IPCHS. Integrated People-Centred Health Services

Contents

Contents tagged: sustainability

July 14, 2020 Europe Publication
Engaging and empowering people and communities, Reorienting the model of care, Coordinating services within and across sectors, Creating an enabling environment

Integrated Care for Older Adults: A Struggle for Sustained Implementation in Northern Netherlands

Integrated care has been suggested as a promising solution to the disparities in access and sustained high quality long-term care emerging in Europe’s ageing population. The Dutch integrated person-centred health service for older adults was based on two evidence-based models (the Chronic Care Model and the Kaiser Permanente Triangle). In this case study we assess the impact of the programme based on past evaluations, reflect on why it ended, lessons learned and ideas to take forward.

implementation, integrated care, payment models, sustainability, transformation
Nov. 20, 2020 Americas Publication
Strengthening governance and accountability, Reorienting the model of care, Coordinating services within and across sectors, Creating an enabling environment

The reimagination of sustainable integrated care in Ontario, Canada

To encourage clinical and financial efficiency, the Canadian province of Ontario initiated an integrated care program – Integrated Funding Models (IFMs) that required collaboration and coordination across acute and post-acute care sectors. This research shows how program implementers went beyond policy-makers’ original designs, to make integrated care sustainable for chronic diseases.

Highlights

  • Integrating care across sectors was challenging for chronic disease programs.
  • Participants adopted creative sustainability strategies, unique to each program.
  • Their designs transcended policymakers’ original conceptualization of integration.
  • Fostering accountability and patient-centred care was key to sustainability for program stakeholders.
  • Differences in policymakers’ and program implementers’ understanding of integrated care are indicated.

funding of integrated care, health service delivery, models of care, models of service integration, sustainability