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Fully integrated care for frail elderly: two American models.
1Knowledge and Innovation, Metropolitan Jewish Health System & Executive Director, Institute for Applied Gerontology. dkodner@mjhs.org
International Journal of Integrated Care
|August 12, 2006
Summary
Fully integrated care models, like the Social Health Maintenance Organization and Program of All-Inclusive Care for the Elderly, are feasible and improve care for frail elderly patients. Key success factors and implementation lessons are identified.
Area of Science:
- Healthcare Management
- Geriatric Care
- Health Services Research
Background:
- Integrated care is gaining prominence for complex chronic conditions.
- Understanding integrated care models is crucial for policymakers and providers.
- A lack of analytical frameworks hinders the evaluation of integrated care.
Purpose of the Study:
- To examine fully integrated care models, focusing on two US programs.
- To develop an analytical framework for evaluating integrated care programs.
- To provide practical insights into the functioning of integrated care.
Main Methods:
- Analysis of existing data on integrated care.
- Review of reports from governmental and non-governmental organizations.
- Literature search in databases like Medline and HealthStar.
Main Results:
- Fully integrated care models are feasible and beneficial for frail elderly patients.
- The Social Health Maintenance Organization and Program of All-Inclusive Care for the Elderly are effective models.
- Critical success factors for integrated care were identified.
Conclusions:
- Fully integrated care models show significant potential for improving health and social care delivery.
- Lessons learned can guide the development and implementation of integrated care.
- Transferability to other countries and the need for evidence-based evaluation are discussed.