
Professor Nicholas Goodwin
Director Central Coast Research Institute
Office PVC - Health, Medicine and Wellbeing
A global leader and pioneer in integrated care
Professor Nicholas Goodwin has dedicated his career to advancing the science, knowledge and adoption of integrated care in policy and practice around the world.
Professor Nicholas Goodwin has long been at the forefront of a global trend towards integrated care that coordinates and delivers health services around people’s needs.
Throughout his impressive career, Nick has held leadership roles for globally renowned organisations such as the International Foundation for Integrated Care (IFIC), spearheaded programs of work for the likes of The King’s Fund — the UK’s leading health charity – and co-founded the International Journal of Integrated Care.
In 2015-16, Nick wrote and edited the World Health Organisation’s Global Framework on People-Centred and Integrated Health Services that was ratified by the World Health Assembly and adopted by countries worldwide — another of his many career achievements.
In each and every role, across research, advocacy and education, Nick has remained focused on achieving real-world outcomes for people and communities, especially the most vulnerable.
“My research has really only one set of goals: to motivate action towards the design and delivery of integrated models of care that help to improve people’s care experiences and outcomes with improved system efficiency.”
The challenge of integration
Integrated care is a style of service delivery that places the person at the centre of care. By considering people’s wider health and wellbeing needs the approach seeks to coordinate care and services delivered by multiple providers as effectively and seamlessly as possible.
Integrated care has gained global attention as a way to combat fragmentation in care delivery, where care becomes so poorly co-ordinated around people’s needs that there is a sub-optimal, or even an adverse, impact on care experiences and outcomes.
“Fragmentation of care often impacts the most vulnerable populations: the elderly, people with complex mental health challenges or chronic illnesses, Indigenous groups and ethnic minorities, and people living in rural and remote communities.
“Such groups require coordinated access to a range of care and support services. But evidence shows they are most likely to fall between the cracks of our fragmented care systems, leading to significant inequalities in care outcomes.”
After coming to this serious realisation, Nick knew that a movement of change was needed. Like many worthwhile causes, the process of social change has taken significant time, determination and collaboration.
“The key challenge has been how to bring organisations and professionals together to work differently, to fully engage with the people of local communities that they serve, and to recognise what a difference can be made to everyone’s lives if we challenge established preconceptions or perceived barriers head-on through collective action.
“The challenge is not primarily one of system design (though that is often hard) but of system implementation, which means we have to re-think the focus of our research efforts if we truly want to encourage better research translation.”
Unleashing a global movement
After helping integrated care gain merited international attention, Nick was only too happy to step into the role of consultant for governments wishing to make the switch.
In an advisory capacity, Nick has helped develop and provide evidence-informed input into national government policy reforms needed to implement integrated care in Belgium, Spain, England, Finland, Kazakhstan, Mexico, New Zealand, Poland, Portugal, Qatar, Saudi Arabia, Singapore, and Taiwan.
“Many of these engagements also included the developed of education and training programs for senior decision-makers and clinicians designed to support health system strengthening.”
From 2018, under an EU-contract, Nick led a translational research project with the Department of Social Affairs of the Government of the Republic of Estonia to develop new strategies and models of integrated care focusing on vulnerable adults in local municipalities. The approach was adopted as part of its national policy reforms in 2020.
Nick has also provided support at a regional and local level. For example, in 2016, he was chief investigator on a translational project that enabled the metropolitan region of Salvador, Brazil, to design and implement a new model of intermediate care for older people.
In Australia, Nick has supported work with the likes of North Coast Primary Health Network (PHN) and Central Coast Local Health District (LHD), including summer schools and accelerated learning programs enabling professional partnerships to develop their project plans for integrated care across at least 10 LHD and PHNs in NSW. This work continues in the IFIC Australia network.
In 2016, Nick’s tireless advocacy for the adoption of integrated care in policy and practice worldwide led him to be awarded the prestigious Avedis Donabedian International Award for his contribution to Healthcare Excellence.
Investing in our Central Coast communities
Nick took on the role of Director of the Central Coast Research Institute for Integrated Care in 2019. In this role, he hopes to grow economic, health and wellbeing benefits for the Central Coast community and beyond, building on his past experience and success.
“It’s motivating to know that our efforts have led to positive changes in how people work, in the way services are developed, and in improving outcomes. The ability to ‘make a difference’ in an area with clear public value is a privilege.”
