Topic
Integrated care
About: Integrated care is a research topic. Over the lifetime, 7318 publications have been published within this topic receiving 106960 citations. The topic is also known as: Integrated Delivery of Health Care & Delivery of Health Care, Integrated.
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TL;DR: A clear consensus on the need to define integrated care from the service user perspective now exists in England, and a narrative now exists to fulfil this purpose which has been developed by service users, patient groups, care professionals and system leaders.
Abstract: Purpose – The purpose of this paper is to describe the development of a narrative to redefine integrated care from the user's perspective, which is being promoted across England. Design/methodology/approach – The content of the narrative for person-centred coordinated care, recently launched in England, is described. The need for the narrative is explained in the context of the failure of previous integrated care programmes to identify and deliver clear benefits to service users. The sources and stages of development of the narrative are described. The author considers its place in national policy, further content development and its potential to help those planning programmes of integration. Findings – A clear consensus on the need to define integrated care from the service user perspective now exists in England, and a narrative now exists to fulfil this purpose which has been developed by service users, patient groups, care professionals and system leaders. It has radical potential to change service del...
58 citations
TL;DR: Investigation of patients' healthcare seeking behavior and doctor shopping behavior and the impact on the depletion of the healthcare resources for health policy makers to build a better health delivery system found health education to raise DSB awareness is necessary, especially for female's age 18-34 years.
58 citations
TL;DR: It is uncertain whether development of a single ‘all-inclusive’ model for assessing integrated care is desirable and the continuing need for validated instruments embedded in theoretical contexts is emphasised.
Abstract: Introduction: Although several measurement instruments have been developed to measure the level of integrated health care delivery, no standardised, validated instrument exists covering all aspects of integrated care. The purpose of this review is to identify the instruments concerning how to measure the level of integration across health-care sectors and to assess and evaluate the organisational elements within the instruments identified. Methods: An extensive, systematic literature review in PubMed, CINAHL, PsycINFO, Cochrane Library, Web of Science for the years 1980–2011. Selected abstracts were independently reviewed by two investigators. Results: We identified 23 measurement instruments and, within these, eight organisational elements were found. No measurement instrument covered all organisational elements, but almost all studies include well-defined structural and process aspects and six include cultural aspects; 14 explicitly stated using a theoretical framework. Conclusion and discussion: This review did not identify any measurement instrument covering all aspects of integrated care. Further, a lack of uniform use of the eight organisational elements across the studies was prevalent. It is uncertain whether development of a single ‘all-inclusive’ model for assessing integrated care is desirable. We emphasise the continuing need for validated instruments embedded in theoretical contexts.
58 citations
TL;DR: This handbook gives profound insight into the main ideas and concepts of integrated care and 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.
Abstract: 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.
58 citations
TL;DR: It is suggested that primary care family practices should adopt closer collaboration with other services in order to improve clinical outcomes and cost-effectiveness.
Abstract: Patients with co-morbidity and multi-morbidity have worse outcomes and greater healthcare needs Co-morbid depression and other long-term conditions present health services with challenges in delivering effective care for patients We provide some recent evidence from the literature to support the need for collaborative care, illustrated by practical examples of how to deliver a collaborative/integrated care continuum by presenting data collected between 2011 and 2012 from a London Borough clinical improvement programme that compared co-morbid diagnosis of depression and other long-term conditions and Accident and Emergency use We have provided some practical steps for developing collaborative care within primary care and suggest that primary care family practices should adopt closer collaboration with other services in order to improve clinical outcomes and cost-effectiveness
57 citations