Towards More Integrated Health Care - the Review of the International Experience

• Autorzy: Iga Rudawska

Warianty tytułu

W kierunku bardziej zintegrowanej opieki zdrowotnej - przegląd międzynarodowych doświadczeń

• Języki publikacji: EN

Abstrakty

EN

Most European countries have failed to integrate health care services. This inevitably leads to fragmented health care provision. This fragmentation results in long waiting times and involvement of multiple ca reproviders who offer different forms of care. The la ck of integration of health care seems to be one of the biggest challenges in health systems as integration calls for a holistic approach and the implementation of structural changes that are costly. The aim of the paper is to explore the nature and strategic forms of the mechanisms and tools dedicated to health care integration in selected European countries. The literature review was performed using resources of Web of Science and Ebsco. The search criteria focused on the following key words: integrated health care, care c oordination, coordinated care programmes, and integ ration mechanisms. The time span of the analysis covered t he last 20 years from 1998 to 2017. Finally, 39 stu dies were identified that presented the evidence-based e xperience with care coordination. Several strategic forms of health care integration have been identified, in cluding structural, functional and subject-based me chanisms. (original abstract)

Większość europejskich krajów ma problemy z integracją usług opieki zdrowotnej. To nieuchronnie prowadzi do fragmentaryzacji dostarczania opieki. W konsekwencji mamy do czynienia z długim czasem oczekiwania i zaangażowaniem wielu usługodawców, którzy oferują różne formy opieki. Brak integracji opieki zdrowotnej wydaje się jednym z największych wyzwań systemów zdrowotnych, jako że integracja wymaga holistycznego podejścia i wdrożenia zmian strukturalnych, które kosztują. Celem pracy jest ocena istoty i strategicznych form mechanizmów i narzędzi dedykowanych integracji opieki zdrowotnej w wybranych krajach europejskich. Dokonano przeglądu literatury przy użyciu baz Web of Science i Ebsco. Użyto kryteriów wyszukiwania w postaci następujących słów kluczowych: zintegrowana opieka zdrowotna, koordynacja opieki i programy opieki koordynowanej. Zakres czasowy analizy to ostatnich 20 lat (1998-2017). Ostatecznie zidentyfikowano 39 prac prezentujących, w oparciu o dowody naukowe, doświadczenia z koordynacją opieki. Przegląd dorobku pozwolił na identyfikację różnorodnych form integracji opieki zdrowotnej, w tym opartych na mechanizmach strukturalnych, funkcjonalnych i przedmiotowych. (abstrakt oryginalny)

Słowa kluczowe

EN

Health care; Health care system; Literature review

PL

Opieka zdrowotna; System ochrony zdrowia; Przegląd literatury

• Czasopismo: Problemy Zarządzania
• Rocznik: 2017
• Numer: vol. 15, nr 3 (69), cz. 1 Zmiany systemowe w ochronie zdrowia
• Strony: 130--145

