IPCHS. Integrated People-Centred Health Services

Contents

Contents tagged: integrated care

Feb. 14, 2017 Europe Publication

SUSTAIN goes live: video-interviews with representatives from the sites

SUSTAIN is a cross-European research project and stands for sustainable tailored integrated care for older people in Europe. The project aims to concretely improve the way care services for older adults are organised and delivered across Europe, and especially for those who have multiple health and social care needs.SUSTAIN is a cross-European project with thirteen partners from nine countries. SUSTAIN is working with fourteen initiatives in seven participating countries. These initiatives aim to achieve integrated care for older people living at home and SUSTAIN will support them in further improving this care.

The project consortium has produced a series of video-interviews aimed at sharing the early experience of professionals directly involved in the implementation of the project within the SUSTAIN sites. In particular, we aimed at getting views and opinions on motivations, goals and objectives, implementation challenges and cross-countries exchenges between the SUSTAIN sites.

The first round of videos ...

Feb. 1, 2017 Europe News

Progress on integrated care

This year´s conference of the International Foundation for Integrated Care (IFIC16) in Barcelona attracted over 1000 delegates and participants. Shortly afterwards, the World Health assembly adopted a global framework on integrated people-centred health services develope by the WHO, and an alliance of organisations created a European call for action to implement the framework at EU level. 

Read more

 

Jan. 17, 2017 Europe Publication

Integrated Care: theory to practice

"Integrated care" is pitched as the solution to current health system challenges. In the literature, what integrated care actually involves is complex and contested. Multi-disciplinary team management is frequently the primary focus of integrated care when implemented internationally. This study examine the practical application of integrated care in the NHS in England to exemplify the prevalence of the case management focus. It looks at the evidence for effectiveness of multi-disciplinary team case management, for the focus on high-risk groups and for integrated care more generally. They suggest realistic expectations of what integration of care alone can achieve and additional research questions. 

Jan. 4, 2017 Global Event

WEBINAR Integrated Care Matters Series - Community centred Palliative Care

The International Foundation for Integrated Care is delighted to introduce a new series of webinars on people-centred integrated care in practice.The series will be hosted by IFIC – Scotland in collaboration with Healthcare Improvement Scotland, the Health and Social Care Alliance, the University of the West of Scotland and the Scottish School of Primary Care.

Each monthly webinar will feature health and care practitioners from Scotland in conversation with colleagues from across the World. All of the ‘Home and Away’ presenters have lived experience of implementing people-centred integrated care and will offer practical tips and peer support as part of IFIC’s global community of practice.

Each one hour session will include insights from people who currently use health and social care support and from undergraduate students as the future workforce.

Each webinar will extend IFIC’s on-line knowledge tree of tools and resources related to the specific integrated care ...

Jan. 4, 2017 Global Event

WEBINAR Integrated Care Matters Series - Locality Interdisciplinary Teams

The International Foundation for Integrated Care is delighted to introduce a new series of webinars on people-centred integrated care in practice.The series will be hosted by IFIC – Scotland in collaboration with Healthcare Improvement Scotland, the Health and Social Care Alliance, the University of the West of Scotland and the Scottish School of Primary Care.

Each monthly webinar will feature health and care practitioners from Scotland in conversation with colleagues from across the World. All of the ‘Home and Away’ presenters have lived experience of implementing people-centred integrated care and will offer practical tips and peer support as part of IFIC’s global community of practice.

Each one hour session will include insights from people who currently use health and social care support and from undergraduate students as the future workforce.

Each webinar will extend IFIC’s on-line knowledge tree of tools and resources related to the specific integrated care ...

Jan. 4, 2017 Global Event

WEBINAR Integrated Care Matters Series - A House of Care and Compassion

The International Foundation for Integrated Care is delighted to introduce a new series of webinars on people-centred integrated care in practice.The series will be hosted by IFIC – Scotland in collaboration with Healthcare Improvement Scotland, the Health and Social Care Alliance, the University of the West of Scotland and the Scottish School of Primary Care.

Each monthly webinar will feature health and care practitioners from Scotland in conversation with colleagues from across the World. All of the ‘Home and Away’ presenters have lived experience of implementing people-centred integrated care and will offer practical tips and peer support as part of IFIC’s global community of practice.

