scholarly journals Doctors of chiropractic working with or within integrated healthcare delivery systems: a scoping review protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e043754
Author(s):  
Eric J. Roseen ◽  
Bolanle Aishat Kasali ◽  
Kelsey Corcoran ◽  
Kelsey Masselli ◽  
Lance Laird ◽  
...  
Keyword(s):  
Scoping Review ◽  
Healthcare Delivery ◽  
Implementation Strategies ◽  
Chiropractic Care ◽  
Delivery Systems ◽  
Community Based ◽  
Integrated Healthcare ◽  
Web Based ◽  
Medical Settings ◽  
Healthcare Delivery Systems

IntroductionBack and neck pain are the leading causes of disability worldwide. Doctors of chiropractic (DCs) are trained to manage these common conditions and can provide non-pharmacological treatment aligned with international clinical practice guidelines. Although DCs practice in over 90 countries, chiropractic care is rarely available within integrated healthcare delivery systems. A lack of DCs in private practice, particularly in low-income communities, may also limit access to chiropractic care. Improving collaboration between medical providers and community-based DCs, or embedding DCs in medical settings such as hospitals or community health centres, will improve access to evidence-based care for musculoskeletal conditions.Methods and analysesThis scoping review will map studies of DCs working with or within integrated healthcare delivery systems. We will use the recommended six-step approach for scoping reviews. We will search three electronic data bases including Medline, Embase and Web of Science. Two investigators will independently review all titles and abstracts to identify relevant records, screen the full-text articles of potentially admissible records, and systematically extract data from selected articles. We will include studies published in English from 1998 to 2020 describing medical settings that have established formal relationships with community-based DCs (eg, shared medical record) or where DCs practice in medical settings. Data extraction and reporting will be guided by the Proctor Conceptual Model for Implementation Research, which has three domains: clinical intervention, implementation strategies and outcome measurement. Stakeholders from diverse clinical fields will offer feedback on the implications of our findings via a web-based survey.Ethics and disseminationEthics approval will not be obtained for this review of published and publicly accessible data, but will be obtained for the web-based survey. Our results will be disseminated through conference presentations and a peer-reviewed publication. Our findings will inform implementation strategies that support the adoption of chiropractic care within integrated healthcare delivery systems.

Body, Home, and Community

2019 ◽  
pp. 245-247
Author(s):  
Mark E. Frisse ◽  
Karl E. Misulis
Keyword(s):  
Social Networks ◽  
Mobile Devices ◽  
Rapid Growth ◽  
Healthcare Delivery ◽  
Delivery Systems ◽  
Health Plans ◽  
Community Based ◽  
Commercial Products ◽  
Healthcare Delivery Systems

Sensors worn on the person (e.g., smartwatches), sensors in the home, and community-based resources are providing new data and connecting individuals in ways that promise to improve care. The rapid growth of mobile devices that can be worn or integrated into the immediate environment satisfies a need most humans have for connection and convenience. Through these devices, families and clinicians can develop greater insights into behaviors and, through social networks and other resources, connect individuals sharing common health interests. These resources often originate from commercial products and not from traditional healthcare delivery systems. Their availability is also providing new opportunities for health plans and other stakeholders to participate in care.

scholarly journals Current Developments in Delivering Customized Care: A Scoping Review

2020 ◽  
Author(s):  
Etienne Minvielle ◽  
Aude Fourcade ◽  
Tom Ricketts ◽  
Mathias waelli
Keyword(s):  
Quality Of Care ◽  
Scoping Review ◽  
Data Extraction ◽  
Healthcare Delivery ◽  
Delivery Systems ◽  
Added Value ◽  
Individualized Care ◽  
Healthcare Delivery Systems ◽  
Segmentation Analysis

