The move towards integrated care: Lessons learnt from managing patients with multiple morbidities in the UK

Litchfield, Ian; Kingston, Beth; Narga, Dee; Turner, Alice

doi:10.1016/j.healthpol.2022.05.010

Cited by 7 publications

(6 citation statements)

References 78 publications

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“…Here, the focus is on patient-centric integration, although the implications carry over to wider organizational levels (Goodwin et al, 2021;Litchfield et al, 2022). Integration is accomplished when all relevant information on a patient's condition from various sources is at hand and duly considered when a professional or a team attempts to develop a shared understanding of a patient case (Litchfield et al, 2022). Sources of patient information can be numerous such as different medical specialties, family members and social care.…”

Section: Integrated Care With a Virtual Care Operatormentioning

confidence: 99%

“…For patient-centric integration to be possible, some degree of administrative and organizational integration is necessary (Litchfield et al, 2022). All relevant patient records must be available through interoperable IT systems.…”

Section: Integrated Care With a Virtual Care Operatormentioning

confidence: 99%

“…For patient-centric integration to be possible, some degree of administrative and organizational integration is necessary (Litchfield et al. , 2022).…”

Section: Integration and Coordination Of Care Plans And Patient Journeysmentioning

confidence: 99%

“…Here, the focus is on patient-centric integration, although the implications carry over to wider organizational levels (Goodwin et al. , 2021; Litchfield et al. , 2022).…”

Section: Integration and Coordination Of Care Plans And Patient Journeysmentioning

confidence: 99%

“…, 2022). Integration is accomplished when all relevant information on a patient’s condition from various sources is at hand and duly considered when a professional or a team attempts to develop a shared understanding of a patient case (Litchfield et al. , 2022).…”

Section: Integration and Coordination Of Care Plans And Patient Journeysmentioning

confidence: 99%

See 4 more Smart Citations

Personalized care with mass production efficiency: integrating care with a virtual care operator

Lillran

Bengts

Chen

et al. 2022

JICA

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PurposeThis article aims to describe the thinking behind MASSE, a project in Finland that helps address the fragmentation of care and patient journey disruptions for long-term care. It outlines the conceptualization of an information technology (IT)-assisted solution and presents preliminary findings and research problems in this ongoing project.Design/methodology/approachThe project employs a service engineering and design science approach with the objective of addressing chronic and multimorbid patients in specialized multiprovider environments. It does this by applying information and communication technologies and organizational design. The project has been a cocreative effort with ongoing interviews and workshops with various stakeholders to inform the conceptualization of a solution, an intermediary step before the implementation phase.FindingsPatient journey disruptions occur when caregivers do not know what to do in specific situations. A potential solution is a virtual care operator (VCO) with a personalized patient card that would enable service ecosystem actors to integrate and coordinate their tasks. This article presents the basic design principles of such a solution.Research limitations/implicationsConceptual ideas and preliminary results only indicative.Practical implicationsSystemic integration efforts like those ongoing in Finland can benefit from the VCO concept encouraging a more collaborative way of thinking about integrative solutions and opening up new avenues of research on business implications and ecosystem strategies.Social implicationsThe VCO concept answers to the continuity of care, the rising costs of health care and the growing numbers of patients with chronic disease and multimorbidity whose care remains fragmented and uncoordinated.Originality/valueTaking an ecosystem approach to care integration and addressing interoperability issues are on the cutting edge of healthcare system transformation.

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Section: Integrated Care With a Virtual Care Operatormentioning

confidence: 99%

Section: Integrated Care With a Virtual Care Operatormentioning

confidence: 99%

“…For patient-centric integration to be possible, some degree of administrative and organizational integration is necessary (Litchfield et al. , 2022).…”

Section: Integration and Coordination Of Care Plans And Patient Journeysmentioning

confidence: 99%

“…Here, the focus is on patient-centric integration, although the implications carry over to wider organizational levels (Goodwin et al. , 2021; Litchfield et al. , 2022).…”

Section: Integration and Coordination Of Care Plans And Patient Journeysmentioning

confidence: 99%

Section: Integration and Coordination Of Care Plans And Patient Journeysmentioning

confidence: 99%

See 3 more Smart Citations

Personalized care with mass production efficiency: integrating care with a virtual care operator

Lillran

Bengts

Chen

et al. 2022

JICA

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show abstract

Health Policy – the best evidence for better policies

et al. 2023

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A comparative overview of health and social care policy for older people in England and Scotland, United Kingdom (UK)

Aujla¹,

Frost²,

Guthrie³

et al. 2023

Health Policy

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The move towards integrated care: Lessons learnt from managing patients with multiple morbidities in the UK

Cited by 7 publications

References 78 publications

Personalized care with mass production efficiency: integrating care with a virtual care operator

Personalized care with mass production efficiency: integrating care with a virtual care operator

Health Policy – the best evidence for better policies

A comparative overview of health and social care policy for older people in England and Scotland, United Kingdom (UK)

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