Clinics in Integrated Care最新文献

英文中文

Lifestyle medicine: bridging behavioural science and clinical care 生活方式医学：连接行为科学和临床护理

Clinics in Integrated Care

Pub Date : 2025-12-01 DOI: 10.1016/j.intcar.2025.100288

Bogdan Chiva Giurca, Matthew Lau, Ellen Fallows

Lifestyle medicine (LM) is an emerging clinical discipline that integrates behavioural science, preventive medicine, and systems-based care to address the root causes of non-communicable diseases (NCDs). It applies evidence-based lifestyle interventions (encompassing nutrition, physical activity, sleep, stress management, avoidance of harmful substances, and social connection) to prevent, manage, and in some cases, reverse chronic disease. Grounded in person-centred care and informed by an expanding body of research, lifestyle medicine complements traditional medical practice by embedding prevention and behaviour change support into routine clinical workflows. This article explores the six core pillars of lifestyle medicine, the scientific evidence underpinning its effectiveness, and the opportunities and challenges involved in its integration into primary and secondary care. By bridging behavioural science and clinical practice, lifestyle medicine represents a sustainable, compassionate model for improving health outcomes and strengthening healthcare systems for the future.

生活方式医学（LM）是一门新兴的临床学科，它整合了行为科学、预防医学和基于系统的护理，以解决非传染性疾病（ncd）的根本原因。它采用以证据为基础的生活方式干预措施（包括营养、身体活动、睡眠、压力管理、避免有害物质和社会联系）来预防、管理并在某些情况下逆转慢性病。生活方式医学立足于以人为本的护理，并以不断扩大的研究机构为依据，通过将预防和行为改变支持纳入常规临床工作流程，补充了传统医疗实践。本文探讨了生活方式医学的六大核心支柱，支持其有效性的科学证据，以及将其纳入初级和二级保健的机遇和挑战。通过连接行为科学和临床实践，生活方式医学代表了一种可持续的、富有同情心的模式，可以改善健康结果，加强未来的医疗保健系统。

引用次数: 0

The role of educators and supervisors in promoting learning with, for and from patients in advanced practice development 在高级实践发展中，教育者和监督者在促进与患者学习、为患者学习和从患者学习中的作用

Clinics in Integrated Care

Pub Date : 2025-12-01 DOI: 10.1016/j.intcar.2025.100289

Deborah Harding, Scott Ballard-Ridley

Advanced practice roles are becoming increasingly visible across health and care systems. Typically, these roles are held by experienced, registered professionals who have undertaken additional post-qualifying education to develop clinical, leadership, research and education capabilities, often referred to as the four pillars of advanced practice. This paper explores how the development of advanced practice education capabilities can and should promote approaches to learning with, for and from patients. For decades, there have been calls to embed patient-centred education into health professions' training. This paper suggests that learning about patient-centredness is not confined to traditional classroom-based teaching but can be integrated into practice-based aspects of advanced practice development, where workplace supervisors have the potential to be powerful role models. The paper is written from the perspectives of a university educator and a patient, who draw on their own experiences of teaching together in a United Kingdom university master's level advanced practice programme. They set out the case for incorporating teaching with a focus on learning with, for and from patients in health professions' education and propose that this learning is enriched when educators codesign and deliver healthcare education with people who have lived experience of health conditions and of navigating health services.

在卫生和保健系统中，高级实践角色越来越明显。通常，这些职位由经验丰富的注册专业人员担任，他们接受了额外的资格后教育，以发展临床、领导、研究和教育能力，通常被称为高级实践的四大支柱。本文探讨了高级实践教育能力的发展如何能够并且应该促进与患者一起学习，为患者学习和从患者学习的方法。几十年来，一直有人呼吁将以患者为中心的教育纳入卫生专业人员的培训。本文建议，以患者为中心的学习不局限于传统的课堂教学，而是可以整合到高级实践发展的实践方面，在这些实践中，工作场所的主管有可能成为强有力的榜样。本文从大学教育工作者和患者的角度出发，借鉴了他们在英国大学硕士水平高级实践项目中共同教学的经验。他们提出了在卫生专业教育中将教学重点与与患者一起学习、为患者学习和从患者那里学习结合起来的案例，并建议，当教育工作者与有健康状况和使用卫生服务经验的人共同设计和提供卫生保健教育时，这种学习将得到丰富。

