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Integrated care in Western Europe: a wise solution for the future?
Livio Garattini1, Marco Badinella Martini1, Alessandro Nobili1
1Institute for Pharmacological Research Mario Negri IRCCS, Milan, Italy.
Expert Review of Pharmacoeconomics & Outcomes Research
|February 24, 2022
Summary
Integrated care (IC) principles are simple but implementation is challenging. Weaknesses in European IC systems arise from market competition policies and outdated general practitioner (GP) professional status.
Area of Science:
- Healthcare Management
- Public Health Policy
- Health Services Research
Background:
- Integrated care (IC) is globally recognized for combating healthcare fragmentation.
- Aging populations and multi-morbidities increase demand for coordinated health and social services.
- Current healthcare systems, designed for acute care, struggle to meet chronic condition needs.
Purpose of the Study:
- To analyze the challenges in implementing integrated care (IC).
- To identify policy and professional factors contributing to IC weaknesses in Europe.
Main Methods:
- Analysis of healthcare policy trends in European countries.
- Examination of the impact of market competition on IC initiatives.
- Assessment of the role of General Practitioner (GP) professional status in IC implementation.
Main Results:
- Market competition policies hinder IC development.
- The self-employed status of many European GPs, rooted in historical practices, impedes IC.
- A mismatch exists between rising chronic care demands and acute-care-focused healthcare systems.
Conclusions:
- Policy choices prioritizing market competition negatively impact IC.
- Outdated professional structures, particularly for GPs, are significant barriers to effective IC.
- Addressing these policy and structural issues is crucial for advancing integrated care.
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