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.
Papers published on a yearly basis
Papers
More filters
TL;DR: Integrated care models have the potential to improve care for patients with chronic diseases and concurrently have a positive impact on health care expenditure, and policy-makers are suggested to improve the incentives for patientsWith chronic diseases within the existing regulations providing further potential for cost-efficiency of medical care.
Abstract: Introduction: This study investigates the efficiency gains of integrated care models in Switzerland, since these models are regarded as cost containment options in national social health insurance. These plans generate much lower average health care expenditure than the basic insurance plan. The question is, however, to what extent these total savings are due to the effects of selection and efficiency. Methods: The empirical analysis is based on data from 399,274 Swiss residents that constantly had compulsory health insurance with the Helsana Group, the largest health insurer in Switzerland, covering the years 2006 to 2009. In order to evaluate the efficiency of the different integrated care models, we apply an econometric approach with a mixed-effects model. Results: Our estimations indicate that the efficiency effects of integrated care models on health care expenditure are significant. However, the different insurance plans vary, revealing the following efficiency gains per model: contracted capitated model 21.2%, contracted non-capitated model 15.5% and telemedicine model 3.7%. The remaining 8.5%, 5.6% and 22.5% respectively of the variation in total health care expenditure can be attributed to the effects of selection. Conclusions: Integrated care models have the potential to improve care for patients with chronic diseases and concurrently have a positive impact on health care expenditure. We suggest policy makers improve the incentives for patients with chronic diseases within the existing regulations providing further potential for cost-efficiency of medical care.
56 citations
World Health Organization1, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico2, University of London3, Goa Medical College4, University of Auckland5, Aga Khan University Hospital6, Indiana University – Purdue University Indianapolis7, University of Nairobi8, University of Washington9, The Chinese University of Hong Kong10, King's College London11, University of New South Wales12
TL;DR: Islene Araujo de Carvalho and coauthors discuss the WHO guidelines on integrated care for older people in Portugal with a focus on mental health services.
Abstract: Islene Araujo de Carvalho and coauthors discuss the WHO guidelines on integrated care for older people.
56 citations
TL;DR: Work by the ADVANTAGE Joint Action (JA), co-funded by the European Union and 22 Member States, to develop a common European approach to the prevention and management of frailty is described.
Abstract: Frailty is increasingly recognised as a public health priority due to the associated demand for acute and longer term health and social care support, and the impact on the lives of individuals, caregivers and families. Integrated care is widely considered to be most effective when applied to an older population, but there is limited data on outcomes and costs from studies of integrated care to prevent and manage frailty. This paper describes work by the ADVANTAGE Joint Action (JA), co-funded by the European Union and 22 Member States, to develop a common European approach to the prevention and management of frailty. The authors reflect on the emerging evidence and experience of implementing integrated care for frailty, and invite readers to participate in ongoing dialogue on this topic through the ADVANTAGE JA website and IFIC Academy activities.
56 citations
TL;DR: The aim is to explore the comparative validity of different theoretical perspectives on the reasons for co-operation, to indicate directions for further study and for policy making.
56 citations
TL;DR: Receipt of same-day PC-MHI services were more likely to initiate psychotherapy and antidepressant medications within 12 weeks and within 6 months than were those who received only PC services on the screening day.
Abstract: BACKGROUND
Primary Care-Mental Health Integration (PC-MHI) may improve mental health services access and continuity of care.
55 citations