Looking back, Nick is proud of his achievements as a social change researcher, advocate, leader and pioneer of the integrated care agenda. He is excited about the next chapter in his career and has sound advice for anyone looking to follow in his footsteps.
“Working life will always throw up all sorts of unexpected and persistent challenges. It’s important to stay true to yourself and your values, have fun, and act with integrity.”
A global leader and pioneer in integrated care
Professor Nicholas Goodwin has dedicated his career to advancing the science, knowledge and adoption of integrated care in policy and practice around the world.
Career Summary
Biography
Current position
In July 2019, Nick was appointed as the Director of the Central Coast Research Institute (CCRI) to be based within the Health and Wellbeing Precinct on the Gosford Hospital campus. Developed in partnership between the University of Newcastle and Central Coast Local Health District (CCLHD), Nick’s position as Director of the CCRI includes a seconded role to CCLHD as its inaugural Director of Research.
Background
As a social scientist, Nick has worked for the past 25 years in the field of health services research, management and policy in both the University and Third Sector. After completing his PhD at the University of Southampton in 1994, his work has included being a research officer at The King’s Fund, London (1994-1997); a lecturer at the Health Services Management Centre, University of Birmingham (1997-2003); and a senior lecturer at The London School of Hygiene and Tropical Medicine (2004-2007).
At LSHTM, Nick commissioned and managed a portfolio of projects investigating innovations in health service delivery for the UK’s National Institute of Health Research (NIHR). Nick also directed its MSc programme in Public Health (Health Services Management), its distant learning variant, and its DrPH programme
As Senior Fellow of the King’s Fund (2007-2013), Nick directed two major national investigations: an Inquiry into the Quality of Care in English General Practice; and a three-year Department of Health-funded project for the application of telehealth in long-term conditions management. From 2011-13, Nick led The King’s Fund’s programme of work on integrated care including support to the English Department of Health’s national strategy on integrated care
In 2011, Nick founded the International Foundation for Integrated Care (IFIC) and became its first CEO in March 2013. IFIC is a public benefit organisation dedicated to improving the science, knowledge and adoption of integrate care worldwide. IFIC’s business included the publication of an impact-rated scientific journal; the organisation of international conferences and events; leadership in large-scale research and development programmes, for example with the European Union and WHO; the delivery of a range of education and training programmes; and the development of a knowledge-centre to support networking and information sharing amongst its participants.Under Nick's leadership, IFIC grew membership to over 30,000 individuals and organisations and developed several commercial arms including the Integrated Care Academy and Integrated Care Solutions products that provided education, training, evaluation and technical support to regions, countries and supranational agencies.
Nick has worked as a global consultant on issues related to primary health care and integrated care, including - amongst others - the World Health Organisation, Pan American Health Organisation, Inter-American Development Bank, and European Commission. Nick was instrumental in writing the WHO Global Framework on People-Centred and Integrated Health Services Delivery that was ratified at the World Health Assembly in 2016. Nick continues to work as a senior associate at IFIC, helping to co-direct its collaborative centred in IFIC Australia and IFIC Asia-Pacific.
Nick also remains the Editor in Chief of IFIC’s impact-rated and open access scientific periodical the International Journal of Integrated Care (www.ijic.org). Nick speaks regularly at national and international conference and has written over 300 publications.
In January 2016, Nick received the Avedis Donabedian International Award for his contribution to Healthcare Excellence.
