Improved Health System Performance through Better Care Coordination
Maria M. Hofmarcher, Howard Oxley, and Elena Rusticelli
Health Working Papers, No. 30 – December 2007
Organisation for Economic Co-operation and Development - OECD
Available online as PDF file [85p.] at: http://www.olis.oecd.org/olis/2007doc.nsf/ENGDATCORPLOOK/NT00005926/$FILE/JT03237930.PDF
“…This report attempts to assess whether -- and to what degree - better care coordination can improve health system performance in terms of quality and cost-efficiency. Coordination of care refers to policies that help create patient-centred care that is more coherent both within and across care settings and over time. Broadly speaking, it means making health-care systems more attentive to the needs of individual patients and ensuring they get the appropriate care for acute episodes as well as care aimed at stabilising their health over long periods in less costly environments….”
“…….Interest in coordination of care issues is increasing. Targeted programmes appear to improve quality but evidence on cost-efficiency is inconclusive.
Care coordination would be facilitated by better information transfer and wider use of ICT The balance of resources going to ambulatory care may need to be reviewed. New ambulatory care models need consideration. Care coordination may benefit from greater health-system integration ….”
CHAPTER 1. COORDINATION OF CARE: ISSUES, OBJECTIVES AND PRACTICE
1.1 Why care coordination issues are receiving greater attention
1.2 Which health-care goals might be better achieved from improved care coordination?
1.3 Evidence on current care-coordination practices in survey countries.
CHAPTER 2. CONDITIONS FOR ACHIEVING BETTER CARE COORDINATION
2.1 More readily available information on patient health and on provider quality is needed
2.2 The capacity of ambulatory care providers’ to coordinate needs strengthening
2.3 Payment schemes need to be better aligned with system-wide objectives
2.4 Regulatory and administrative barriers to cooperation across sectors need to be reduced
CHAPTER 3. "TARGETED" CARE CO-ORDINATION PROGRAMMES AND POLICIES
3.1 Experience with targeted programmes: a cross-country overview
3.2 The impact of disease/case management programmes: a review of recent literature
3.3 Some tentative conclusions: quality improvements may come at a cost
CHAPTER 4. EXPERIENCE WITH COORDINATION OF CARE IN SELECTED OECD COUNTRIES
4.4. Lessons learned from country cases
CHAPTER 5. SOME AREAS FOR POLICY CONSIDERATION
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