[EQ] Frameworks of Integrated Care for the Elderly: A Systematic Review

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

Available online as PDF file [35p.] at: http://www.cprn.org/documents/49813_EN.pdf

 

“…..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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[EQ] Interprofessional Collaboration and Quality Primary Healthcare

CHSRF Synthesis: Interprofessional Collaboration and Quality Primary Healthcare

Canadian Health Services Research Foundation and the Health Council of Canada

 

            Available online as PDF file [48p.] at: http://www.chsrf.ca/research_themes/documents/SynthesisReport_E_FINAL.pdf

 

“….This synthesis was initiated to help the gain a better understanding of the evidence surrounding interprofessional collaboration in Canadian primary healthcare, and the potential benefits for patients and healthcare providers. It focuses on existing evaluations of interprofessional collaboration initiatives in the literature and projects funded through the Primary Health Care Transition Fund.

The synthesis report incorporates:

• findings from initiatives or projects that involved primary healthcare provision;

• a systematic review of peer-reviewed literature regarding outcomes of interprofessional collaboration in primary healthcare; and

• a Canadian environmental scan to obtain stakeholder feedback.

The process used to assess the quality of initiatives and projects included:

• examination of the qualitative and quantitative characteristics of the study design, and the nature of the health services intervention;

• rating of the study design characteristics based on level of evidence criteria; and

• grading of each study by an expert in primary healthcare research….”

 

Content:

EXECUTIVE SUMMARY

I. CONTEXT

A. Background Information

B. Synthesis Objectives and Review Questions

C. Implications of Current Research and Synthesis Review

II. APPROACH

A. Methodology

III. GREY AND PEER-REVIEWED LITERATURE

A. Grey and Peer-Reviewed Literature Meeting Inclusion Criteria

1. Interprofessional Collaboration and Patient/Client Outcomes

2. Interprofessional Collaboration and Health System Outcomes

3. Interprofessional Collaboration and Provider Outcomes

4. Variations in Interprofessional Collaboration and Outcomes

B. Grey and Peer-Reviewed Literature Not Meeting Inclusion Criteria

1. Interprofessional Collaboration: Chronic Disease Management

2. Interprofessional Collaboration: Principles, Definitions, Frameworks, Barriers and Facilitators

3. Interprofessional Collaboration: Tools, Evaluation and Research

IV. ENVIRONMENTAL SCAN

A. Overview Scan Results

1. Interprofessional Collaboration and Health System Outcomes

2. Interprofessional Collaboration and Patient/Client Outcomes

3. Interprofessional Collaboration and Provider Outcomes

4. Interprofessional Collaboration Model Variations and Outcomes

V. RESEARCH GAPS AND PRIORITIES

VI. SUMMARY AND CONCLUSIONS

ENDNOTES

BIBLIOGRAPHY

 

 

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This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
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[EQ] Poverty and Environment Indicators

Poverty & Environment Indicators

Report prepared for UNDP-UNEP under the Poverty and Environment Initiative

 

Coordinated by Flavio Comim
Capability and Sustainability Centre (CSC), University of Cambridge, 2008

 

Research Team CSC: Pushpam Kumar, Nicolas Sirven, Ely Mattos, Monica Concha, Esmeralda Correa, Carla da Silva, Philipe Berman

 

Available on-line as PDF file [44p.] at: http://www.st-edmunds.cam.ac.uk/csc/research/UNDP_UNEPengD.pdf

 

"….Poverty-reduction cannot be achieved without taking into account the  environment. Degraded ecosystems increase hunger, exacerbating risks, diseases and taking children out of school. Efforts to reduce human poverty cannot ignore the role that changes in ecosystems play in shaping human lives. Indeed, the importance of addressing the links between poverty and environment has been widely acknowledged by governments, preparing their Poverty Reduction Strategy Papers (PRSPs), and by international organisations, but full implementation of poverty and environmental strategies remains elusive."

 

"The challenge lying ahead consists in effectively developing concrete  mechanisms for monitoring poverty from an environmental perspective. One possible  solution for this challenge is the elaboration of Poverty & Environment Indicators that could be used in the formulation of Poverty Reduction Strategies (PRS)."

 

Particular emphasis is given to health variables in understanding the links with ecosystem services. Relational health dimensions, such as 'reduction in life expectancy from unsafe water', or 'undernutrition from erosion risk' or 'death from diarrohoea from unsafe water' or 'death from intestinal infections from traditional fuel consumption' are incorporated into a human development framework.

 

The report is conceived as an introduction to the literature on human well-being and environment indicators at the same time that it proposes a new methodology for integrating health, education and standard of living dimensions with environmental variables…..’

This report is divided into four parts:

 

·         The first part introduces some well-known general indicators that relate human well-being dimensions to environmental conditions. Although not central to this report, an investigation of a sample of general indicators raises important practical issues in defining poverty & environment indicators.

·         The second part explores what recent studies have said about poverty & environment links, with the purpose of learning about the existence of concrete associations that might inform policy-makers about similar situations that might be going on in their own countries.

·         The third part presents basic definitions used to handle poverty & environment indicators, including criteria for choosing indicators and the use of scale scores to help making a decision.

·         Finally, the report describes a new methodology for elaborating poverty & environment indicators that solves some technical limitations of previous methodologies.

 

 

Content:
Executive Summary

Introduction

Poverty

Environment

How Essential is the Environment for Poverty Reduction?

Human Development and Ecological Footprint

The Structure of the Report

Reviewing Studies on Human Well-Being & Environment Indicators

The Ecological Footprint

The Environmental Sustainability Index

The Barometer of Sustainability

Human Development Indexes

Index of Sustainable Economic Welfare

Lessons Learned

Reviewing Studies on Poverty & Environment Indicators.

Environmental Conditions and Health

Ecosystems and Livelihoods

Environment and Potential Risks

Environmental Indicators for Local Stakeholders

Environment and the MDGs

Lessons Learned

Developing and Using Poverty & Environment Indicators

Measurement

Levels of Measurement

Criteria for Choosing Indicators

Theoretical Models

A New Methodology for Elaborating Poverty & Environment Indicators

The Theoretical Model

Adjustment Factors

Summary of the New Methodology on P&E Indicators

The Conceptual Model

The Applied Model

Regressions

Results: P&E Indicators

Notes

 

 

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This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues.  [DD/ KMS Area]

“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.
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