Each one hour session will include insights from people who currently use health and social care support and from undergraduate students as the future workforce.

Each webinar will extend IFIC’s on-line knowledge tree of tools and resources related to the specific integrated care ...

Jan. 4, 2017 Global Event

WEBINAR Integrated Care Matters Series: Anticipatory Care Planing

The International Foundation for Integrated Care is delighted to introduce a new series of webinars on people-centred integrated care in practice.The series will be hosted by IFIC – Scotland in collaboration with Healthcare Improvement Scotland, the Health and Social Care Alliance, the University of the West of Scotland and the Scottish School of Primary Care.

Each monthly webinar will feature health and care practitioners from Scotland in conversation with colleagues from across the World. All of the ‘Home and Away’ presenters have lived experience of implementing people-centred integrated care and will offer practical tips and peer support as part of IFIC’s global community of practice.

Each one hour session will include insights from people who currently use health and social care support and from undergraduate students as the future workforce.

Each webinar will extend IFIC’s on-line knowledge tree of tools and resources related to the specific integrated care ...

Dec. 12, 2016 Global Publication

What can a participatory approach to evaluation contribute to the field of integrated care?

Better integration of care within the health sector and between health and social care is seen in many countries as an essential way of addressing the enduring problems of dwindling resources, changing demographics and unacceptable variation in quality of care. Current research evidence about the effectiveness of integration efforts supports neither the enthusiasm of those promoting and designing integrated care programmes nor the growing efforts of practitioners attempting to integrate care on the ground.

We propose that the approach added value to the programme in a number of ways: by engaging stakeholders in using established evidence and with the benefits of rigorously evaluating their work, by providing insights for local stakeholders that they were either not familiar with or had not fully considered in relation to the development and implementation of the programme and by challenging established mindsets and norms.

While there is still much to learn about the benefits ...

Dec. 12, 2016 Global Publication

Integrated care for patients and populations: Improving outcomes by working together

This report examines:

- The case for integrated care

- What current barriers to integrated care need to be overcome and how

- What the Department of Health can do to provide a supporting framework to enable integrated care to flourish

- Options for a practical and technical support to those implementing integrated care, including approaches to evaluatin its impact 

The report asserts that developing integrated care should assume the same priority over the nect decade as reducing waiting times had during the last. The report makes a constructive contribution to the debate about integrated care and will be of interest to policy-makers, health and social care commissioners, and researchers with an interest in integrated care, as well as to health and social care organisations. 

Dec. 12, 2016 Global Publication

From vision to action. Making patient-centred care a reality

The NHS have worked with The King´s Fund to translate their themes into outcomes for patients and set out the most important priorities for action to achieve these outcomes. Under each of their five themes: 

- Co-ordinated care

- Patients engaged decisions about their care

- Supported self-management

- Prevention, early diagnosis and intervention

- Emotional, psychological and practical support

they have described the outcomes that they most want to achieve for patients. In order to achieve these outcomes, they hace then selected the service improvements that, if met, will have a major impact on the quality and cost-effectiveness of care. 

Sept. 28, 2016 Americas, Global Publication

Organizational Context and Capabilities for Integrating Care: A Framework for Improvement

Interventions aimed at integrating care have become widespread in healthcare; however, there is significant variability in their success. Differences in organizational contexts and associated capabilities may be responsible for some of this variability.

Purpose: This study develops and validates a conceptual framework of organizational capabilities for integrating care, identifies which of these capabilities may be most important, and explores the mechanisms by which they influence integrated care efforts. 

Methods: The Context and Capabilities for Integrating Care (CCIC) Framework was developed through a literature review, and revised and validated through interviews with leaders and care providers engaged in integrated care networks in Ontario, Canada. Interviews involved open-ended questions and graphic elicitation. Quantitative content analysis was used to summarize the data. 

Results: The CCIC Framework consists of eighteen organizational factors in three categories: Basic Structures, People and Values, and Key Processes. The three most important capabilities shaping the capacity of organizations to ...

Sept. 19, 2016 South-East Asia Publication

Healthy China : deepening health reform in China building high-quality and value-based service delivery

As many other countries, China faces big challenges to meet the health care needs of her citizens, associated with a rapidly aging society and increasing burden of non-communicable diseases (NCDs). Also, health costs have been growing at a rate higher than GDP growth since 2008.

