Reflections on Integrating Medical and Social Care: Five Laws Revisited

Leutz, Walter

doi:10.1108/14769018200500034

Cited by 71 publications

(74 citation statements)

References 16 publications

(11 reference statements)

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“…Each of the sequential models proposed a number of stages or progressions from less coordinated care to a fully integrated healthcare system [5, 52, 56]. …”

Section: Resultsmentioning

confidence: 99%

Health systems integration: state of the evidence

Armitage¹,

Suter²,

Oelke³

et al. 2009

Int J Integr Care

313

277

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IntroductionIntegrated health systems are considered a solution to the challenge of maintaining the accessibility and integrity of healthcare in numerous jurisdictions worldwide. However, decision makers in a Canadian health region indicated they were challenged to find evidence-based information to assist with the planning and implementation of integrated healthcare systems.MethodsA systematic literature review of peer-reviewed literature from health sciences and business databases, and targeted grey literature sources.ResultsDespite the large number of articles discussing integration, significant gaps in the research literature exist. There was a lack of high quality, empirical studies providing evidence on how health systems can improve service delivery and population health. No universal definition or concept of integration was found and multiple integration models from both the healthcare and business literature were proposed in the literature. The review also revealed a lack of standardized, validated tools that have been systematically used to evaluate integration outcomes. This makes measuring and comparing the impact of integration on system, provider and patient level challenging.Discussion and conclusionHealthcare is likely too complex for a one-size-fits-all integration solution. It is important for decision makers and planners to choose a set of complementary models, structures and processes to create an integrated health system that fits the needs of the population across the continuum of care. However, in order to have evidence available, decision makers and planners should include evaluation for accountability purposes and to ensure a better understanding of the effectiveness and impact of health systems integration.

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“…Each of the sequential models proposed a number of stages or progressions from less coordinated care to a fully integrated healthcare system [5, 52, 56]. …”

Section: Resultsmentioning

confidence: 99%

Health systems integration: state of the evidence

Armitage¹,

Suter²,

Oelke³

et al. 2009

Int J Integr Care

313

277

View full text Add to dashboard Cite

show abstract

“…This project has shown that a capacity-building approach to research and evaluation can also mediate tensions between top-down initiatives and on-the-ground practitioners. Leutz's (2005) recent review of his five laws for integrating medical and social care points out that it is up to those with the authority to design an integration programme to hand out power and resources to empower people who share the goals of the programme to take the integration forward. He also notes that all integration is local.…”

Section: Resultsmentioning

confidence: 99%

“…• linkage (informal relationship between service providers that is enacted as needed) • collaboration (two or more services work together usually in relation to shared patient care for which there is usually formal or standardised information sharing) • co-ordination (relationships between services are more formalised and there is evidence of shared planning, delivery and evaluation of care in relation to mutually agreed goals) • integrated (characterised by pooled funding, sharing of resources and joint programmes) (Alexander, 2001;Leutz, 1999;Leutz, 2005;Reynolds et al, 2001). …”

Section: The Projectmentioning

confidence: 99%

Using Project Evaluation to Build Capacity for Integrated Health Care at Local Levels

Elmer

Kilpatrick

2006

Journal of Integrated Care

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“…Many of these services conditions. An annual publication and conference in the UK has publicised these services (Community Hospitals Association, 2000-2005. Table 1 provides examples of vertical and horizontal integrated services in England, with the mechanism facilitating the development of integration listed.…”

Section: Integration and Innovationmentioning

confidence: 99%

Integrating Care in Community Hospitals

Tucker

2006

Journal of Integrated Care

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About Emerald www.emeraldinsight.comEmerald is a global publisher linking research and practice to the benefit of society. The company manages a portfolio of more than 290 journals and over 2,350 books and book series volumes, as well as providing an extensive range of online products and additional customer resources and services.Emerald is both COUNTER 4 and TRANSFER compliant. The organization is a partner of the Committee on Publication Ethics (COPE) and also works with Portico and the LOCKSS initiative for digital archive preservation. ABSTRACTThere is a strong tradition of integration in rural community hospitals which has been largely unrecognised in the past. The national strategy for health in England now gives community hospitals a central role in providing integrated health and social care, in a policy referred to as 'care closer to home' . The evidence emerging from international and national studies is demonstrating the benefit of the community hospital model of care. Public support for community hospitals over their 100year history has been strong, with value being placed on accessibility, quality and continuity. There is, however, a tension between the national policy and the current financial pressures to close or reduce services in one in three community hospitals in England. Innovative ways of owning and managing these services are being put forward by communities who are actively seeking to maintain and develop their local hospitals. The challenge is to demonstrate that community hospital services are valued models of personcentred integrated care, and to demonstrate their contribution to the health and well-being of their communities.

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Reflections on Integrating Medical and Social Care: Five Laws Revisited

Cited by 71 publications

References 16 publications

Health systems integration: state of the evidence

Health systems integration: state of the evidence

Using Project Evaluation to Build Capacity for Integrated Health Care at Local Levels

Integrating Care in Community Hospitals

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