Designing an Integrated Care Initiative for Vulnerable Families: Operationalisation of Realist Causal and Programme Theory, Sydney Australia

International Journal of Integrated Care
John G EastwoodMichael Moore

Abstract

In July 2015 Sydney Local Health District (SLHD) implemented an integrated care initiative for vulnerable families in the Inner West region of Sydney, Australia. The initiative was designed as a cross-agency care coordination network that would ensure that vulnerable families: had their complex health and social needs met; kept themselves and their children safe; and were connected to society. We will describe the development of the design that drew on earlier realist causal and program theoretical work. Realist causal and program theory were used to inform the collaborative design of an initiative for vulnerable families. The collaborative design process included: identification of desirable and undesirable outcomes and contextual factors, stakeholder consultation, interagency planning, and development of a service proposal. The design elements included: identification of vulnerable family cohorts; care coordination; evidence-informed intervention(s); general practice engagement and support; family health improvement; placed-based neighbourhood initiatives; interagency system change and collaborative planning; monitoring of individual and family outcomes; and evaluation. The design study described advances toward the implement...Continue Reading

References

Jul 21, 1999·American Journal of Epidemiology·C Muntaner
Sep 12, 2013·Journal of Epidemiology and Community Health·Graham MooreJanis Baird
Sep 17, 2013·Health Informatics Journal·David Wastell, Sue White

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Citations

Oct 13, 2020·International Journal of Integrated Care·John EastwoodDenise De Souza

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