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Human Services integration measure


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“Offers a practical measure of integration. However, limited data to support...” More

General Information
Measure Name: Human Services integration measure
Measure Type: Scale
Construct: Partnership
Primary Content Area: Cardiovascular
Secondary Content Area:
Brief Description: Service integration as used in this paper, is the term used to describe types of collaboration, partnerships or networks whereby different services that are usually autonomous organizations, work together for specific community residents to improve health and social care. In order to work together effectively, they each may incur resource costs.

Representatives of the services in the partnership completed this Human Service integration Measure, a measure that was developed to quantify the extent, scope and depth of integration as perceived by local service providers. The measure provides a quantitative integration measure for each service and a total integration measure of the level of service integration. This measure developed in an EXCEL form ( Table 1) identifies specific services in the left hand column that are participating in a program of care. It identifies three aspects of integration:

Extent of integration: the identification of services and the number of services within a number of programs or sectors involved in the partnership
Scope of integration: the number of services that have some awareness or link with others
Depth of integration: the depth of links among all services and each service, along a continuum of involvement where non-awareness=0, awareness=1, communication=2, coordination=3, collaboration=4.

Representatives or coordinators from each service from each sector, listed in the left hand column are asked to rate the depth of their integration with each of the other services on the list. The depth of integration is scored using an ordinal scale developed by Narayan and Shier for Ontario's Better Beginnings, Better Futures program (reported in [17]), and also used by Ryan and Robinson [13] in evaluating the Healthy Babies, Healthy Children HBHC program. The ordinal scale articulates a five-domain continuum of increasing integration (0–4):

0=No awareness: program or services are not aware of other programs or services.
1=Awareness: discrete programs or services in the community are aware of other programs or services, but they organize their own activities solely on the basis of their own program or service mission, and make no effort to do otherwise.
2=Communication: programs and services actively share information and communicate on a formal basis.
3=Cooperation: programs or services modify their own service planning to avoid service duplication or to improve links among services, using their knowledge of other services or programs.
4=Collaboration: programs or services jointly plan offered services and modify their own services as a result of mutual consultations and advice.

The service coordinators' depths of integration ratings can be gathered by telephone interview, web-form, in person, or during workshops. Each response is entered in the box in the column headed with the service number, across from the row with the name of the other service being rated.
Keywords: paramedic
Target Population: public health practitioners and researchers, policymakers
Mode of Administration: Who Administered: Researcher, Third-party (proxy)
How Administered: Web-based
Measure Characteristics
Contact Information

(Last Updated: 9/26/2015 2:29:25 PM by Kim Law)

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