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

Elmer, Shandell; Kilpatrick, Sue

doi:10.1108/14769018200600033

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…These essential requirements pose significant challenges to the management and operation of the LTC system. Specifically, how local government promotes PPP plays a significant role in achieving successful LTC services [ 43 ]. For example, the UK government developed a good relationship with private sectors under the slogan of big society small government for the delivery of LTC, with 81% of home-based care being provided by commercial sectors in 2011 rising from 5% in 1993 [ 44 ].…”

Section: Integrating Policies For Ltci: Main Rationales and Theoretical Frameworkmentioning

confidence: 99%

Shifting from Fragmentation to Integration: A Systematic Analysis of Long-Term Care Insurance Policies in China

Zhou

Wei-dong

2021

International Journal of Integrated Care

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Introduction: Long-term care is an effective intervention that help older people cope with significant declines in capacity. The growing demand for long-term care signals a new social risk and has been given a higher political priority in China. In 2016, 15 local authorities have been selected to pilot the long-term care insurance programme. However, the current implementation of these programmes is fragmented, with a measure of uncertainty. This study aims to investigate the principles and characteristics of long-term care insurance policies across all pilot authorities. It seeks to examine the design of local long-term care insurance systems and their current status. Methodology: Based on the 2016 guidance, a systematic search for local policy documents on long-term care insurance across the 15 authorities was undertaken, followed by critical analysis to extract policy value and distinctive features in the delivery of long-term care. Results: The results found that there were many inconsistencies in long-term care policies across local areas, leading to substantial variations in services to the beneficiaries, funding sources, benefit package, supply options and partnership working. Policy fragmentation has brought the postcode lottery and continued inequity for long-term care. Discussion: Moving forward, local authorities need to have a clear vision of inter-organisational collaboration from the macro to the micro levels in directional and functional dimensions. At the national level, vertical governance should be interacted to outline good practice guidelines and build right service infrastructure. At the local level, horizontal organizations can collaborate to achieve an effective and efficient delivery of long-term care.

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Section: Integrating Policies For Ltci: Main Rationales and Theoretical Frameworkmentioning

confidence: 99%

Shifting from Fragmentation to Integration: A Systematic Analysis of Long-Term Care Insurance Policies in China

Zhou

Wei-dong

2021

International Journal of Integrated Care

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Multi‐level rural community engagement in health

Kilpatrick

2009

Australian J Rural Health

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Community participation in health is consistent with notions of democracy. A systems perspective of engagement can see consumers engaged to legitimise government agendas. Often community participation is via consultation instead of partnership or delegation. A community development approach to engagement can empower communities to take responsibility for their own health care. Understanding rural place facilitates alignment between health programs and community, assists in incorporating community resources into health care and provides information about health needs. Rural communities, health services and other community organisations need skills in working together to develop effective partnerships that transfer some power from health systems. Rural engagement with national/state agendas is a challenge. Community engagement takes time and resources, but can be expected to lead to better health outcomes for rural residents.

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

Abstract: Capacity‐building evaluation featuring multidisciplinary cross‐agency workshops fostered continuous quality improvement, while focusing on skills required and systemic barriers to health care integration between GPs and a regional hospital.

Cited by 2 publications

References 6 publications

Shifting from Fragmentation to Integration: A Systematic Analysis of Long-Term Care Insurance Policies in China

Shifting from Fragmentation to Integration: A Systematic Analysis of Long-Term Care Insurance Policies in China

Multi‐level rural community engagement in health

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