Twórcy

autor

Iga Rudawska

• University of Szczecin

Bibliografia

• Ahgren, B. (2003). Chain of Care Development in Sweden: Results of a National Study. International Journal oof Integrated Care, 3(e01). Retrieved from: https://www.ncbi.nlm. nih.gov/pmc/articles/PMC1483939.
• Antunes, V. and Moreira, J.P. (2011). Approaches to Developing Integrated Care in Europe: A Systematic Literature Review. Journal of Management & Marketing in Healthcare, 4(2), 129-135, http://dx.doi.org/10.1179/175330311X13016677137743.
• Berg, M., Schellekens, W., and Bergen, C. (2005). Bridging the Quality Chasm: Integrating Professional and Organizational Approaches to Quality. International Journal for Quality in Health Care, 17(1), 75-82, http://dx.doi.org/10.1093/intqhc/ mzi008.
• Bodenheimer, T. (2008). Coordinating Care - A Perilous Journey through the Health Care System. The New England Journal of Medicine, 358(10), 1064-1071, http://dx.doi. org/10.1056/NEJMhpr0706165.
• Brenner, M., O'Shea, M., Larkin, P.J., Lundstroem Kamionka, S., Berry. J., Hiscock, H., Rigby, M. and Blair, M. (2017). Exploring Integration of Care for Children Living with Complex Care Needs across the European Union and European Economic Area. International Journal of Integrated Care, 17(2), http://dx.doi.org/10.5334 /ijic.2544.
• Brown, R. (2009). The Promise of Care Coordination. Report commissioned by the National Coalition on Care Coordination, e1-23. Retrieved from: http://familiesusa.org/ sites/default/files/product_documents/Care-Coordination.pdf.
• Cochrane, D. (ed.). (2001). Managed Care and Modernization, A Practitioner's Guide. Buckingham: Open University Press.
• Council of the European Union. (2003). Joint Report by the Commission and the Council on supporting national strategies for the future health care and care for the elderly. Brussels: Council of the European Union, EU 7166/03 SOC 116 ECOFIN 77 SAN 41. Retrieved from: http://www.consilium.europa.eu/uedocs/cms_data/docs/pressdata/ en/misc/75100.pdf.
• Desmedt, M., Vertriest, S., Hellings, J., Bergs, J., Dessers, E., Vankrunkelsven, P., Vrijhoef, H., Annemans, L., Verhaeghe, N., Petrovic, M., and Vandijck, D. (2016). Economic Impact of Integrated Care Models for Patients with Chronic Diseases: A Systematic Review. Value in Health Care, 19(6), 892-902, http://dx.doi.org/10.1016/j. jval.2016.05.001.
• Fulop, N., Mowlem, A., and Edwards, N. (2005). Building Integrated Care: Lessons from the UK and Elsewhere. London: The NHS Confederation. Retrieved from: http:// www.nhsconfed.org.
• Gröne, O. and Garcia-Barbero, M. (2001). Integrated Care. A Position Paper of the WHO European Office for Integrated Care Services. International Journal of Integrated Care, 1(2), http://doi.org/10.5334/ijic.28.
• Gröne, O. and Garcia-Barbero, M. (2002). Trends in Integrated Care - Reflections on Conceptual Issues, (EUR/02/5037864). Copenhagen: World Health Organization.
• Huby, G. and Rees, G. (2005). The Effectiveness of Quality Improvement Tools: Joint Working in Integrated Community Teams. International Journal for Quality in Health Care, 17(1), 53-8, http://dx.doi.org/10.1093/intqhc/mzi003.
• Kodner, D.L. and Spreeuwenberg, C. (2002). Integrated Care: Meaning, Logic, Applications and Implications - A Discussion Paper. International Journal of Integrated Care, 12(October-December), http://doi.org/10.5334/ijic.67.
• Kokko, S. (2009). Integrated Primary Health Care: Finnish Solutions and Experiences. International Journal of Integrated Care, 9(2), http://doi.org/10.5334/ijic.310.
• Ling, T., Bardsley, M., Adams, J., and Roland, M. (2010). Evaluation of UK Integrated Care Pilots: Research Protocol. International Journal of Integrated Care, 10(3), http:// doi.org/10.5334/ijic.513.
• Mur-Veeman, I., van Raak, A., and Paulus, A. (2008). Comparing Integrated Care Policy in Europe: Does Policy Matter? Health Policy, 85(2), 172-183, http://dx.doi. org/10.1016/j.healthpol.2007.07.008.
• Powell Davies, G., Williams, A., Larsen, K., Perkins, D., Roland, M., and Harris, M. (2008). Coordinating Primary Health Care: An Analysis of the Outcomes of a Systematic Review. Medical Journal of Australia, 188(8), 65-68.
• Reed, J., Cook, G., Childs, S., and McCormack, B. (2005). A Literature Review to Explore Integrated Care for Older People. International Journal of Integrated Care, 5(1), http://doi.org/10.5334/ijic.119.
• van Rensburg, A.J. and Fourie, P. (2016). Health policy and integrated mental health care in the SADC region: Strategic clarification using the Rainbow Model. International Journal of Mental Health Systems, 10(49), http://dx.doi.org/10.1186/s13033-016-0081- Rudawska, I. (2016). Approaches to Evaluating Efficiency and Quality of Integrated Health Care: State of the Evidence. Economics and Management, 8(3), 7-14, http:// dx.doi.org/10.1515/emj-2016-0019.
• Russell, M., Roe, B., Beech, R., and Russell, W. (2009). Service Developments for Managing People with Long-term Conditions Using Case Management Approaches. An Example from the UK. International Journal of Integrated Care, 9, https://www.ncbi. nlm.nih.gov/pmc/articles/PMC2663703.
• Rygh, E. and Hjortdahl, P. (2007). Continuous and Integrated Health Care Services in Rural Areas. A Literature Study. Rural and Remote Health, 7(766). Retrieved from: http://www.rrh.org.au/publishedarticles/article_print_766.pdf.
• Strandberg-Larsen, M. and Krasnik, A. (2009). Measuring Integrated Health Care Delivery - A Systematic Review of Methods and Future Research Directions. International Journal of Integrated Care, 9. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/ articles/PMC2663702/pdf/ijic2009-200901.pdf.
• Wan, T. and Wang, B. (2003). Integrated Healthcare Networks' Performance: A Growth Curve Modeling Approach. Health Care Management Science, 6, 117-124.
• Wan, T., Yen-Ju Lin, B. and Ma, A. (2002). Integration Mechanisms and Hospital Efficiency in Integrated Health Care Delivery Systems. Journal of Medical Systems, 26(2), 127-143.
• Warner, M. and Gould, N. (2003). Integrated Care Networks and Quality of Life: Linking Research and Practice. International Journal of Integrated Care, 5(4), http://doi. org/10.5334/ijic.90.
• Weinberg, D.B., Gittell, J.H., Lusenhop, R.W., Kautz, C.M., and Wright, J. (2007). Beyond Our Walls: Impact of Patient and Provider Coordination across the Continuum on Surgical Outcomes. Health Services Research, 42(1), 7-24, http://dx.doi. org/10.1111/j.1475-6773.2006.00653.x.
• World Health Organization. (2002). Innovative Care for Chronic Conditions. Building Blocks for Action. Global report, (WH0/NMC/CCH/02.01). Geneva: World Health Organization. Retrieved from: http://www.who.int/chp/knowledge/publications/iccc- globalreport.pdf.
• Yaya, S. and Danhoundo, G. (2015). Special Issue on Innovations in Health Care System Reform in OECD Countries. The Innovation Journal: The Public Sector Innovation Journal, 20(1). Retrieved from: http://www.innovation.cc/volumes-issues/20_1_1_yaya- dassoundo_health-care-intro.pdf.

Identyfikatory

DOI

10.7172/1644-9584.69.9