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Development of a Gaze-Contingent Display Framework Designed for Perceptual and Oculomotor Research with Simulated Central Vision Loss
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Using the Project INTEGRATE Framework in Practice in Central Coast, Australia.

Donna M Y Read1, Hazel Dalton1, Angela Booth1

  • 1Centre for Rural and Remote Mental Health, University of Newcastle, NSW, AU.

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|June 28, 2019
PubMed
Summary
This summary is machine-generated.

The Central Coast integrated Care Program (CCICP) shows progress in clinical integration but faces challenges in systemic areas. Leadership and communication are key to advancing integrated care.

Keywords:
AustraliaProject INTEGRATEformative evaluationintegrated caremixed methods

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Area of Science:

  • Healthcare Systems
  • Health Services Research
  • Integrated Care Models

Background:

  • Integrated care involves complex system changes, with progress often non-linear and difficult to measure.
  • The Central Coast integrated Care Program (CCICP) is a decade-long, place-based initiative.
  • This study presents the initial two-year formative evaluation of the CCICP's implementation and progress.

Purpose of the Study:

  • To describe the implementation of the CCICP after two years.
  • To assess the progress towards integrated care within the CCICP.
  • To identify facilitators and barriers to integrated care implementation.

Main Methods:

  • A mixed-methods approach was employed, utilizing the Project INTEGRATE Framework.
  • Data collection included semi-structured interviews (n=23) and surveys (n=27) with key stakeholders.
  • Self-reported data from program participants and evaluators were analyzed.

Main Results:

  • Progress in integrated care was mixed, with notable gains in clinical and professional integration (e.g., relationship building, collaboration).
  • Systemic and functional integration showed the least improvement, significantly hampered by funding uncertainty.
  • The Project INTEGRATE framework facilitated consistent language, progress indicators, and identification of key facilitators and barriers.

Conclusions:

  • Key staff demonstrated willingness and commitment to integrated care.
  • Effective leadership, communication, relationship building, and cultural transformation are crucial for successful integrated care.
  • The evaluation underscores the importance of addressing systemic barriers like funding uncertainty.