Since the launch of health reform in 2009, China has invested significantly in health infrastructure at the grassroots level and made progress in building the primary care doctors system. Basic public health services capacity has been significantly enhanced. China is progressing quickly to achieving universal health coverage and some of the reform achievements have attracted worldwide attention.

The reform commanded many innovative pilots in health financing and service delivery at the local level and provided a strong foundation for the next stage of reform. This report aim to support China during this reform phase by recommending 8 sets of strategic reform directions, referred to as ...

Sept. 15, 2016 Europe, Global Publication

Power and Integrated Health Care: Shifting from Governance to Governmentality

Integrated care occurs within micro, meso and macro levels of governance structures, which are shaped by complex power dynamics. Yet theoretically-led notions of power, and scrutiny of its meanings and its functioning, are neglected in the literature on integrated care. We explore an alternative approach. Following a discussion on governance, two streams of theorising power are presented: mainstream and second-stream. Mainstream concepts are based on the notion of power-as-capacity, of one agent ­having the capacity to influence another—so the overall idea is ‘power over ’. Studies on integrated care ­typically employ mainstream ideas, which yield rather limited analyses. Second-stream concepts focus on ­strategies and relations of power—how it is channelled, negotiated and (re)produced. These notions align well with the contemporary shift away from the idea that power is centralised, towards more fluid ideas of power as dispersed and (re)negotiated throughout a range of societal structures, networks and ...

July 28, 2016 Global Publication

Understanding integrated care: a complex process, a fundamental principle

Recent Editorial in the International Journal on Integrated Care, written by Nick Goodwin, emphasising the importance of the Framework. Around the past year Nick Goodwin has been involved in a range of research and development activities that seek to understand and/or promote the successful adoption of integrated care. In each of these, a common opening statement from protagonists is to typically say that “there is no universally accepted definition of integrated care, no one model of care that can be replicated locally, and little evidence to tell us that it works”. Whilst the latter might be disputed it remains true that people struggle with what integrated care means and particularly how it can be applied.

Read more...

June 30, 2016 Europe Publication

Governance for new care models

Dr Rachael Addicott, Senior Research Fellow from The King’s Fund, discussed about her research into governance for new care models during the event on Multi-specialty community providers and primary and acute care systems (7 June 2016)

If you are interested in other presentations from this event, click here

 

 

June 30, 2016 Global Event

17th International Conference in Integrated Care "Building a platform for integrated care: delivering change that matters to people"

The 16th International Conference in Integrated Care "Building a platform for integrated care: delivering change that matters to people" will incorporate the 5th World Congress on Integrated Care as it comes to Europe for the first time. It will take place in Dublin, Ireland, from the 8-10 May 2017. 

The conference themes include: Promoting the health and welfare of people, families and communities; Timely transitions: optimizing patient flow across care settings: Preventing and managing chronic disease: engaging and empowering people; Ageing health and well being; and Implementing integrated care.


For more information, please visit:
 http://www.integratedcarefoundation.org/icic17 

 

June 30, 2016 Global Publication

Achieving triple integration: The central role of mental health in integrated care

During the 16th International Conference on Integrated Care that was held Barcelona last May,  one of the keynote presentation that was highlighted was "Achieving triple integration: The central role of mental health in integrated care"by Chris Naylor, Senior Fellow and Policy from The King's Fund.

 

The Spanish version of the video is available here: Achieving triple integration: The central role of mental health in integrated care

June 22, 2016 Europe Event

Integrated Care Summit 2016: Improving local population health and delivering accountable care

This conference will explore the ways NHS organisations and their partners can collaborate in order to meet the needs of the population they serve. Showcasing learning from national and international accountable care systems, as well as other emerging new care models, conference sessions will provide a key opportunity to hear and learn from local areas on the journey towards more systemic and integrated approaches to improving population health.

June 21, 2016 Europe, Global Publication

Can hospital services work in primary care settings?

In this post, the author analyzes how recent changes in primary care in the National Health Services could face the purpose of moving some services from hospital to primary care settings.

