Performing Economic Evaluation of Integrated Care: Highway to Hell or Stairway to Heaven?

Tsiachristas, Apostolos; Stein, K. Viktoria; Evers, Silvia M. A. A.; Mölken, Maureen M.P.M.H. Rutten van

doi:10.5334/ijic.2472

Cited by 46 publications

(64 citation statements)

References 76 publications

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“…However, economic evaluation in integrated care is still at the begining. Intergrated care defined as complex intervention [13,4]. It is still often proposed as future direction for the development of helathcare systems in many countries [7].…”

Section: Results and Discusionmentioning

confidence: 99%

Quality improvement in healthcare: Towards to integrated care models in EU

Knežević¹,

Marinković²

2019

Tehnika

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Quality improvement in healthcare consists of systematic and continuous actions that lead to a measurable improvement in healthcare services. Most important goals for improvement in healthcare are safe, effective, patient-centres, timely, efficient, equitable healthcare. Definition of the integrated care includes initiatives seeking to improve outcomes of care by overcoming issues of fragmentation through coordination of services of providers along the continuum of care. Different countries of EU Member Satates are at different stages in the development of integrated care systems. Most countries reported continuously working on several initiatives to strengthen integration and coordination of care, such as pilot projects, implemented targeted programmes and strategies and adopted methods for cooperation. Many countries have taken initiatives on legislation, reorganisation and reimbursement systems. Integrated care can be seen to be both, a design of healhcare and a framework to achieve person-centred, efficient and safe care. Only a small number of EU Member States have developed specific indicator sets to assess integrated care. Measuring the performance of integrated care has to take into account the objectives of a health system and also needs to reflect the complexity of integrated care systems.

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Section: Results and Discusionmentioning

confidence: 99%

Quality improvement in healthcare: Towards to integrated care models in EU

Knežević¹,

Marinković²

2019

Tehnika

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“…The existing evidence about the economic impact of integrated care available in the thin scienti c literature is inconclusive [7]. No literature review to date presents an exhaustive methodology to evaluate and expand health economics towards integrated care [8]. Core methodology used in actual health economic framework is comparing the costs of delivering an additional unit of health outcome Health Technology Assessment (HTA) is a narrow framework and speci c to one intervention outcome and it is used at local healthcare purchasing level for care services in a speci c clinical scenario, it includes mainly primary and secondary settings [9] [10] [11].…”

Section: Current Economic Evaluation Methods Of Healthcare Service Dementioning

confidence: 99%

Healthcare Integrated Approach as a Dynamic Process leading Innovation and Inclusive growth: Conceptual Framework based on Care Puglia (Italy)

Orlando

Viola

Benvenuto

2020

Preprint

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Background Societal challenges introduced by Horizon 2020 and global challenges around health and environment expressed by seventeen sustainable development goals seek a mission-oriented agenda. Healthcare evaluation require a portfolio of projects with bottom-up experimentation. Current economic evaluations do not include a social component within the analysis. This study describes an integrated care model involving several stakeholders across healthcare sectors primary, secondary, tertiary, private and community sectors. The new integrated care framework has the aim encompass social welfare. Methods The existing evidence about the economic impact of integrated care available in the thin scientific literature is inconclusive. A European programme called Strategic Intelligence Monitor on Personal Health Systems Phase 3 presented 24 projects of integrated care service. Those studies were set in fourteen different European countries at exception of Israel and USA. Those projects included telehealth, telecare and independent solutions for older patients with chronic conditions. Those studies mainly identified drivers and barriers of the organizational models to integrate healthcare and social care, they stress the role of Information and Communication technology in facilitating the integration of healthcare and social care. Results Care Puglia based on Assisted Diagnostic & Therapeutic Pathway (PDTA) developed a chronic care clinical network in the southern region of Italy. This study is going to implement a Situational Awareness Team (SAT) with the ability to fuse different types of information generating a real-time sense-check and understanding barriers to change while unfolding the properties of the model. The new framework is going to focus on the Socio-Economic aspect of the Integrated Care system fostering Management Performance, Cost-Effectiveness Analysis and Sustainability Plan. A well-informed local health authority system counts of better transparency upon local governance. The mainstay of this new integrated approach to healthcare is engaging the process of building organisations to becoming learning organisations. Integrated care results being a dynamic approach to the assessment of health policies to replace the more static cost-benefit approach. This pillar is about a smart thinking allowing innovation and inclusive growth.

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“…It should be acknowledged; however, that we are increasingly witnessing more complexity in the design and delivery of psychosocial services. We often see multicomponent services that are delivered by multidisciplinary teams to target one or more oncology populations . For instance, Duarte et al evaluated the cost–effectiveness of a collaborative care program for major depression in patients with cancer .…”

Section: Economic Evaluations Of Psychosocial Interventions In Cancermentioning

confidence: 99%

“…We often see multicomponent services that are delivered by multidisciplinary teams to target one or more oncology populations. 4,14 For instance, Duarte et al evaluated the cost-effectiveness of a collaborative care program for major depression in patients with cancer. 15 This service was delivered by cancer nurses supervised by psychiatrists who worked collaboratively with the oncology team and primary care physician.…”

Section: The Health Economics Questionmentioning

confidence: 99%