Hodges' Model: Welcome to the QUAD: Paper: IJIC - Building Competencies for Integrated Care: Defining the Landscape c/o Miller & Stein

Hodges' model is a conceptual framework to support reflection and critical thinking. Situated, the model can help integrate all disciplines (academic and professional). Amid news items, are posts that illustrate the scope and application of the model. A bibliography and A4 template are provided in the sidebar. Welcome to the QUAD ...

Wednesday, April 04, 2018

Paper: IJIC - Building Competencies for Integrated Care: Defining the Landscape c/o Miller & Stein

individual
|
INTERPERSONAL : SCIENCES
humanistic ---------------- Integrated Care --------------- mechanistic
SOCIOLOGY : POLITICAL
|
group

"Transformation does not only involve gaining new knowledge and skills but a more fundamental* shift in our conceptual paradigms about our roles, responsibilities and relationships." [RRR]


Clinical integration (mental health) through person-centred care of someone's health and wellbeing

building blocks 1. Electronic health records,

Functional integration (data, information)

Uni-professional education
 
Clinical integration (physical health) through person-centred care of someone's health and wellbeing
through the active engagement of
service users as partners in care



 
 Act-ions - Practice

[RRR] social change

[ My obs.: Health literacy
- need for a generic framework -
for health education arbitration -
as there is a sociopolitical dispute]

Professional


through the active engagement of
service users as partners in care



2. Budgetary processes,
3. Governance structures

[RRR] political change (inc. policies, professional bodies...)


Organisational & Systemic integration



integration

Normative integration

*There's that word again...

Q. Reflect upon the following using the above model - not only the text but the model itself:

"To achieve the transformation required by integrated care, this means three things: we need to include the principles of integrated working into our formal education and training systems; we need to recognize that learning continues in our workplaces; and accept that we ourselves will be informal educators throughout our careers."

The following dimensions are listed in the editorial and above :
  • Dimension 1. Person-centred care (i.e. the improvement of someone’s health and wellbeing through the active engagement of service users as partners in care)
  • Dimension 2. Clinical integration (i.e. care services are coordinated and/or organised around the needs of service users)
  • Dimension 3. Professional integration (i.e. existence and promotion of partnerships between care professionals that enable them to work together)
  • Dimension 4. Organisational integration (i.e. the ability of different providers to come together to enable joined-up service delivery)
  • Dimension 5. Systemic integration (i.e. the ability of the care system in providing an enabling platform for integrated care, such as through the alignment of key systemic factors like financing and regulation)
  • Dimension 6. Functional integration (i.e. the capacity to communicate data and information effectively within an integrated care system)
  • Dimension 7. Normative integration (i.e. the extent to which different partners in care have developed a common frame of reference of vision, norms, and values on care integration)

Miller R, Stein KV. Building Competencies for Integrated Care: Defining the Landscape. International Journal of Integrated Care. 2018;17(6):6. DOI: http://doi.org/10.5334/ijic.3946