The author bases her discussion on a report published by RAND corporation (“Outpatient Services and Primary Care”) that identifies five main areas to be considered when moving services from hospital to primary care:

  1. Transfer: The substitution of services delivered by specialists for services delivered by primary care clinicians.
  2. Relocation: Shifting the venue of specialist care from hospitals to primary care settings.
  3. Liaison: Joint working between specialists and primary care clinicians to provide care to individual patients.
  4. Professional behaviour change: Changing the way GPs refer patients to specialists.
  5. Patient behaviour change: Helping patients make informed decisions about their care.

There is not a unique way of moving these services; many studies suggest that patients’ satisfaction usually grows when services are ...

June 19, 2016 Americas Publication

The creative potential of health work to develop an integrated care model in Brazilian primary health care  

In November 2015, at the 3rd World Congress on Integrated Care and 8th National Congress of Integrated Medicine, “Co-producing High Quality People-Centered Integrated Care for ALL”, Debora Santos presented her PhD research on primary health care teams in Alagoas, the most unequal state in Brazil. According to Debora Santos, while Brazil's Unified Health System (SUS) is headed by principles of integrated care, in practice a biomedical conception of health typically prevails instead of one focused on integrated care. Therefore, the objective of her research was to identify potential ways to develop an integrated care model of primary health care focused on the principles of social health rights, integrated access, equity, team work and health promotion. Through focus groups and interviews with primary health care teams she identified several challenges and potentialities for integrated care. For example,  the teams faced both objective (clinical) and subjective (emotional) needs but had limited ...

June 16, 2016 Global Publication

People centred Care in theory and practice

On the 23-25 May 2016, the 16th International Conference on Integrated Care in Barcelona attracted 1200 delegates from nearly 50 countries, and a further 600 persons per day watching events via the live stream.

One of the highlights of the conference, is the speech of Dr Angela Coulter, Senior Research Scientist, from The Nuffield Department of Population Health (NDPH), University of Oxford, UK, about "People centred Care in theory and practice".

June 10, 2016 Global Event

WCIC4 Extended deadline for submission of abstracts

The International Foundation of Integrated Care (IFIC), in partnership with General Practice New Zealand (GPNZ) and Healthcare Quality and Safety Commission (HCQSC) , presents the 4rd World Congress on Integrated Care “Investing in our Future: Improving the Health of People and Communities” to take place in Wellington, New Zealand 23 to 25 November 2016.

They extended the call for submission of abstracts until Friday 1 July 2016. Follow the link below for more information. 

May 25, 2016 Europe Practice

SUSTAIN: Sustainable tailored integrated care for older people in Europe

Problem: The project started from their observation that in all European countries, care for older people is often poorly coordinated. This prevents care from adequately meeting the needs of older adults, and it shows that quality of care and outcomes could be much improved.

Solutions:  SUSTAIN will in particular aim to support and improve what we call ‘integrated care’. By a better ‘integration’ of care, it means that: care for older people is better organised, and professionals coordinate the care they deliver; older persons’ health and social care needs are well assessed; care services listen carefully to older persons and informal carers, seek to involve them in the decisions affecting them and deliver care in line with their needs and preferences as much as they can (‘person-centred care’); professionals from different disciplines (prevention, healthcare, social care) are included in the care team, and different types of support are offered (including ...

May 25, 2016 Global Publication

ICIC16 – 16th International Conference on Integrated Care

The conference will be held in Barcelona from the 23th to the 25th of May and will bring together researchers, clinicians and managers from around the world who are engaged in the design and delivery of integrated health and social care. They will share experience and the latest evidence about integrating Public Health, Health and Social Care and the New roles and Possibilities for Hospitals, producing Positive and Curative Integrated Mental and Physical Care, mobilising key enablers like policy making and Mobile and Digital Health Solutions, and investment in an Integrated Care Workforce, clinical leadership and coproduction with individuals, careers, communities and populations.

The conference can follow with the hashtag #ICIC16 and will be streaming live to the global audience in English and Spanish. It is possible to take part in the discussions and ask questions to the speakers from your own home or from your institution as an individual ...

May 25, 2016 Western Pacific Publication

Consolidating the social health insurance schemes in China: towards an equitable and efficient health system

Fragmentation in social health insurance schemes is an important factor for inequitable access to health care and financial protection for people covered by different health insurance schemes in China. To fulfil its commitment of universal health coverage by 2020, the Chinese Government needs to prioritise addressing this issue. After analysing the situation of fragmentation, this Review summarises efforts to consolidate health insurance schemes both in China and internationally. Rural migrants, elderly people, and those with non-communicable diseases in China will greatly benefit from consolidation of the existing health insurance schemes with extended funding pools, thereby narrowing the disparities among health insurance schemes in fund level and benefit package. Political commitments, institutional innovations, and a feasible implementation plan are the major elements needed for success in consolidation. Achievement of universal health coverage in China needs systemic strategies including consolidation of the social health insurance schemes.