Qualifications
- Doctor of Philosophy, University of Southampton - UK
Keywords
- Community care
- Health care
- Integrated care
- Leadership
- Management
- People-centred care
- Policy
- Population health
- Primary care
- Public health
- Research
- Social care
- Technology
- Translational
- Wellbeing
Languages
- English (Mother)
- Spanish (Working)
Professional Experience
UON Appointment
Title | Organisation / Department |
---|
Academic appointment
Dates | Title | Organisation / Department |
---|---|---|
1/1/2004 - 30/8/2007 |
Senior Lecturer Senior lecturer at The London School of Hygiene and Tropical Medicine, London (2004-2007). Nick commissioned and managed a portfolio of projects investigating innovations in health service delivery and organisation for the UK’s National Institute of Health Research (NIHR). Nick also directed several MSc programmes, specifically the MSc Public Health (Health Services Management) and the DrPH programme. |
London School of Hygiene and Tropical Medicine SDO Programme United Kingdom |
1/8/2018 - 12/7/2019 | Conjoint Professor | University of Newcastle Faculty of Health and Medicine |
26/8/2000 - |
Editor in Chief Nick is the editor-in-chief of the International Journal of Integrated Care (www.ijic.org). IJIC is an open-access peer reviewed journal supported by the International Foundation for Integrated Care with an impact rating of 2.489 in 2019. IJIC’s primary purpose has been to examine critically the policy and practice of integrated care and whether and how this has impacted on quality-of-care, user experiences, and cost-effectiveness. |
International Journal for Integrated Care United Kingdom |
1/9/1998 - 31/12/2003 |
Lecturer Directed several MSc programmes, including Primary Health Care Policy & Management and International Health Management and Development. Major focus of research on the role of GPs/primary care in commissioning (TPPs/PCGs/PCTs); the
management of clinical networks; integrated care; and intermediate care |
University of Birmingham Health Services Management Centre, School of Public Policy United Kingdom |
30/8/1994 - 31/12/1994 |
Research Assistant Nick researched the historical geography of access to hospital services in England |
Queen Mary and Westfield College, London Department of Georgraphy United Kingdom |
Membership
Dates | Title | Organisation / Department |
---|---|---|
1/1/2019 - |
Council Member The Australian Healthcare and Hospitals Association (AHHA) is Australia’s national peak body for public and not-for-profit hospitals and healthcare providers. |
Australian Healthcare & Hospitals Association Australia |
Professional appointment
Dates | Title | Organisation / Department |
---|---|---|
1/11/2014 - 30/11/2015 |
Visiting Senior Consultant Nick provided consultancy services to the Agency for Integrated Care in Singapore with a specific focus on supporting its Essential Skills training course for senior policy managers, planners and professionals to explore the latest evidence on integrated care and assess option for integrated care in the Singapore context. The work included some reflections on the development of its Regional Health System |
Agency for Integrated Care Singapore |
15/7/2019 - |
Director of Research Central Coast Local Health District (CCLHD) provides public health services to the communities of Central Coast Council. Located between Sydney and the Hunter Valley the Central Coast is a popular coastal region attracting young families and retirees. The region experiences a higher than average population growth particularly in the Wyong Shire. The region is served by two acute hospitals – Gosford and Wyong. Gosford Hospital is the principal referral hospital and regional trauma centre for the Central Coast, Wyong Hospital is a major metropolitan hospital while Woy Woy Hospital and Long Jetty Healthcare Centre provide sub-acute care. Additionally there are 8 community health centres and other community based services. |
Central Coast Local Health District Research Directorate Australia |
1/4/2014 - 31/3/2015 |
National Expert Nick provided support as a national expert to NHS England's Better Care Fund Support programme, a national initiative seeking to pool budgets in order to promote health and social care integration. This included hosting implementation workshops and leadership and management in integrated care and the development of a 'how to' guide in how to evaluate and measure the impact of integrated care programmes. |
NHS England Better Care Fund United Kingdom |
1/5/2013 - 30/9/2014 |
Senior Associate As a Senior Associate in Health Policy at The King's Fund. London, Nick has a specific role in leading a research project funded by the Aetna Foundation (USA) looking at key lessons and markers for success in the coordination of cared to older people and those with complex medical problems. Nick also support The Fund in its international telehealth and telecare work, including the DALLAS project looking at how to enable assisted living at scale. |
The King's Fund Policy Directorate United Kingdom |
1/3/2013 - 12/7/2019 |
Chief Executive Officer In 2011, Nick founded the International Foundation for Integrated Care (IFIC) and became its first CEO in March 2013. IFIC is a public benefit organisation dedicated to improving the science, knowledge and adoption of integrate care worldwide. IFIC’s business included the publication of an impact-rated scientific journal; the organisation of international conferences and eventsleadership in large-scale research and development programmes, for example with the European Union and WHO; the delivery of a range of education and training programmes; and the development of a knowledge-centre to support networking and information sharing amongst its participants Under Nick’s leadership IFIC grew membership to over 30,000 individuals and organisations, developed the Integrated Care Academy ©, and grew IFIC’s reach through developing international collaborative centres across Europe, Asia-Pacific and the Americas. In 2017, Nick created Integrated Care Solutions © to provide technical support and consultancy to regions, countries and supranational agencies. Nick was instrumental in writing the WHO Global Framework on People-Centred and Integrated Health Services Delivery. Nick continues to work as a senior associate with IFIC, including support to its collaborative centres in Australia and the Asia-Pacific region. www.ijic.org).</span><span style=""> |
