This study explores the challenges faced by healthcare professionals in providing integrated care for individuals living with co-occurring schizophrenia and type 2 diabetes in Denmark. Despite the increased complexity of managing both conditions, little research has focused on healthcare professionals experiences and the organizational challenges involved in delivering integrated care.

This study aimed to develop consensus on the core elements of the Community Specialist Teams for Older People (CST OP) service model.

Current insights into how to personalise supportive care for patients with immune-mediated inflammatory disorders (IMIDs) remain limited. Enhancing supportive care can significantly improve patients' quality of life and overall healthcare. The Subjective Health Experience (SHE) model offers a practical framework for segmenting patients based on disease acceptance and control, potentially guiding tailored supportive care. This qualitative study had two aims: explore patient characteristics (behaviours, questions, and needs) within each SHE Segment; and determine required supportive care per Segment by identifying the (specific types of supportive healthcare) and the (approach of healthcare delivery). Group discussions and individual interviews were conducted with 19 healthcare professionals in rheumatology, gastroenterology, and dermatology, and 18 patients diagnosed with rheumatoid arthritis/spondyloarthritis, Crohn's disease/ulcerative colitis, or psoriasis/hidradenitis suppurativa. Findings revealed consistent patterns across IMIDs regarding healthcare needs. Patients emphasised the importance of attention and acknowledgement, while healthcare professionals focused on structure and planning. Detailed Segment descriptions supported development of a structured framework aligning supportive care types and delivery approaches with each SHE Segment. Overall, these results support the SHE framework as a guidance for coordinating supportive care across conditions, professionals, and care levels, enhancing its operational use in IMID care to improve personalisation and continuity.

Socially disadvantaged and marginalised groups experience significant barriers to accessing healthcare compounded by the complexity and lack of integration between health services. Social housing residents face persisting health inequities linked to poverty, stigma and chronic conditions. International evidence suggests tailored, community-based initiatives can advance health and equity by building capacity, trust and engagement, notably through peer-based roles. However, there is little detailed literature on the mechanisms that support successful implementation and impacts across both community and health systems.

This thesis shifts attention from networks as well-demarcated governance structures to seeing networks as dynamic and emerging social phenomena. Drawing on ethnographic fieldwork in Dutch older person and hospital care, it explores how networking unfolds in everyday governance actions and interactions of affected actors, and with which consequences for their role and work. This thesis calls for a recalibration of network thinking, highlighting the multiple, ongoing, place-based, multi-layered, and multi-purpose nature of networking. Rather than romanticizing network governance, this thesis offers a critical-pragmatist perspective, inviting a 'romantic-realist' engagement with the lived messiness of networks as a governance order-in-the-making amidst healthcare reforms.

People experiencing homelessness (PEH) face major barriers to accessing healthcare, including cancer preventive services, which results in increased cancer morbidity and mortality. However, tailored integrated care interventions addressing these disparities are scarce.

Integration of voluntary and statutory mental health services may address gaps in mental health care. The Community Mental Health Framework for Adults and Older Adults 2019 provided impetus for integration within England. It was unknown how, why, or under what circumstances integration would occur.

The integration of volunteers into healthcare has become increasingly relevant for improving patient care and addressing systemic resource constraints. In pediatric settings, volunteers offer essential emotional and personalized support. However, their collaboration with healthcare professionals is often hindered by challenges such as role ambiguity, limited space, and insufficient communication.

To develop the vertical professional collaborative evaluation tools to promote the establishment of integrated healthcare system in China.

As Singapore's population ages, community hospitals must evolve to meet increasingly complex care needs. In this perspective, we share reflections from leading the Community Hospital of the Future (CHoF) pilot at Jurong Community Hospital-a national initiative to enhance intermediate care. The pilot introduced proactive screening, expanded diagnostic capabilities, and intensified rehabilitation services. We reflect on the operational and policy challenges encountered, including fragmented data systems, workforce limitations, and financing gaps. The CHoF experience offers practical insights for other health systems seeking to strengthen sub-acute care as part of an integrated care strategy for ageing populations.

