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Related Concept Videos

Integrated Healthcare System01:20

Integrated Healthcare System

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An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
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Methods of Documentation VI: Case Management Model01:15

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Documentation in Long-Term and Home Healthcare Setting01:29

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Nursing Clinical Information System (NCIS)
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Interdisciplinary Care: The Health Care Team-II01:18

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Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
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Evaluating integrated care for people with complex needs.

Panagiotis Kasteridis1, Anne Mason2, Andrew Street3

  • 1Research Fellow, Centre for Health Economics, University of York, UK.

Journal of Health Services Research & Policy
|July 3, 2020
PubMed
Summary
This summary is machine-generated.

Integrated care models for complex needs did not significantly reduce healthcare utilization. While one model showed a lower death rate, overall mortality benefits were inconsistent, suggesting further research is needed.

Keywords:
long term conditions, integrated care, primary and hospital care systems

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Area of Science:

  • Health Services Research
  • Integrated Care Models
  • Complex Care Management

Background:

  • South Somerset introduced two integrated care models: Complex Care Team and Enhanced Primary Care.
  • These models aimed to support individuals with complex care needs within the Vanguard programme.

Purpose of the Study:

  • To assess the impact of integrated care models on utilization and mortality.
  • Evaluate the effectiveness of Complex Care Team and Enhanced Primary Care initiatives.

Main Methods:

  • Utilized linked primary and secondary care data (April 2014-March 2018).
  • Employed propensity score methods and difference-in-differences analysis.
  • Included 564 Complex Care Team and 841 Enhanced Primary Care cases.

Main Results:

  • No significant reduction in healthcare utilization for either model.
  • A significant decrease in death rate was observed only in the first Enhanced Primary Care cohort.
  • Overall mortality benefits were not consistently demonstrated across cohorts.

Conclusions:

  • Integrated care models did not significantly reduce utilization or consistently lower mortality.
  • Further research is recommended to explore long-term outcomes and the broader impact of these care models.