May 24, 2016 Europe Partner

The University of Gothenburg Centre for Person-centred Care - GPCC

The University of Gothenburg Centre for Person-centred Care - GPCC is an interdisciplinary research centre, established in January 2010, with the support of the Swedish government's strategic investment in health and care research. The centre performs interventional and explorative studies on person-centred care in a wide variety of health care settings. This research has established that person-centred care is capable of enhancing the efficiency of the care process. Apart from considerable monetary savings resulting from amongst other things shorter hospital stays, significant positive effects from a patient perspective have been seen, including improved self-efficacy and increased patient satisfaction, as care is adapted to each individual person and his or her resources are utilised. In addition the centre applies its findings to implementation, innovation and educational courses and workshops in academic and healthcare settings.

GPCC's vision: Sustainable health through sustainable care: To prevent and reduce suffering and strengthen the efficiency ...

May 17, 2016 Europe Publication

GPCC Person-centred care research centre web site

This research centre web site contains a range of information, films, presentations, resources and links; from basic information on person-centred care to information on a wide range of individual research projects from health and elderly care and rehabilitation. It also contains news, events, scientific publications and implementation.

The Gothenburg University Centre for Person-centred Care (GPCC) is an interdisciplinary research centre, established in January 2010, with the support of the Swedish government's strategic investment in health and care research. Uniquely GPCC has evaluated the effects of person-centred care in controlled studies. This has established that person-centred care is capable of enhancing the efficiency of the care process. Apart from considerable monetary savings resulting from amongst other things shorter hospital stays, significant positive effects from a patient perspective have been seen, as care is adapted to each individual person and his or her resources are made use of.

(A summary commentary ...

May 17, 2016 Europe Publication

Partnership, Person-Centredness in Health Care

Person-centred care is an emerging concept in health care. Many people ask what is new about it, and as a matter of fact many health care professionals believe that they work in a person-centred way already. But shifting to a person-centred care practice often involves a profound change in culture and structure, and the key is a different approach in seeing the patient as a partner. The main thing is about being able to listen. Being able to listen to the patient and co-create a care plan; to create a partnership in health care.

The University of Gothenburg Centre for Person-centred Care - GPCC, performs research, education and innovation in person-centred care. Many of the centre’s projects are performed in partnership with Sahlgrenska University Hospital, one of the biggest in Europe, which is closely linked to the University via the The Sahlgrenska Academy.

This short film sets the scene by ...

May 16, 2016 Africa, Europe Publication

Voices on person-centred care

What is person-centred care to a patient, a physician, a nurse, a hospital head of department, an industry representative and a researcher? How do these people, who all have experience of receiving or working with person-centred care, see person-centred care from their perspectives? Short film clips from the University of Gothenburg Centre for Person-centred Care - GPCC. GPCC is an in terdisciplinary research centre, established in January 2010, with the support of the Swedish government's strategic investment in health and care research. Uniquely GPCC has evaluated the effects of person-centred care in controlled studies. This has established that person-centred care is capable of enhancing the efficiency of the care process. Apart from considerable monetary savings resulting from amongst other things shorter hospital stays, significant positive effects from a patient perspective have been seen, as care is adapted to each individual person and his or her resources are made use of.

May 12, 2016 Global Publication

New primary care model yielding early results

Several ways of shaping primary care are being developed all around the world. Improving the role of nurses or giving general practitioners new competences are just a couple of ways of moving primary care towards a more comprehensive way of working.

In this post in the NHS Confederation Blog, some of the initiatives performed to change primary care are explained and some of the challenges that future primary care will face are listed.


One of the main points outstanded is the need of integrating care and workforce from different levels of health care. As it is said in this post “Patients will benefit from easy access to a single integrated, multidisciplinary team drawn from a wide range of health and social care professionals”

May 11, 2016 Europe Publication

SUSTAIN Project: Sustainable tailored integrated care for older people in Europe.