International Foundation for Integrated Care Netherlands |
1/9/2007 - 31/5/2013 |
Senior Fellow The King's Fund is an independent charity working to improve health and care in England. As Senior Fellow of the King’s Fund (2007-2013), Nick directed two major national investigations: an Inquiry into the Quality of Care in English General Practice; and a three-year Department of Health-funded project for the application of telehealth in long-term conditions management. From 2011-13, Nick led The King’s Fund’s programme of work on integrated care including support to the English Department of Health’s national strategy on integrated care. |
The King's Fund Policy Directorate United Kingdom |
1/9/2014 - 30/4/2015 |
Consultant Undertook a scoping review of existing methods of integrated service delivery for older people in selected middle-income countries of the Western Pacific Region |
WHO Western Pacific Regional Office Malaysia |
1/9/2012 - 31/3/2013 |
Scientific Advisor Supported the co-founding of IFIC and acted on behalf of IFIC as a scientific advisor to the EU-funded Project Integrate programme. Nick transitioned from this role to become IFIC's CEO from March 2013 onwards |
International Foundation for Integrated Care Netherlands |
1/3/1995 - 30/9/1998 |
Research Officer The King's Fund is an independent charity working to improve health and care in England. Nick worked on a number of projects including a systematic review of the impact of GP fundholding, and major process evaluation of the national roll-out of Total Purchasing Pilots. |
The King's Fund King's Fund Policy Institute United Kingdom |
1/5/2015 - 31/12/2015 |
Consultant Nick supported PAHO to develop practical recommendations to Member States that will allow them to implement actions towards strengthening and transforming the organisation and management of health services through the development of people and community centred models of care based on needs. The work built on the Strategy for Universal Access to Health and Universal Health Coverage approved by the Directing Council of PAHO in October 2014
|
Pan American Health Organisation Pan American Health Organisation United States |
1/7/2013 - 30/4/2016 |
Senior Advisor Integrating Care is dedicated to improving the quality of people’s lives through better co-ordinated, user-centred care. Its team of nationally and internationally acclaimed specialists work with service users, carers, health professionals and care professionals to make change happen. It brings together leading experts in integrated care and are hosted by award winning public sector consultancies, PPL and GE Healthcare Finnamore. |
Integrating Care United Kingdom |
Awards
Award
Year | Award |
---|---|
2016 |
Avedis Donabedian International Award 2016 Avedis Donabedian Foundation |
Member
Year | Award |
---|---|
1994 |
Fellow of the Royal Georgrafphical Society The Royal Geogrpahical Society |
Publications
For publications that are currently unpublished or in-press, details are shown in italics.
Book (2 outputs)
Year | Citation | Altmetrics | Link | |||||
---|---|---|---|---|---|---|---|---|
2017 |
Amelung V, Stein V, Goodwin N, Balicer R, Nolte E, Suter E, Handbook Integrated Care (2017) © Springer International Publishing AG 2017. All rights reserved. This handbook gives profound insight into the main ideas and concepts of integrated care. It offers a managed car... [more] © Springer International Publishing AG 2017. All rights reserved. This handbook gives profound insight into the main ideas and concepts of integrated care. It offers a managed care perspective with a focus on patient orientation, efficiency, and quality by applying widely recognized management approaches to the field of health care. The handbook also provides international best practices and shows how integrated care does work throughout various health systems. The delivery of health and social care is characterised by fragmentation and complexity in most health systems throughout the world. Therefore, much of the recent international discussion in the field of health policy and health management has focused on the topic of integrated care. "Integrated" acknowledges the complexity of patients' needs and aims to meet it by taking into account both health and social care aspects. Changing and improving processes in a coordinated way is at the heart of this approach.
|
|||||||
2016 |
Perri P, Goodwin N, Peck E, Freeman T, Managing networks of twenty-first century organisations (2016) © Perri P, Nick Goodwin, Edward Peck & Tim Freeman 2006. The book presents a novel theory of how networks of organizations work, what varieties are possible and how their st... [more] © Perri P, Nick Goodwin, Edward Peck & Tim Freeman 2006. The book presents a novel theory of how networks of organizations work, what varieties are possible and how their strengths and weaknesses differ. The argument is illustrated using four case studies in which networks of firms and organizations in defence contracting, biotechnology, health care and combating crime and disorder are examined. The book will be of major interest to scholars and students of business and management, public management, public policy, organizational sociology and to practising managers.
