Frameworks of Integrated Care for the Elderly: A Systematic Review
Margaret MacAdam - Ontario Ministry of Health and Long-Term Care
Canadian Policy Research Networks, CPRN Research Report - April 2008
“…..a literature review examines articles and papers that study comprehensive models of integrated or coordinated care. The author identified that some models of integrated health and social care can result in improved outcomes, client satisfaction and/or cost savings or cost-effectiveness. MacAdam identifies four frameworks with common interventions that must be structured to support each other.
These key elements are: umbrella organizational structures to guide integration of strategic, managerial and service delivery levels; multidisciplinary case management for effective evaluation and planning of client needs; organized provider networks; and financial incentives to promote prevention, rehabilitation and the downward substitution of services, as well as to enable service integration and efficiency….”
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