integration systems for evidence-informed decisions. J Health Organ Manag, 2009; 23: 627–41. DOI: 10.1108/14777260911001644
    Back to article
  18. 18Rycroft-Malone J, Burton CR, Wilkinson J, Harvey G, McCormack B, Baker R, Dopson S, Graham ID, Staniszewska S, Thompson C, Ariss S, Melville-Richards L, Williams L. Collective action for implementation: a realist evaluation of organisational collaboration in healthcare. Implementation Science, 2016; 11: 17. DOI: 10.1186/s13012-016-0380-z
    Back to article
  19. 19May CR, Cummings A, Girling M, Bracher M, Mair FS, May CM, Murray E, Myall M, Rapley T, Finch T. Using Normalization Process Theory in feasibility studies and process evaluations of complex healthcare interventions: a systematic review. Implement Sci, 2018 (7); 13(1): 80. DOI: 10.1186/s13012-018-0758-1
    Back to article
  20. 20Nolte E. How do we ensure that innovation in health service delivery and organization is implemented, sustained and spread? Policy Brief. Copenhagen: WHO Regional Office for Europe; 2018.
    Back to article
  21. 21Cheetham M, Visram S, Rushmer R, Greig G, Gibson E, Khazaeli B, et al. ‘It is not a quick fix’. Structural and contextual issues that affect implementation of integrated health and well-being services: a qualitative study from North East England. Public health, 2017; 152: 99–107. DOI: 10.1016/j.puhe.2017.07.019
    Back to article
  22. 22May CR, Johnson M, Finch T. Implementation, context and complexity. Implementation Science, 2016; 11(1): 141. DOI: 10.1186/s13012-016-0506-3
    Back to article
  23. 23Harvey G, Jas P, Walshe K. Analysing organisational context: case studies on the contribution of absorptive capacity theory to understanding inter-organisational variation in performance improvement. BMJ quality & safety, 2015; 24(1): 48–55. DOI: 10.1136/bmjqs-2014-002928
    Back to article
  24. 24Gagliardi AR, Webster F, Brouwers MC, Baxter NN, Finelli A, Gallinger S. How does context influence collaborative decision-making for health services planning, delivery and evaluation? BMC health services research, 2014; 14: 545. DOI: 10.1186/s12913-014-0545-x
    Back to article
  25. 25Van Houdt S, Heyrman J, Vanhaecht K, Sermeus W, De Lepeleire J. An in-depth analysis of theoretical frameworks for the study of care coordination. International Journal of Integrated Care, 2013; 13: e024–e024. DOI: 10.5334/ijic.1068
    Back to article
  26. 26Peterson K, Anderson J, Bourne D, Coundy E. Scoping Brief: Care Coordination Theoretical Models and Frameworks. VA Evidence Synthesis Program Evidence Briefs [Internet]. Washington, DC: Department of Veterans Affairs (US); 2018.