|
Chapter (6 outputs)
Year | Citation | Altmetrics | Link | |||||
---|---|---|---|---|---|---|---|---|
2017 |
Miller R, de Andrade M, Don RM, Amelung V, Stein V, Goodwin N, et al., 'Culture and values', Handbook Integrated Care 237-251 (2017)
|
|||||||
2017 |
Goodwin N, 'Change management', Handbook Integrated Care 253-275 (2017)
|
|||||||
2017 |
Goodwin N, Stein V, Amelung V, 'What is integrated care?', Handbook Integrated Care 3-23 (2017)
|
|||||||
2016 |
Goodwin N, 'National Health Systems: A Historical Overview', International Encyclopedia of Public Health 201-214 (2016) © 2017 Elsevier Inc. All rights reserved. Building an affordable and effective national health system is a major preoccupation of governments around the world. Using illustrative ... [more] © 2017 Elsevier Inc. All rights reserved. Building an affordable and effective national health system is a major preoccupation of governments around the world. Using illustrative case examples from different countries, this article provides an overview of the four principal components that make up the functions of a national health-care system - financing, purchasing (resource allocation), service provision, and stewardship. Each principal function is performed very differently internationally; this article provides a deconstruction of each, explaining and discussing these variances. It concludes with a discussion of those key system design factors that appear to contribute to the more effective national health-care systems.
|
|||||||
2014 |
Goodwin N, Alonso A, 'Understanding integrated care: The role of information and communication technology', Achieving Effective Integrated E-Care Beyond the Silos 63-88 (2014) © 2014 by IGI Global. All rights reserved. This chapter provides a thorough grounding in the meaning and logic of integrated care and the role of ICT. It begins with an overview t... [more] © 2014 by IGI Global. All rights reserved. This chapter provides a thorough grounding in the meaning and logic of integrated care and the role of ICT. It begins with an overview that describes why integrated care has become a central theme to the reform of health and social care in the face of mounting demographic and economic challenges that require a new way of thinking about how care can be more cost-effectively delivered. Following an indepth analysis of what is meant by integrated care, including an interpretation of the various definitions and interpretations that have been provided, the chapter moves on to provide an understanding of the challenges faced when implementing integrated care programmes in practice and the key lessons in how systems of integrated care can be built. The role of information, communication, and technology as essential components for the success of integrated care is then considered together with an assessment of the future research agenda.
|
|||||||
Show 3 more chapters |
Journal article (72 outputs)
Year | Citation | Altmetrics | Link | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
2020 |
Osborne SR, Alston LV, Bolton KA, Whelan J, Reeve E, Wong Shee A, et al., 'Beyond the black stump: rapid reviews of health research issues affecting regional, rural and remote Australia', Medical Journal of Australia, 213 S3-S32.e1 (2020) © 2020 AMPCo Pty Ltd Chapter 1: Retail initiatives to improve the healthiness of food environments in rural, regional and remote communities: Objective: To synthesise the evidence... [more] © 2020 AMPCo Pty Ltd Chapter 1: Retail initiatives to improve the healthiness of food environments in rural, regional and remote communities: Objective: To synthesise the evidence for effectiveness of initiatives aimed at improving food retail environments and consumer dietary behaviour in rural, regional and remote populations in Australia and comparable countries, and to discuss the implications for future food environment initiatives for rural, regional and remote areas of Australia. Study design: Rapid review of articles published between January 2000 and May 2020. Data sources: We searched MEDLINE (EBSCOhost), Health and Society Database (Informit) and Rural and Remote Health Database (Informit), and included studies undertaken in rural food environment settings in Australia and other countries. Data synthesis: Twenty-one articles met the inclusion criteria, including five conducted in Australia. Four of the Australian studies were conducted in very remote populations and in grocery stores, and one was conducted in regional Australia. All of the overseas studies were conducted in rural North America. All of them revealed a positive influence on food environment or consumer behaviour, and all were conducted in disadvantaged, rural communities. Positive outcomes were consistently revealed by studies of initiatives that focused on promotion and awareness of healthy foods and included co-design to generate community ownership and branding. Conclusion: Initiatives aimed at improving rural food retail environments were effective and, when implemented in different rural settings, may encourage improvements in population diets. The paucity of studies over the past 20 years in Australia shows a need for more research into effective food retail environment initiatives, modelled on examples from overseas, with studies needed across all levels of remoteness in Australia. Several retail initiatives that were undertaken in rural North America could be replicated in rural Australia and