Abstract Background In recent years, there has been a growing interest in healthcare personalization and customization (e.g. personalized medicine and patient-centered care). While some positive impacts of these approaches have been reported, there has been a dearth of research on how these approaches are implemented and combined for healthcare delivery systems. Objective The present study undertakes a scoping review of current developments for delivering customized care, according to theoretical and practical guidelines for customization delivery approaches. Methods Article searches were initially conducted in November 2018, and updated in January 2019 and March 2019, according to Prisma guidelines. Two investigators independently searched MEDLINE, PubMed, PyscINFO, Web of Science, Science Direct and JSTOR, The search was focused on articles that included “care customization”, “personalized service and healthcare”, individualized care” and “targeting population” in the title or abstract. Inclusion and exclusion criteria were defined. Disagreements on study selection and data extraction were resolved by consensus and discussion between two reviewers. Results We identified 70 articles published between 2008 and 2019. Most of the articles (n = 43) were published from 2016 to 2019. Four categories of patient characteristics used for segmentation analysis emerged: clinical, psychosocial, service and costs. We observed they often coexisted with the most commonly described combinations, namely clinical, psychosocial and service. A minority of articles (n = 18) reported assessments on quality of care, experiences and costs. Finally, few articles (n= 6) formally defined a conceptual basis related to mass customization, whereas only half of articles used existing theories to guide their analysis or interpretation. Conclusions There is no common theory based strategy for providing customized care. In response, we have highlighted three areas for researchers and managers to advance the customized development concept in healthcare delivery systems: better define the content of the segmentation analysis and the intervention steps, demonstrate its added value, in particular its economic viability, and align the logics of action that underpin current efforts of customization. It would allow them to use customization to reduce costs and improve quality of care.

scholarly journals Doctors of chiropractic working with or within integrated health care delivery systems: a scoping review protocol

2020 ◽  
Author(s):  
Eric J Roseen ◽  
Aisha Kasali ◽  
Kelsey Corcoran ◽  
Kelsey Masselli ◽  
Lance Laird ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Implementation Strategies ◽  
Chiropractic Care ◽  
Delivery Systems ◽  
Integrated Health Care ◽  
Medical Settings ◽  
Integrated Health ◽  
Health Care Delivery Systems

Introduction: Back and neck pain are the leading causes of disability worldwide. Doctors of chiropractic (DCs) are trained to manage these common conditions and can provide nonpharmacologic treatment aligned with international clinical practice guidelines. Although DCs practice in at least 90 countries, chiropractic care is often not available within integrated health care delivery systems. A lack of DCs in private practice, particularly in low-income communities, may also limit access to chiropractic care. Improved collaboration between medical providers and community-based DCs, or embedding DCs in medical settings such as hospitals or community health centers, may improve access to evidence-based care for musculoskeletal conditions. This scoping review aims to map studies of DCs working with or within medical settings. Methods and analyses: We will use the recommended six-step approach for scoping reviews. We will search three electronic data bases including Medline, Embase, and Web of Science. Two investigators will independently review all titles and abstracts to identify relevant records, screen the full-text articles of potentially admissible records, and systematically extract data from selected articles. We will include studies published in English from 1998 to 2020 describing medical settings that have established formal relationships with community-based DCs (e.g., shared medical record) or where DCs practice in medical settings. Data extraction and reporting will be guided by the Proctor Conceptual Model for Implementation Research, which has three domains: clinical intervention; implementation strategies; and outcome measurement. Stakeholders from diverse clinical fields will offer feedback on the implications of our findings via a web-based survey. Ethics and dissemination: Ethics approval will not be obtained for this review of published and publicly accessible data. Our results will be disseminated through conference presentations and a peer-reviewed publication. Our findings will form the basis of implementation strategies to support adoption of chiropractic care within integrated health care delivery systems.

scholarly journals PS1-06: Radiation Oncology Data in Integrated Healthcare Delivery Systems

2012 ◽  
Vol 10 (3) ◽  
pp. 145-145
Author(s):  
E. Loggers ◽  
M. O'Keeffe-Rosetti ◽  
M. Hornbrook ◽  
D. Ritzwoller
Keyword(s):  
Radiation Oncology ◽  
Healthcare Delivery ◽  
Delivery Systems ◽  
Integrated Healthcare ◽  
Healthcare Delivery Systems

scholarly journals Survivorship research based in integrated healthcare delivery systems

Cancer ◽  
2008 ◽  
Vol 112 (S11) ◽  
pp. 2617-2626 ◽  
Author(s):  
Ann M. Geiger ◽  
Diana S. M. Buist ◽  
Sarah M. Greene ◽  
Andrea Altschuler ◽  
Terry S. Field
Keyword(s):  
Healthcare Delivery ◽  
Delivery Systems ◽  
Integrated Healthcare ◽  
Healthcare Delivery Systems
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