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Existing models of integrated care have often emphasized system structures but neglected the micro\u2010level interactions that matter most to people.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To develop a micro\u2010level model for integrated care that represents the care components most valued by people affected by Huntington's disease (HD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A mixed methods study with a co\u2010designed approach was delivered through three phases. This paper reports on the latest two, where interviews and workshops were conducted with people with lived experience of HD and professionals, from January to October 2024. Patient and public contributors were involved from project design to data interpretation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three themes were identified that position integrated care from the perspective of those affected by HD, representing these as the EC4Neuro model. Theme 1 identified the core components of micro\u2010level integrated care: expert knowledge, person\u2010 and family\u2010centred care, care coordination and continuity of care. Theme 2 underlined access inequities. Theme 3 highlighted people's responsibility to manage care without true agency to do so. The workshops prioritized strategies that enhance relational continuity between service users and providers. A tiered strategy was undertaken to support decision\u2010making towards improving person\u2010centred outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>EC4Neuro is the first integrated care model developed in HD. Its co\u2010designed approach with end users successfully embedded people's perspective to guide what needs to be achieved at the micro\u2010level. The EC4Neuro model offers prospective replication opportunities, particularly for stakeholders concerned with reducing access inequities and supporting relational continuity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>A group of 25 experts by lived experience of HD and other neurological disorders, co\u2010designed this research project, working with the researchers from conception of the studies to analysis and interpretation of the data.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70584","type":"journal-article","created":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T08:51:47Z","timestamp":1769935907000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Co\u2010Design of a New Integrated Care Model With People Affected by Huntington's Disease: A Mixed Methods Study"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3711-9040","authenticated-orcid":false,"given":"Sandra Bartolomeu","family":"Pires","sequence":"first","affiliation":[{"name":"NIHR Applied Research Collaboration Wessex, Southampton Science Park Innovation Centre Southampton UK"},{"name":"School of Health Sciences University of Southampton Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4449-1414","authenticated-orcid":false,"given":"Dorit","family":"Kunkel","sequence":"additional","affiliation":[{"name":"NIHR Applied Research Collaboration Wessex, Southampton Science Park Innovation Centre Southampton UK"},{"name":"School of Health Sciences University of Southampton Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0552-6074","authenticated-orcid":false,"given":"Karine","family":"Manera","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health The University of Sydney Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Goodwin","sequence":"additional","affiliation":[{"name":"Yong Loo Lin School of Medicine, Centre for Research in Health System Performance National University of Singapore  Kent Ridge Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Kipps","sequence":"additional","affiliation":[{"name":"NIHR Applied Research Collaboration Wessex, Southampton Science Park Innovation Centre Southampton UK"},{"name":"Clinical and Experimental Sciences, Faculty of Medicine University of Southampton Southampton UK"},{"name":"Wessex Neurological Centre University Hospital Southampton NHS Foundation Trust Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mari Carmen","family":"Portillo","sequence":"additional","affiliation":[{"name":"NIHR Applied Research Collaboration Wessex, Southampton Science Park Innovation Centre Southampton UK"},{"name":"School of Health Sciences University of Southampton Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,1]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-96286-8_96"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzu071"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.5334\/ijic.3096"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-020-05668-7"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/cjn.2024.62"},{"key":"e_1_2_12_7_1","doi-asserted-by":"crossref","unstructured":"M.NovakandS. 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