could underpin future research. Chapter 2: Which interventions best support the health and wellbeing needs of rural populations experiencing natural disasters?: Objective: To explore and evaluate health and social care interventions delivered to rural and remote communities experiencing natural disasters in Australia and other high income countries. Study design: We used systematic rapid review methods. First we identified a test set of citations and generated a frequency table of Medical Subject Headings (MeSH) to index articles. Then we used combinations of MeSH terms and keywords to search the MEDLINE (Ovid) database, and screened the titles and abstracts of the retrieved references. Data sources: We identified 1438 articles via database searches, and a further 62 articles via hand searching of key journals and reference lists. We also found four relevant grey literature resources. After removing duplicates and undertaking two stages of screening, we included 28 studies in a synthesis of qualitative evidence. Data synthesis: Four of us read and assessed the full text articles. We then conducted a thematic analysis using the three phases of the natural disaster response cycle. Conclusion: There is a lack of robust evaluation of programs and interventions supporting the health and wellbeing of people in rural communities affected by natural disasters. To address the cumulative and long term impacts, evidence suggests that continuous support of people¿s health and wellbeing is needed. By using a lens of rural adversity, the complexity of the lived experience of natural disasters by rural residents can be better understood and can inform development of new models of community-based and integrated care services. Chapter 3: The impact of bushfire on the wellbeing of children living in rural and remote Australia: Objective: To investigate the impact of bushfire events on the wellbeing of children living in rural and remote Australia. Study design: Literatu...
|
||||||||||
2020 |
Stein KV, Goodwin N, Miller R, 'From Crisis to Coordination: Challenges and Opportunities for Integrated Care posed by the COVID-19 Pandemic', INTERNATIONAL JOURNAL OF INTEGRATED CARE, 20 (2020)
|
||||||||||
2020 |
Stoop A, Lette M, Ambugo EA, Gadsby EW, Goodwin N, Macinnes J, et al., 'Improving person-centredness in integrated care for older people: Experiences from thirteen integrated care sites in Europe', International Journal of Integrated Care, 20 1-16 (2020) [C1]
|
||||||||||
2020 |
Goodwin N, Lewis S, Dalton H, Prael G, 'Which interventions best support the health and wellbeing needs of rural populations experiencing natural disasters?', MEDICAL JOURNAL OF AUSTRALIA, 213 S10-+ (2020)
|
||||||||||
2019 |
Read DMY, Dalton H, Booth A, Goodwin N, Hendry A, Perkins D, 'Using the Project INTEGRATE Framework in Practice in Central Coast, Australia.', International journal of integrated care, 19 1-12 (2019) [C1]
|
||||||||||
2019 |
Dalton H, Read DMY, Booth A, Perkins D, Goodwin N, Hendry A, et al., 'Formative Evaluation of the Central Coast Integrated Care Program (CCICP), NSW Australia.', International journal of integrated care, 19 15 (2019) [C1]
|
||||||||||
2018 |
González-Ortiz LG, Calciolari S, Goodwin N, Stein V, 'The core dimensions of integrated care: A literature review to support the development of a comprehensive framework for implementing integrated care', International Journal of Integrated Care, 18 (2018) © 2018 The Author(s). Objective: As part of the EU-funded Project INTEGRATE, the research sought to develop an evidence-based understanding of the key dimensions and items of inte... [more] © 2018 The Author(s). Objective: As part of the EU-funded Project INTEGRATE, the research sought to develop an evidence-based understanding of the key dimensions and items of integrated care associated with successful implementation across varying country contexts and relevant to different chronic and/or long-term conditions. This paper identifies the core dimensions of integrated care based on a review of previous literature on the topic. Methodology: The research reviewed literature evidence from the peer-reviewed and grey literature. It focused on reviewing research articles that had specifically developed frameworks on integrated care and/or set out key elements for successful implementation. The search initially focused on three main scientific journals and was limited to the period from 2006 to 2016. Then, the research snowballed the references from the selected published studies and engaged leading experts in the field to supplement the identification of relevant literature. Two investigators independently reviewed the selected articles using a standard data collection tool to gather the key elements analyzed in each article. Results: A total of 710 articles were screened by title and abstract. Finally, 18 scientific contributions were selected, including studies from grey literature and experts¿ suggestions. The analysis identified 175 items grouped in 12 categories. Conclusions: Most of the key factors reported in the literature derive from studies that developed their frameworks in specific contexts and/or for specific types of conditions. The identification and classification of the elements from this literature review provide a basis to develop a comprehensive framework enabling standardized descriptions and benchmarking of integrated care initiatives carried out in different contexts.
