Moving from the margins: the challenges of building integrated local services – a discussion paper by Collaborate and Turning Point

Moving from the margins is a discussion paper produced by Collaborate and Turning Point that presents seven key insights for building integrated public services.

The overriding message for Moving from the Margins: The challenges of building integrated local services is simple: local integrated services should be at the heart of strategies for social renewal and public service reform. The fundamental change that this approach implies – shifting power away from ‘producers’ and towards communities – is incredibly hard to make happen. But there are people and places that have started to do things differently and their approaches can be learned from and ...

Person-centred Care Around the World

This directory of person-centred care organisations around the world was produced as part of an international environment scan of the field of person-centred care undertaken by Health Policy Partnership. This useful tool highlights the leading international centres working on similar aspects of person-centred care to the Health Foundation. The tool can help to identify person-centred care research, measurement and implementation ‘hot spots’ in different settings globally. The tool enables collaboration between those working on person-centred care by providing key information on the type of work being undertaken on person-centred care. Please share this tool with contacts and colleagues to encourage ...

Tomorrow’s World: Is Digital Health the Disruptive Innovation that will Drive the Adoption of Integrated Care Systems?

The idea of this study is that disruptive digital innovations can play a significant role in curbing the long-term rise in the costs of health and care, empower and engage service users, and enable better care outcomes and experiences.
In many ways, the strategy has similar objectives to the integrated care movement in the need to design and implement new ways of care delivery. Indeed, the role of information, communication and technology is commonly regarded as one of the essential ingredients in enabling the success of integrated care. It has the most uncommon dual property in this regard. It is ...

How Equity-Oriented Health Care Affects Health: Key Mechanisms and Implications for Primary Health Care Practice and Policy

Significant attention has been directed toward addressing health inequities at the population health and systems levels, yet little progress has been made in identifying approaches to reduce health inequities through clinical care, particularly in a primary health care context. Although the provision of equity?oriented health care (EOHC) is widely assumed to lead to improvements in patients’ health outcomes, little empirical evidence supports this claim. To remedy this, this study tested whether more EOHC predicts more positive patient health outcomes and identified selected mediators of this relationship

Understanding inter-organizational trust among integrated care service provider networks: A perspective on organizational asymmetries

The objective was to explore the factors that influence trust among the integrated healthcare service provider network in the context of seeking combined health and care services in the UK.
Their findings reveal that trust among integrated care service provider networks is influenced by the following factors on various asymmetries: 1) recognition and knowledge asymmetries among care service partners of each other’s skills, expertise and capabilities; 2) capacity and financial imbalances within the network; and 3) organizational differences in management, culture and attitudes toward change.

The determinants of access to information on the Internet and knowledge of health related topics in European countries

The aim of this study is to analyze the determinants of access to health-related information on the Internet and their influence on perceived knowledge of health-related topics in European countries. Referring to the European citizens’ digital health literacy survey and applying structural equation modelling hypotheses, the obtained results showed that assumption of acceptance of information and capacity level are the main determinants which have the biggest influence on the perception of access to health-related information on the Internet. The access to health-related information negatively determined the perceived level of knowledge about health-related topics, which reveals that people making more use ...

The Patient Experience of Integrated Care Scale: A Validation Study among Patients with Chronic Conditions Seen in Primary Care.

Valid and comprehensive instruments to measure integrated care are required to capture patient experience and improve quality of patient care. This study aimed to validate the Patient Experience of Integrated Care Scale (PEICS), among patients with chronic conditions seen in primary care.

Strengthening performance-based financing as a health system approach for quality improvement

Over the last decade, a significant reduction of maternal and child mortality has been achieved in low- and middle-income countries (LMICs). This is largely attributable to the substantial improvement in access to essential reproductive, maternal and child health services. However, in some countries, expansion of health services has not resulted in the expected mortality reduction. Low quality of care (QoC) is an important cause of this discrepancy, and it calls for putting quality improvement on the global health agenda. As an approach to enhance QoC in LMICs, performance-based financing (PBF), which incentivizes health providers based on predetermined indicators, has been ...

Towards universal health coverage and sustainable financing in Afghanistan: progress and challenges

Afghanistan has made impressive progress in introducing primary health care across the country over the last fifteen years. In the face of the diverse challenges ranging from persistent insecurity, conservative social norms, weak public financing, and reducing donor aid, Afghanistan is arguably among one of the most challenging contexts to achieve universal health coverage (UHC). Therefore, it is important to consider additional avenues towards UHC while building on the progress in coverage and financing of primary health care to date.
The right to health is considered a fundamental human right and UHC has gained prominence globally as a goal for ...

How to transfer good practices in integrated care internationally: From self-assessment to knowledge transfer and improvement in care

The challenge of an ageing population is faced by many regions and countries in Europe, and integrated care is a recognised solution to it. Increasing the readiness and capacity of regions to be able to implement integrated care is crucial. In Scotland and in the Puglia region of Italy, a knowledge transfer exercise has been undertaken using the Scirocco model to do just that.