    Back to article
  27. 27Peterson K, Anderson J, Bourne D, Charns MP, Gorin SS, Hynes DM, McDonald KM, Singer SJ, Yano EM. Health Care Coordination Theoretical Frameworks: a Systematic Scoping Review to Increase Their Understanding and Use in Practice. J Gen Intern Med, 2019; 34(Suppl 1): 90–98. DOI: 10.1007/s11606-019-04966-z
    Back to article
  28. 28Birken SA, Powell BJ, Presseau J, Kirk MA, Lorencatto F, Gould NJ, Shea CM, Weiner BJ, Francis JJ, Yu Y, Haines E, Damschroder LJ. Combined use of the Consolidated Framework for Implementation Research (CFIR) and the Theoretical Domains Framework (TDF): a systematic review. Implement Sci, 2017; 12(1): 2. DOI: 10.1186/s13012-016-0534-z
    Back to article
  29. 29Leijten FRM, Struckmann V, van Ginneken E, Czypionka T, Kraus M, Reiss M, Tsiachristas A, Boland M, de Bont A, Bal R, Busse R, Rutten-van Mölken M. SELFIE consortium. The SELFIE framework for integrated care for multi-morbidity: Development and description. Health Policy, 2018; 122(1): 12–22. DOI: 10.1016/j.healthpol.2017.06.002
    Back to article
  30. 30Evans JM, Grudniewicz A, Baker GR, Wodchis WP. Organisational Context and Capabilities for Integrating Care: A Framework for Improvement. International Journal of Integrated Care, 2016; 16(3): 15. DOI: 10.5334/ijic.2416
    Back to article
  31. 31Evans JM, Grudniewicz A, Gray CS, Wodchis WP, Carswell P, Baker GR. Organizational Context Matters: A Research Toolkit for Conducting Standardized Case Studies of Integrated Care Initiatives. Int J Integr Care, 2017; 17(2): 9. DOI: 10.5334/ijic.2502
    Back to article
  32. 32Donabedian A. Evaluating the quality of medical care. 1966. Reprinted in The Milbank Quarterly, 2005; 83(4): 691–729. DOI: 10.1111/j.1468-0009.2005.00397.x
    Back to article
  33. 33Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci, 2009; 4: 50. DOI: 10.1186/1748-5908-4-50
    Back to article
  34. 34Sadler E, Sandall J, Sevdalis N, Wilson D. The contribution of implementation science to improving the design and evaluation of integrated care programmes for older people with frailty. Journal of Integrated Care, 2019; 27(3): 232–240. DOI: 10.1108/JICA-07-2018-0048
    Back to article
  35. 35Pfadenhauer LM, Mozygemba K, Gerhardus A, Hofmann B, Booth A, Lysdahl KB, Tummers M, Burns J, Rehfuess EA. Context and implementation: A concept analysis towards conceptual maturity. Z Evid Fortbild Qual Gesundhwes, 2015; 109(2): 103–14. DOI: 10.1016/j.zefq.2015.01.004
    Back to article
  36. 36Booth A, Moore G, Flemming K, Garside R, Rollins N, Tunçalp O, Noyes J. Taking account of context in systematic reviews and guidelines considering a complexity perspective. BMJ Glob Health, 2019; 4(Suppl 1). DOI: 10.1136/bmjgh-2018-000840
    Back to article
  37. 37Pfadenhauer LM, Gerhardus A, Mozygemba K, Lysdahl KB, Booth A, Hofmann B, Wahlster P, Polus S, Burns J, Brereton L, Rehfuess E. Making sense of complexity in context and implementation: the Context and Implementation of Complex Interventions (CICI) framework. Implement Sci, 2017; 12(1): 21. DOI: 10.1186/s13012-017-0552-5
    Back to article
  38. 38Elston J, Gradinger F, Asthana S, Fox M, Dawson L, Butler D, Byng R. Impact of “enhanced” intermediate care located in a health & wellbeing hub at the integrated care organisation (ico) in torbay and south devon, uk. 19th International Conference on Integrated Care, 1–3 April 2019, San Sebastian, Basque Country. International Journal of Integrated Care, 2019; 19(4): 584. DOI: 10.5334/ijic.s3584
    Back to article
  39. 39Wilding H. Integrating Care: From Horizontal to Vertical Integration. Journal of Integrated Care, 2010; 18: 15–20. DOI: 10.5042/jic.2010.0244
    Back to article
  40. 40Thistlethwaite P. Integrating health and social care in Torbay: Improving care for Mrs Smith. London: the King’s Fund; 2011. Available from https://www.kingsfund.org.uk/sites/default/files/integrating-health-social-care-torbay-case-study-kings-fund-march-2011.pdf.
    Back to article
  41. 41Stake R. The Art of Case Study Research. Sage Publications; 1995.