|
||||||||||
2018 |
Goodwin N, 'Tomorrow s world: Is digital health the disruptive innovation that will drive the adoption of integrated care systems?', International Journal of Integrated Care, 18 1-3 (2018)
|
||||||||||
2017 |
Goodwin N, 'How important is information and communication technology in enabling interprofessional collaboration?', Journal of Health Services Research and Policy, 22 202-203 (2017)
|
||||||||||
2017 |
Crump H, King J, Graham C, Thorlby R, Raleigh V, Redding D, Goodwin N, 'Developing a User Reported Measure of Care Co-ordination', INTERNATIONAL JOURNAL OF INTEGRATED CARE, 17 CP3-U12 (2017)
|
||||||||||
2017 |
Goodwin N, 'More than just a narrative: Measuring people s experience of care coordination to improve quality and outcomes', International Journal of Integrated Care, 17 (2017)
|
||||||||||
2016 |
Goodwin N, 'Towards People-Centred Integrated Care: From Passive Recognition to Active Co-production?', Int J Integr Care, 16 15 (2016)
|
||||||||||
2016 |
Goodwin N, 'Understanding Integrated Care.', Int J Integr Care, 16 6 (2016)
|
||||||||||
2016 |
Goodwin N, 'Understanding and Evaluating the Implementation of Integrated Care: A 'Three Pipe' Problem.', Int J Integr Care, 16 19 (2016)
|
||||||||||
2015 |
Wodchis WP, Dixon A, Anderson GM, Goodwin N, 'Integrating care for older people with complex needs: Key insights and lessons from a seven-country cross-case analysis', International Journal of Integrated Care, 15 (2015) © 2015, Igitur, Utrecht Publishing and Archiving Services. All Rights Reserved. Background: To address the challenges of caring for a growing number of older people with a mix of ... [more] © 2015, Igitur, Utrecht Publishing and Archiving Services. All Rights Reserved. Background: To address the challenges of caring for a growing number of older people with a mix of both health problems and functional impairment, programmes in different countries have different approaches to integrating health and social service supports. Objective: The goal of this analysis is to identify important lessons for policy makers and service providers to enable better design, implementation and spread of successful integrated care models. Methods: This paper provides a structured cross-case synthesis of seven integrated care programmes in Australia, Canada, the Netherlands, New Zealand, Sweden, the UK and the USA. Key findings: All seven programmes involved bottom-up innovation driven by local needs and included: (1) a single point of entry, (2) holistic care assessments, (3) comprehensive care planning, (4) care co-ordination and (5) a well-connected provider network. The process of achieving successful integration involves collaboration and, although the specific types of collaboration varied considerably across the seven case studies, all involved a care coordinator or case manager. Most programmes were not systematically evaluated but the two with formal external evaluations showed benefit and have been expanded. Conclusions: Case managers or care coordinators who support patient-centred collaborative care are key to successful integration in all our cases as are policies that provide funds and support for local initiatives that allow for bottom-up innovation. However, more robust and systematic evaluation of these initiatives is needed to clarify the ¿business case¿ for integrated health and social care and to ensure successful generalization of local successes.