SUSTAIN is a cross-European research project and stands for sustainable tailored integrated care for older people in Europe. It aims to concretely improve the way care services for older adults are organised and delivered across Europe, and especially for those who have multiple health and social care needs. 

The project started from the observation that in all European countries, care for older people is often poorly coordinated. This prevents care from adequately meeting the needs of older adults, and it shows that quality of care and outcomes could be much improved. 

Concretely, the project will:

  • Analyse the 14 care services by gathering data and by interviewing several persons who are involved (practitioners, users, policy makers, health insurers etc.).
  • With a group of organisations (associations, groups, etc.) at local level, design and implement a set of improvements of the care service, with regards to key principles and values for quality of ...

April 26, 2016 Americas, Europe, Western Pacific Publication

Integrating funds for health and social care: an evidence review

Objectives

Integrated funds for health and social care are one possible way of improving care for people with complex care requirements. If integrated funds facilitate coordinated care, this could support improvements in patient experience, and health and social care outcomes, reduce avoidable hospital admissions and delayed discharges, and so reduce costs. In this article, we examine whether this potential has been realized in practice.

Methods

We propose a framework based on agency theory for understanding the role that integrated funding can play in promoting coordinated care, and review the evidence to see whether the expected effects are realized in practice. We searched eight electronic databases and relevant websites, and checked reference lists of reviews and empirical studies. We extracted data on the types of funding integration used by schemes, their benefits and costs (including unintended effects), and the barriers to implementation. We interpreted our findings with reference to our framework ...

April 21, 2016 Europe Publication

Ten actions required to improve health, social care and well-being in Wales

Health and social care organizations from Wales joined in the Welsh NHS Confederation’s 2016 Challenge Policy Forum and the published  a document called “Ten actions required to improve health, social care and well-being in Wales", trying to establish their priorities in order to get a better system.

The ten priorities described are: long term vision, ensuring financing, planning workforce, person centred and integrated care, public health perspective, improve preventive measurements, creating a culture of honest and open communication with population, improving mental health support, ensuring equal access to health and social care and improving the use of technology.

April 21, 2016 Global Publication

Integrated care – taking specialist medical care beyond the hospital walls

The Royal College of Physicians has published in 2016 a document titled “Integrated care -  taking specialist medical care beyond the hospital walls”.

In the first part of this document they are described some of the main topics about integrated care, how it is conceptualize and what it really implies for patients, professionals and for the whole system.

Afterwards, some study cases are shown as examples to go deeper into different dimensions of integrated care such as the need for sustainable models of integrated care, leadership, management and governance or self-management and care.

Finally, the document lists five key areas where physicians should focus in order to improve integrated care: (I) Ensure that the patient’s and carer’s perspective is the organising principle of service delivery across organisations, (II) Support population health and wellbeing outside the hospital walls, while offering specialist care within the hospital and being an advocate for ...

April 4, 2016 Europe Publication

Age UK’s Personalised Integrated Care Programme: where are we now?

Age UK launched its personalised integrated care programme in 2012 in Cornwall. In this post, published in its blog, some data about its evaluation are shown and discussed.

The main objectives of this programme are to improve health and wellbeing of older people by tailoring services to meet their needs, improve the experience and quality of care received, and to reduce unplanned hospital admissions amongst older people with multiple long-term conditions.

The evaluation showed a 31% reduction in all hospital admissions, a 26% reduction in emergency ones, and a 20% improvement in older people’s health and wellbeing. In addition, one fifth of aged people participating in the programme became volunteers in order to be able to improve other people’s health and wellbeing.

In 2015, this programme expanded to nine more places across the United Kingdom, a substantial challenge because, as it is said in the post, the needs ...

April 4, 2016 Global Publication

The MDG To SDG Transition: the role of hospitals and integrated primary care.

In 2016, the world will be moving from the Millenium Development Goals (MDG) to the Sustainable Development Goals (SDG). Regarding health-related goals, most of the funding in recent years has been focusing on disease-specific programmes and strengthening primary care; nevertheless, public health, health promotion, prevention, and controlling risk factors through a broad range of policy interventions, both within and outside the health sector, must be an important focus in the era of SDGs.