{"title":"The role of educators and supervisors in promoting learning with, for and from patients in advanced practice development","authors":"Deborah Harding, Scott Ballard-Ridley","doi":"10.1016/j.intcar.2025.100289","DOIUrl":"10.1016/j.intcar.2025.100289","url":null,"abstract":"<div><div>Advanced practice roles are becoming increasingly visible across health and care systems. Typically, these roles are held by experienced, registered professionals who have undertaken additional post-qualifying education to develop clinical, leadership, research and education capabilities, often referred to as the four pillars of advanced practice. This paper explores how the development of advanced practice education capabilities can and should promote approaches to learning with, for and from patients. For decades, there have been calls to embed patient-centred education into health professions' training. This paper suggests that learning about patient-centredness is not confined to traditional classroom-based teaching but can be integrated into practice-based aspects of advanced practice development, where workplace supervisors have the potential to be powerful role models. The paper is written from the perspectives of a university educator and a patient, who draw on their own experiences of teaching together in a United Kingdom university master's level advanced practice programme. They set out the case for incorporating teaching with a focus on learning with, for and from patients in health professions' education and propose that this learning is enriched when educators codesign and deliver healthcare education with people who have lived experience of health conditions and of navigating health services.</div></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"33 ","pages":"Article 100289"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145665416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Banter, bonding or bullying? Supporting LGBTQ+ colleagues in healthcare 玩笑、亲密还是欺凌？支持医疗保健领域的LGBTQ+同事

Clinics in Integrated Care

Pub Date : 2025-10-01 DOI: 10.1016/j.intcar.2025.100279

Lisa Cordery-Bruce

This article explores the historical and contemporary experiences of LGBTQ+ professionals in healthcare, focusing on discrimination, inclusion initiatives, and the structural and cultural changes needed to create equitable environments. Drawing on recent studies, surveys, and reports from the UK and US, it highlights the systemic barriers LGBTQ+ health professionals face, the persona struggles from workplace bullying and the vital role of staff networks, inclusive policies, and allyship. Evidence suggests that visibility, support, and strong leadership commitment can mitigate workplace inequalities, improve staff wellbeing and performance, and enhance patient care outcomes.

本文探讨了LGBTQ+专业人士在医疗保健领域的历史和当代经验，重点关注歧视、包容举措以及创造公平环境所需的结构和文化变革。根据英国和美国最近的研究、调查和报告，它强调了LGBTQ+卫生专业人员面临的系统性障碍、工作场所欺凌的人格斗争以及员工网络、包容性政策和盟友的重要作用。有证据表明，能见度、支持和强有力的领导承诺可以减轻工作场所的不平等，改善员工的福利和绩效，并提高患者的护理效果。

引用次数: 0

Advanced practice in child and adolescent mental health services 儿童和青少年心理健康服务的高级实践

Clinics in Integrated Care

Pub Date : 2025-10-01 DOI: 10.1016/j.intcar.2025.100280

Anne-Johanna MacGregor, Elaine Armstrong, Chelsea Bertie, Shona Oliphant

Advanced practice is an area which is evolving in the field of mental health, with varying roles, responsibilities and education. This article will focus on advanced practice in Child and Adolescent Mental Health Services (CAMHS), exploring scope of practice in Scotland which may vary from national and international practice in the same field. Child and adolescent services provide specialist assessment and treatment for children and young people aged 6–18. This article explores the integration of the role within the existing multidisciplinary team. A case study and practice-based examples are utilised to provide in-depth examination of the advanced practice role and how this offers a different perspective in clinical practice. Barriers and facilitators to future advanced practice role development in CAMHS are also considered as this diverse area of practice continues to develop.