|
||||||||||
2015 |
Goodwin N, 'How should integrated care address the challenge of people with complex health and social care needs? Emerging lessons from international case studies.', Int J Integr Care, 15 e037 (2015)
|
||||||||||
2014 |
McLeod H, Millar R, Goodwin N, Powell M, 'Perspectives on the policy 'black box': a comparative case study of orthopaedics services in England', HEALTH ECONOMICS POLICY AND LAW, 9 383-405 (2014)
|
||||||||||
2014 | Goodwin N, Schrijvers G, 'Proceedings of the NIHDI 50th Anniversary Event', INTERNATIONAL JOURNAL OF INTEGRATED CARE, 14 (2014) | ||||||||||
2014 |
Goodwin N, 'Thinking differently about integration: people-centred care and the role of local communities.', Int J Integr Care, 14 e026 (2014)
|
||||||||||
2014 |
Ferrer L, Goodwin N, 'What are the principles that underpin integrated care?', Int J Integr Care, 14 e037 (2014)
|
||||||||||
2014 | Cloninger CR, Salvador-Carulla L, Kirmayer LJ, Schwartz MA, Appleyard J, Goodwin N, et al., 'A Time for Action on Health Inequities: Foundations of the 2014 Geneva Declaration on Person- and People-centered Integrated Health Care for All.', Int J Pers Cent Med, 4 69-89 (2014) | ||||||||||
2013 |
Goodwin N, 'Understanding integrated care: a complex process, a fundamental principle.', Int J Integr Care, 13 e011 (2013)
|
||||||||||
2013 |
Goodwin N, 'Taking integrated care forward: the need for shared values.', Int J Integr Care, 13 e026 (2013)
|
||||||||||
2013 |
Goodwin N, 'How do you build programmes of integrated care? The need to broaden our conceptual and empirical understanding.', Int J Integr Care, 13 e040 (2013)
|
||||||||||
Show 69 more journal articles |
Conference (4 outputs)
Year | Citation | Altmetrics | Link | |||||
---|---|---|---|---|---|---|---|---|
2018 |
Dalton H, Perkins D, Goodwin N, Hendry A, Read D, Booth A, et al., 'Using the Project Integrate Framework for assessing progress towards care integration: results from a formative evaluation of a complex intervention in Central Coast Local Health District, NSW Australia', INTERNATIONAL JOURNAL OF INTEGRATED CARE (2018)
|
|||||||
2018 |
Dalton H, Perkins D, Goodwin N, Hendry A, Davies K, Read D, Handley T, 'Use of the Project Integrate Framework for situational analysis and benchmarking of progress towards care integration in the Central Coast NSW', INTERNATIONAL JOURNAL OF INTEGRATED CARE (2018)
|
|||||||
2017 |
Valentijn PP, Goodwin N, 'Value-based integrated care: Exploring strategies to enhance the uptake of integrated care', INTERNATIONAL JOURNAL OF INTEGRATED CARE (2017)
|
|||||||
2013 | Goodwin N, Sonola L, Thiel V, 'Midhurst Macmillan community specialist palliative care service delivering end-of-life care in the community', INTERNATIONAL JOURNAL OF INTEGRATED CARE (2013) | |||||||
Show 1 more conference |
Other (1 outputs)
Year | Citation | Altmetrics | Link | ||
---|---|---|---|---|---|
2019 |
Perkins D, Goodwin N, ''The International Foundation for Integrated Care' - The Health Advocate, The Official Magazine of AHHA, Issue 53, pg 28-29.', (2019) [O1]
|
Grants and Funding
Summary
Number of grants | 2 |
---|---|
Total funding | $49,348 |
Click on a grant title below to expand the full details for that specific grant.
20202 grants / $49,348
Integrated approaches for domestic and family violence, mental health issues and alcohol and other drugs misuse$32,500
Funding body: The Sax Institute
Funding body | The Sax Institute |
---|---|
Project Team | Professor Deb Loxton, Professor Nicholas Goodwin, Ms Natalie Townsend, Doctor Amy Anderson, Ms Emma Byrnes, Ms Isabelle Barnes, Professor Frances Kay-Lambkin, Suzanne Lewis |
Scheme | Rapid Review |
Role | Investigator |
Funding Start | 2020 |
Funding Finish | 2020 |
GNo | G1901421 |
Type Of Funding | C3112 - Aust Not for profit |
Category | 3112 |
UON | Y |
Study to Assess the Value of an Integrated Workforce Approach to Mental Health Care in Rural and Remote Towns$16,848
Funding body: Mental Health Commission of New South Wales
Funding body | Mental Health Commission of New South Wales |
---|---|
Project Team | Professor Nicholas Goodwin, Professor Rhonda Wilson, Mr Lee Ridoutt, Dr Susan Nancarrow |
Scheme | Request for Tender |
Role | Lead |
Funding Start | 2020 |
Funding Finish | 2021 |
GNo | G2000880 |
Type Of Funding | C2220 - Aust StateTerritoryLocal - Other |
Category | 2220 |
UON | Y |
Professor Nicholas Goodwin
Position
Director Central Coast Research Institute
Office PVC - Health, Medicine and Wellbeing
College of Health, Medicine and Wellbeing
Contact Details
nicholas.goodwin@newcastle.edu.au | |
Links |
Facebook Personal webpage |
Office
Room | . |
---|