The integration of services is often driven by the belief that integration will lead to better outcomes for service users. However, there is a paucity of robust evidence exploring the relationship between integration and outcomes. This study sought to determine whether the integration of health and social care services via Health and Social Care Partnerships has led to a measurable change in outcomes for Scotland's children and young people.

While the benefits of mentorship programs are well established, their effective design, implementation, and sustainability remain complex and challenging. This perspective paper contributes to the mentorship literature by presenting key lessons learned from the implementation of a mentorship program in the emerging field of integrated health and social care. We suggest that prioritizing thoughtful mentor-mentee matching, promoting flexible and adaptable mentoring meeting formats, offering clear guidance for structured mentoring meetings, and acknowledging the reciprocal value of mentoring relationships can inform strategic approaches to strengthening mentorship programs in integrated care and beyond.

Patients with multiple autoimmune diseases lack continuity of care due to increasing specialisation and siloed practice in healthcare. Despite improvements in quality, this organisation has led to fragmented patient pathways, as related diseases are treated separately. Limited research has investigated approaches to integrate care for patients with co-occurrent Inflammatory Joint Disease and Inflammatory Bowel Disease, with minimal emphasis on the patient perspective. The aim was to describe the Rheumatology-Gastroenterology Clinic (ReGa), characterise its population, and investigate patient experiences.

Cancer survival rates vary significantly between low and high-income areas. By leveraging community assets, healthcare inequities may be addressed. Nationally, Macmillan Cancer Support (Macmillan) (a national cancer charity) is working with local Voluntary and Community Sector (VCS) organisations to improve cancer care.In Plymouth, where cancer mortality is above average, Macmillan has partnered with the Zebra Collective (Zebra) (a community cooperative), Age UK Plymouth (a local charity), The Wolseley Trust (Social Prescribing team), and General Practice (GP) surgeries. In Spring 2024, the Plymouth Cancer Champions' Project (PCCP) launched to address these inequities through community-led approaches via peer-to-peer community engagement and volunteer recruitment.

The Building an Integrated Community Care Model was a two-year program to support older adults in receiving home and community care services from organizations within the VCS sector in the City of Sarnia and Lambton County, Ontario, Canada.

Despite ongoing efforts to integrate health and social services, achieving integration in front-line practice remains challenging. This study explored collaboration in a multidisciplinary development group aimed at improving collaboration in one co-located health and social services centre in Helsinki, Finland. Drawing on the notion of knowledge practices as means for solving complex issues, the study analysed how collaboration and co-development are enacted within the group.

Complex interventions are frequently used at different levels in healthcare. The main aim of this paper is to describe a method for conducting a feasibility study in preparation of an evaluation study for a complex intervention by substantiating several essential methodological choices. These choices are (A) establishing the most appropriate outcomes and instruments to measure them, including comprehensibility of questionnaires for study participants, (B) exploring the distribution and size of these outcomes in the patient target population and (C) quantifying key assumptions for the sample size calculation. We describe this method through the example of our feasibility study on a person-centered and integrated care (PC-IC) approach for multimorbidity and chronic conditions in general practice.

Persons with knee osteoarthritis suffer from a prevalent chronic condition requiring comprehensive treatment approaches. To effectively cater to their needs, healthcare professionals must adopt an integrated health perspective and collaborate across disciplines. This study aimed to understand the viewpoints of patients and healthcare professionals and identify factors influencing collaborative care for persons with knee osteoarthritis.

In 2016, the New Zealand Ministry of Health (MoH) introduced a whole of system performance policy known as the System Level Measures (SLM) programme to deliver integrated care using health alliances. Alliances were trust-based collaborative networks introduced in 2013 to integrate the planning and delivery of health care between primary care and hospital settings. The SLM programme attempted to move away from narrow target-based and pay-for-performance approaches focused on single organisations to a shared responsibility and decision-making approach using alliances.