高级实践是心理健康领域不断发展的一个领域，具有不同的作用、责任和教育。本文将重点介绍儿童和青少年心理健康服务（CAMHS）的先进实践，探索苏格兰在同一领域的实践范围可能与国内和国际实践不同。儿童和青少年服务为6-18岁的儿童和青少年提供专业评估和治疗。本文探讨了角色在现有多学科团队中的集成。案例研究和基于实践的例子被用来提供对高级实践角色的深入检查，以及这如何在临床实践中提供不同的视角。随着这一多样化实践领域的不断发展，也考虑了CAMHS未来高级实践角色发展的障碍和促进因素。

引用次数: 0

The importance of clinical reasoning in differential diagnosis for non-medical prescribers, nurses and pharmacists 临床推理在非医疗处方者、护士和药剂师鉴别诊断中的重要性

Clinics in Integrated Care

Pub Date : 2025-07-22 DOI: 10.1016/j.intcar.2025.100271

Paul Rutter

The National Health Service (NHS) is under severe pressure to delivery high quality patient care. Increased demand, coupled with shortages in workforce, have led to health care policies seeking to empower patients and fully utilise the skill sets of all healthcare professionals, and in particular those professions allied to medicine. This has led to an expansion in roles and responsibilities to complement and augment that of doctors. To ensure allied healthcare professionals are able to perform such duties there is a need to ensure they possess the right knowledge and skills. This is most evident around autonomous practice and making clinical decisions, which have historically not been taught. The need to make wise decisions based on sound reasoning is critical. This article looks at how ‘novice’ practitioners can develop such skills.

国民保健服务（NHS）面临着提供高质量病人护理的巨大压力。需求增加，加上劳动力短缺，导致医疗保健政策寻求赋予患者权力，并充分利用所有医疗保健专业人员，特别是与医学有关的专业人员的技能。这导致了角色和责任的扩大，以补充和增强医生的作用。为了确保专职医护人员能够履行这些职责，需要确保他们拥有正确的知识和技能。这在自主实践和做出临床决策方面最为明显，这些在历史上都没有教授过。在合理推理的基础上做出明智的决定是至关重要的。本文着眼于“新手”从业者如何发展这样的技能。

引用次数: 0

The importance of integrated care when dealing with oncological emergencies 在处理肿瘤紧急情况时综合护理的重要性

Clinics in Integrated Care

Pub Date : 2025-04-29 DOI: 10.1016/j.intcar.2025.100256

Ernie Marshall, Ollie Minton, Anthony Cunliffe, Radha Selvaratnam

Cancer incidence in the UK continues to rise particularly in older and multi-morbid populations. In the UK 36% of new cancer diagnoses are made in those over 75 years of age.

Despite advancements in treatments, many patients are living longer with advanced incurable cancer, often requiring urgent and emergency care. The disconnect between centralized specialist oncology services and local care needs exacerbates this issue, leading to frequent emergency department (ED) visits and hospital admissions. Cancer patients are less well represented in Same Day Emergency Care (SDEC) and have a short hospital stay, hinting at a missed opportunity admission avoidance and early supported discharge.

Many cancer patients may benefit from an urgent community response as an alternative to ED attendance but this requires collaborative working across traditional health care boundaries and involving the wider multi professional health care team in primary, community, secondary and specialist services.

英国的癌症发病率持续上升，特别是在老年人和多种疾病人群中。在英国，36%的新癌症患者年龄在75岁以上。尽管在治疗方面取得了进步，但许多晚期无法治愈的癌症患者的寿命更长，通常需要紧急护理。集中的肿瘤专科服务与当地护理需求之间的脱节加剧了这一问题，导致频繁的急诊（ED）访问和住院。癌症患者在当天急诊护理（SDEC）中代表性较低，住院时间较短，暗示错过了住院避免和早期支持出院的机会。许多癌症患者可能会从紧急社区响应中受益，作为急诊室就诊的替代方案，但这需要跨越传统卫生保健界限的协作工作，并涉及更广泛的多专业卫生保健团队，包括初级、社区、二级和专科服务。

引用次数: 0

How to collaborate, and use networks and feedback 如何合作，利用网络和反馈

Clinics in Integrated Care

Pub Date : 2025-03-22 DOI: 10.1016/j.intcar.2025.100248

Sir Graham Thornicroft, Norman Sartorius

Effective collaboration, networking, and feedback are crucial skills for students and professionals. This paper explores into these three aspects, providing insights and practical tips. Collaboration requires a clear and common purpose and complementary skills, necessitating clear roles, trust, and conflict management strategies. Networking is viewed as a long-term career investment, emphasizing mutual respect and regular engagement with contacts. Feedback is essential for refining leadership skills, and this paper offers suggestions on actively seeking, receiving, and utilizing feedback to improve performance. The paper also discusses various types of feedback, including peer-directed, upward, downward, and 360-degree feedback, highlighting their importance in professional development.