In this post, integrated health services are seen as a main factor to achieve the health-related topics in the SDGs. The author defends not only strong primary care services to deliver broad quality care, but also that these services should be integrated with essential hospital services. The article emphasizes that this kind of integration would be even more important in countries with a weak health system, in order to build a strong system that could face the ...

March 30, 2016 Global Event

4th International Conference on Evidence-based Policy in Long-term Care

The 4th International Conference on Evidence-based Policy in Long-term Care will be held from 4th to 7th of September 2016 at the London School of Economics and Political Science, London. Building on the success of the three previous editions, the conference will focus on empirical research with direct relevance to long-term care policy offering an opportunity to debate with international experts policy issues related to the organisation, delivery, funding and regulation of long-term care services.

Some of the main thematic areas to be covered include: care models; case management; economics of long-term care; equity and efficiency; funding systems; health and social care integration; housing and care; institutional dynamics and politics; international comparative analysis; local vs. central policy interactions; personalisation of the care system; policy implications of dementia; service commissioning and regulation; technology and long-term care; unpaid carers; workforce and migrant workers. Abstracts on other relevant LTC policy evaluation topics will ...

March 30, 2016 Europe Event

Delivering integrated care for older people with frailty

The conference was focused on the ways in which integrated care can be delivered for older people with frailty, looking at interactions between acute, primary, community and social care services, older people living with complex co-morbidities and ways in which older people with frailty can be supported to maintain their health and wellbeing.

Presentations are available in this link: Delivering integrated care for older people with frailty 

March 18, 2016 Global Publication

Physical and mental health: a new frontier for integrated care.

Traditionally, integrated care has been focused on closing the gaps between social and health care. Nevertheless, integrating mental and physical care should also be seen as a way to develop integrated care. In this report published by the King’s Fund, this topic is addressed, describing the current situation of mental and physical care and identifying ten areas where this kind of integration would be most needed:

 

  1. Incorporating mental health into public health programmes.

  2. Promoting health among people with severe mental illness.

  3. Improving management of medically unexplained symptoms in primary care.

  4. Strengthening primary care for the physical health needs of people with severe mental illnesses.

  5. Supporting the mental health for people with long-term conditions.

  6. Supporting the mental health and wellbeing for carers.

  7. Supporting mental health in acute hospitals.

  8. Addressing physical health in mental health inpatient facilities.

  9. Providing integrated support for perinatal mental health.

  10. Supporting the mental health needs of people ...

March 16, 2016 Europe Publication

Bringing together physical and mental health: A new frontier for integrated care

In March 2016, the King’s Fund published a compelling case for this ‘new frontier’ for integration:physical and mental health. It gives service users’ perspectives on what integrated care would look like and highlights 10 areas that offer some of the biggest opportunities for improving the quality and controlling costs: 

  1. Incorporating mental health into public health programmes
  2. Promoting health among people with severe mental illnesses
  3. Improving management of medically unexplained symptoms in primary care
  4. Strengthening primary care for the physical health needs of people with severe mental illnesses
  5. Supporting the mental health of people with long-term conditions
  6. Supporting the mental health and wellbeing of carers
  7. Supporting mental health in acute hospitals
  8. Addressing physical health in mental health inpatient facilities
  9. Providing integrated support for perinatal mental health
  10. Supporting the mental health needs of people in residential homes

The key findings of this report are precisely that the efforts to develop ...

March 3, 2016 Europe Publication

The Right Medicine: Improving Care in Care Homes.

The increase of polypharmacy together with the population aging is making care homes a central point to develop health care programmes, specially related to medicines management and integration of different health care proffessionals.

The Royal Pharmaceutical Society has recently published a report addressing the main issues of medicine use in care homes. The needs identified by the authors include developing better communication systems, reducing falls in care homes, decreasing inappropriate use of psychotropic medicines, improving coordinated end of life care and lowering waste of medicines at home.

The report includes some recommendations such as giving pharmacists a major role in care homes medicine management, strengthening coordination between physicians and pharmacists or developing programmes of regular medicines review and staff training in integrated teams with other practitioners.

Feb. 26, 2016 Global Event

International Summer School Integrated Care (ISSIC)

The International Summer School on Integrated Care, “Integrated Care in Theory and Practice” is organized by the Integrated Care Academy© and provides a one-week intensive training on theory and practice of integrated care. It is aimed at health and social care professionals, clinicians, researchers and managers who want to strengthen their understanding of integrated care, get a comprehensive overview of the state of the art in theory and practice, and hone their competencies in analyzing, designing, evaluating and practicing integrated care. The course has been developed for those who are tasked with designing, implementing, leading and/or managing integrated care and want to learn more about the tools and instruments which are available to them with evidence from around the world.