    Back to article
  42. 42Stake R. Standards-Based and Responsive Evaluation. Sage Publications; 2003. DOI: 10.4135/9781412985932
    Back to article
  43. 43Stake R. “Freedom from the Rubric” In Russell J, Greenhalgh T, Kushner S (Eds.), Case Study Evaluation: Past, Present and Future Challenges (Advances in Program Evaluation, Vol. 15). Emerald Group Publishing Limited; 2015: 177–179. DOI: 10.1108/S1474-786320140000015010
    Back to article
  44. 44Marshall M, Pagel C, French C, Utley M, Allwood D, Fulop N, Pope C, Banks V, Goldmann A. Moving improvement research closer to practice; the Researcher in Residence model. BMJ Quality and Safety, 2014; 23(10): 801–5. DOI: 10.1136/bmjqs-2013-002779
    Back to article
  45. 45Vindrola-Padros C, Pape T, Utley M, Fulop NJ. The role of embedded research in quality improvement: a narrative review. BMJ Quality and Safety, 2016; 26(1): 70–80. DOI: 10.1136/bmjqs-2015-004877
    Back to article
  46. 46Gradinger F, Elson J, Asthana S, Martin S, Byng R. Reflections on the researcher-in-residence model co-producing knowledge for action in an Integrated Care Organisation: a mixed methods case study using an impact survey and field notes. Evidence and Policy, 2019; 15(2): 197–215. DOI: 10.1332/174426419X15538508969850
    Back to article
  47. 47Gradinger F, Elston J, Fox M, Myers C, Butler D. Mrs Smith – Chapter 2: Vertical and horizontal integration and care model implementation in the Integrated Care Organisation (ICO) in Torbay and South Devon, UK – a workshop on leadership and co-production. International Journal of Integrated Care, 2019; 19(4): 396. DOI: 10.5334/ijic.s3396
    Back to article
  48. 48Schulte PA, Guerin RJ, Schill AL, Bhattacharya A, Cunningham TR, Pandalai SP, Eggerth D, Stephenson CM. Considerations for Incorporating “Well-Being” in Public Policy for Workers and Workplaces. American Journal of Public Health, 2015; 105(8): e31–e44. DOI: 10.2105/AJPH.2015.302616
    Back to article
  49. 49Bolden R. What is leadership development? Purpose and practice. Leadership South West Research Report 2. Exeter: University of Exeter; 2005.
    Back to article
  50. 50Drennan VM, Calestani M, Ross F, et al. Tackling the workforce crisis in district nursing: can the Dutch Buurtzorg model offer a solution and a better patient experience? A mixed methods case study. BMJ Open, 2018; 8: e021931. DOI: 10.1136/bmjopen-2018-021931
    Back to article
  51. 51NHS England in partnership with the Primary Care Pharmacy Association and the Association of Pharmacy Technicians UK. Primary care networks: A briefing for pharmacy teams. London: NHS England; 2019. Available from https://www.england.nhs.uk/wp-content/uploads/2019/06/pcn-briefing-for-pharmacy-teams.pdf.
    Back to article
  52. 52Mannion R, Davies H, Marshall M. Cultures for performance in health care: evidence on the relationships between organisational culture and organisational performance in the NHS. York: University of York; 2003.
    Back to article
  53. 53Henderson J, Dawson S, Fuller J, O’Kane D, Gerace A, Oster C, Cochrane EM. Regional responses to the challenge of delivering integrated care to older people with mental health problems in rural Australia. Aging & Mental Health, 2018; 22(8): 1025–1031. DOI: 10.1080/13607863.2017.1320702
    Back to article
  54. 54Habeger AD, Venable VM. Supporting families through the application of a rural pediatric integrated care model. Journal of Family Social Work. 2018; 21(3): 214–226. DOI: 10.1080/10522158.2017.1342468
    Back to article
  55. 55Beaulieu J, Rowles GD, Kuder L. Current Research in Rural Models of Integrated Long-Term Care. Journal of Applied Gerontology, 2001; 20(4): 379–385. DOI: 10.1177/073346480102000401
    Back to article
DOI: https://doi.org/10.5334/ijic.5196 | Journal eISSN: 1568-4156
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Language: English
Submitted on: Aug 5, 2019
Accepted on: Jan 22, 2020
Published on: Feb 11, 2020
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
integrated care,
complex intervention,
context,
CCIC framework

© 2020 Sheena Asthana, Felix Gradinger, Julian Elston, Susan Martin, Richard Byng, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.

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