Abstract and keywords supported by GenAI.

对于学生和专业人士来说，有效的协作、网络和反馈是至关重要的技能。本文对这三个方面进行了探讨，提供了一些见解和实用建议。协作需要明确的共同目标和互补的技能，需要明确的角色、信任和冲突管理策略。人际网络被视为一项长期的职业投资，强调相互尊重和与联系人的定期接触。反馈对于改善领导技能是必不可少的，本文提供了积极寻求，接收和利用反馈来提高绩效的建议。本文还讨论了各种类型的反馈，包括同行导向、向上、向下和360度反馈，强调了它们在专业发展中的重要性。GenAI支持的摘要和关键词。

引用次数: 0

How to read a research paper 如何阅读研究论文

Clinics in Integrated Care

Pub Date : 2025-02-01 DOI: 10.1016/j.intcar.2025.100247

Norman Sartorius, Sir Graham Thornicroft

This article provides comprehensive guidance on accessing and using the research literature. It outlines the reasons for reading research papers, from being informed about professional developments to understanding publication trends and exploring unanswered research questions. The article details the initial steps of accessing online databases like PubMed and employing effective search strategies. It emphasizes the importance of evaluating articles to determine their relevance and comprehensibility. Guidance is provided on reading papers critically, focussing on the authorship, background, methodology, results, and discussion sections. Finally, it discusses methods for recording and organizing relevant papers using reference management software, ensuring efficient future retrieval.

Abstract and keywords supported by GenAI.

本文对研究文献的获取和使用提供了全面的指导。它概述了阅读研究论文的原因，从了解专业发展到了解出版趋势和探索未回答的研究问题。这篇文章详细介绍了访问PubMed等在线数据库和采用有效搜索策略的初始步骤。它强调评价文章的重要性，以确定其相关性和可理解性。指导提供了批判性地阅读论文，集中在作者，背景，方法，结果和讨论部分。最后，讨论了利用参考文献管理软件记录和组织相关论文的方法，以保证今后有效的检索。GenAI支持的摘要和关键词。

引用次数: 0

How to behave in an interview with the media 在接受媒体采访时该如何表现

Clinics in Integrated Care

Pub Date : 2025-02-01 DOI: 10.1016/j.intcar.2025.100246

Graham Thornicroft, Norman Sartorius

Engaging with the media is a critical skill for professionals at any career stage, enabling them to contribute to public dialogue on significant issues. This article emphasizes the importance of the preparation and skill development for media interactions, whether proactive or reactive. Detailed guidance is provided on crafting effective press releases. Key preparatory steps for reactive interviews include understanding the journalist’s intent and setting clear boundaries. The article underscores the necessity of honing a single, compelling message and offers strategies for effective communication during interviews, including the ABC technique (Acknowledge, Bridge, Communicate). Recommendations for post-interview follow-up and self-reflection are provided to enhance future media engagements. The article serves as a guide for professionals aiming to communicate their expertise and viewpoints effectively through various media channels.

Abstract and keywords supported by GenAI.

