[EQ] Clinical and service integration: the route to improved outcomes

Clinical and service integration:
the route to improved outcomes

Natasha Curry and Chris Ham
The King's Fund 2010 - ISBN 978 1 85717 605 6

Available online PDF [64p.] at: http://t.co/gdQZgQm

 “…..Does integration of care act as a barrier to choice and competition?
This question has long been debated and highlights the complexities and nuances of the issue.
The debate should be informed by evidence on the performance of integrated systems – and by greater clarity on the terminology used.

 

Clinical and system integration makes a significant contribution to that debate by:

- describing integrated care and identifying the different forms it takes

- exploring the different levels within the system at which it operates

- setting out the evidence for the different systems.

 

Integration can take a variety of forms, involving either providers, or providers and commissioners, who work together to deliver better outcomes at a number of levels within the system.

 

This report summarises relevant evidence about high-profile integrated systems in the United States, such as Kaiser Permanente and Geisinger Health System and outlines examples of integrated care in North America and Europe for particular groups, such as older people or patients with long-term conditions – for example, the integrated health and social care teams in Torbay. It also explores the range of approaches to improving co-ordination for individual patients and carers – for example, the Care Programme Approach in mental health.

 

The report focuses on examples that are most relevant to the NHS in England in the context of the coalition government's programme. ......”

Content:

Executive summary

Introduction

Definitions and forms of integration

Macro-level integration

Meso-level integration

Micro-level integration

Implications for the NHS

References

 

 

 *      *     *
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/ KMC Area]
Washington DC USA

“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”.
------------------------------------------------------------------------------------
PAHO/WHO Website
Equity List - Archives - Join/remove: http://listserv.paho.org/Archives/equidad.html
Twitter http://twitter.com/eqpaho

IMPORTANT: This transmission is for use by the intended
recipient and it may contain privileged, proprietary or
confidential information. If you are not the intended
recipient or a person responsible for delivering this
transmission to the intended recipient, you may not
disclose, copy or distribute this transmission or take
any action in reliance on it. If you received this transmission
in error, please dispose of and delete this transmission. 

Thank you.