The International Summer School Integrated Care is designed as a stand-alone education and training course and is eligible for Continuous Professional Development (CPD) or Continuous Medical Education (CME) credits ...

Feb. 14, 2016 Europe Publication

Personalised Integrated Care Programme

All too often older people living with long-term conditions do not have a sustainable care plan to keep them out of the hospital. Launched in Cornwall in 2013, Age UK’s Personalised Integrated Care programme uses risk stratification to both identify those older people who are at risk of recurring hospital admissions and provide a combination of medical and non-medical support. This support starts with a 'guided conversation' between the older person and an Age UK Personal Independence Co-ordinator. In this conversation they outline the goals that the older person identifies as most important to him or her and they draw a care plan which will include a combination of voluntary, health and care organisations. Following this, an Age UK volunteer is matched with the older person, both to help in achieving his or her goals, but also to encourage them to be more independent in managing their own care ...

Jan. 14, 2016 Global Event

WCIC4 – 4th World Congress on Integrated Care: “Investing in our Future: Improving the Health of People and Communities”

The International Foundation of Integrated Care (IFIC), in partnership with General Practice New Zealand (GPNZ) and Healthcare Quality and Safety Commission (HCQSC) , presents the 4rd World Congress on Integrated Care “Investing in our Future: Improving the Health of People and Communities” to take place in Wellington, New Zealand 23 to 25 November 2016.

The key themes are: 

1. Promoting the health of children and families

2. Engaging and empowering people and communities

3. Re-orienting the model of care

4. Taking measures to improve quality

5. Funding and incentives that promote health outcomes

For more information, visit the website: http://integratedcarefoundation.org/events/wcic4-4th-world-congress-on-integrated-care-wellington-new-zealand

 

 

Jan. 9, 2016 Europe Publication

What does it take to make integrated care work?: A ‘cookbook’ for large-scale deployment of coordinated care and telehealth. A personalised approach that will benefit patients in your organisation.

Evidence on integrated care is not only needed to show which interventions work, but also to understand how organisational processes affect these interventions. Therefore, evidence from large-scale implementations is especially important. In October 2015, the consortium of the EU-funded programme 'Advancing Care Coordination and Telehealth Deployment' (ACT) published a ‘cookbook’ of good practices, focusing on the structural and organisational drivers as well as barriers to large-scale deployment of care coordination and telehealth in five European regions. The report centres on chronic patients and elderly people, giving recommendations regarding staff engagement,  patient adherence, risk stratification and programme assessment. The report does not only look at health outcomes, but also economic outcomes such as the total cost per patient and the transition of resources towards primary care. An example of good practice from the Northern Netherlands is the programme Embrace. A core element of Embrace is the work of multidisciplinary teams led ...

Jan. 9, 2016 Europe Publication

Acute hospitals and integrated care

In March 2015, the King’s Fund published a report regarding the progress made by five acute hospital providers in England towards developing more integrated models of care. According to the report, becoming more closely integrated with primary care has proved a considerable challenge for these hospitals. This is partly due to the lack of alternatives to building relationships on a practice-by-practice basis. As the report explains, GP provider groups or federations “are still at an early stage of development in many areas of the country, and where they do exist it is not always clear that they are sufficiently cohesive to represent local practices and have leverage over them”. 

However, the report identifies a number of factors which facilitate the coordination between hospitals and primary care. These include strong clinical leadership in general practice; employing people with a primary care background at a senior level within the acute provider ...

June 2, 2015 Global Publication

Integrated care: meaning, logic, applications, and implications – a discussion paper

Integrated care is a burgeoning field. As is often the case in new areas of inquiry and action, conceptual clarification is demanded. Without such attention, it would be difficult to advance theory and practice in this increasingly important professional arena. In the following discussion paper, the authors explore the intellectual territory of integrated care, and underscore the need for a patient-centric imperative and meaning. They also examine the practical applications and implications arising from their views. The intention is to stimulate fruitful dialogue and debate about what ‘integrated care’ could and should be.