在任何职业阶段，与媒体接触都是专业人士的一项关键技能，使他们能够就重大问题进行公开对话。本文强调媒体互动的准备和技能发展的重要性，无论是主动的还是被动的。提供了关于制作有效新闻稿的详细指导。反应性采访的关键准备步骤包括理解记者的意图和设定明确的界限。这篇文章强调了磨练一个单一的，引人注目的信息的必要性，并提供了在面试中有效沟通的策略，包括ABC技巧（承认，桥梁，沟通）。提出了采访后后续行动和自我反思的建议，以加强今后媒体的参与。本文为专业人士提供了一个指南，旨在通过各种媒体渠道有效地传达他们的专业知识和观点。GenAI支持的摘要和关键词。

引用次数: 0

Housing, health and wellbeing: perfect partners 住房、健康和幸福：完美的伴侣

Clinics in Integrated Care

Pub Date : 2024-12-01 DOI: 10.1016/j.intcar.2024.100239

Noel Sharpe

This article by Noel Sharpe, CEO of Bolton at Home, explores the critical relationship between housing and health, particularly in the social housing sector. It argues that housing plays a central role in shaping health and well-being, far beyond providing shelter. Decent housing, integrated within thriving communities, is essential for improving physical, mental, and emotional health outcomes. Social housing providers, such as Greater Manchester Housing Providers (GMHP) which includes Bolton at Home (BH), have expanded their services to address issues like mental health, social isolation, poverty, and community resilience. These efforts include initiatives such as support for those with mental health issues, sheltered housing for vulnerable groups, and social prescribing programmes that offer tailored community-based activities like the Arts on Prescription project. Case studies illustrate how interventions by housing can reduce isolation, improve mental health, increase physical activity, and rebuild confidence in individuals. The article underscores that by investing in tenants' health and well-being, housing providers create healthier, more resilient communities. This integrated approach strengthens social support networks and promotes long-term public health outcomes.

这篇文章由Noel Sharpe撰写，他是Bolton at Home的首席执行官，探讨了住房与健康之间的关键关系，特别是在社会住房领域。报告认为，住房在塑造健康和福祉方面发挥着核心作用，远远超出了提供住所的范畴。融入繁荣社区的体面住房对于改善身体、心理和情感健康状况至关重要。社会住房提供者，如包括博尔顿在家（BH）在内的大曼彻斯特住房提供者（GMHP），已经扩大了他们的服务范围，以解决心理健康、社会孤立、贫困和社区复原力等问题。这些努力包括支持有精神健康问题的人、为弱势群体提供庇护住房等举措，以及提供量身定制的社区活动的社会处方方案，如“处方艺术”项目。案例研究说明了住房干预如何能够减少孤立、改善心理健康、增加身体活动和重建个人信心。文章强调，通过投资于租户的健康和福祉，住房提供者创造了更健康、更有弹性的社区。这种综合办法加强了社会支持网络，促进了长期的公共卫生成果。

{"title":"Housing, health and wellbeing: perfect partners","authors":"Noel Sharpe","doi":"10.1016/j.intcar.2024.100239","DOIUrl":"10.1016/j.intcar.2024.100239","url":null,"abstract":"<div><div>This article by Noel Sharpe, CEO of Bolton at Home, explores the critical relationship between housing and health, particularly in the social housing sector. It argues that housing plays a central role in shaping health and well-being, far beyond providing shelter. Decent housing, integrated within thriving communities, is essential for improving physical, mental, and emotional health outcomes. Social housing providers, such as Greater Manchester Housing Providers (GMHP) which includes Bolton at Home (BH), have expanded their services to address issues like mental health, social isolation, poverty, and community resilience. These efforts include initiatives such as support for those with mental health issues, sheltered housing for vulnerable groups, and social prescribing programmes that offer tailored community-based activities like the Arts on Prescription project. Case studies illustrate how interventions by housing can reduce isolation, improve mental health, increase physical activity, and rebuild confidence in individuals. The article underscores that by investing in tenants' health and well-being, housing providers create healthier, more resilient communities. This integrated approach strengthens social support networks and promotes long-term public health outcomes.</div></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"27 ","pages":"Article 100239"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143104376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

下一页尾页

类型

全部化学•材料生命科学医学物理工程技术环境•农林材料科学地球科学法学管理学化学环境科学与生态学计算机科学教育学经济学农林科学人文科学生物学数学物理与天体物理心理学综合性期刊其他工业工程理学历史学农学文学信息工程

数据库

全部 ACS Publications Elsevier ieeexplore Springer The Royal Society of Chemistry Wiley

期刊

Clinics in Integrated Care

全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.

﹀