The House of Care in Scotland

Scotland´s House of Care programme aims to facilitate a fundamental shift in the relationship between person and professional, so that the person is in the driving seat of their health and social care, with self management at the heart of it.

This approach supports and enables people to articulate their own needs and decide on their own priorities, through a process of joint decision making, goal setting and action planning. 

Imperial child health general practice hubs

For most children, the GP is their main point of contact with the health servivce. While children make up nearlyy one-fifth of the population in England, they are estimated to account for two-fifths of a typical GP´s workload. Despite this, the Royal College of Paediatrics and Child Health estimate that in many parts of the country, between 40 and 50 per cent of GPs have a had little or no formal paediatric training. Evidence suggest that many of these case could be managed outside an acute setting. 

The Impact of Integrated Case Management on Health Services Use and Spending Among Nonelderly Adult Medicaid Enrollees

Medicaid plans, whose patients often have complex medical, social, and behavioral needs, seektools to effectively manage enrollees and imprive access to quality care while containing costs. 

The aim of this study is to examine the effects of an integrated case management (ICM) program operated by a Medicaid managed care plan on health service use and spending for nonelderly, non-pregnant adults. 

Health and social care in aging population: an integrated care institution for the elderly in Greece

The purpose of this article was to describe the nature of the services actually offered to the elderly in Greece by an institution of integrated care, as opposed to those that should be offered according to the relevant law, and to investigate the factors influencian the supply of those services. 

Challenges and achievements in integrated care: different health and social care providers working together. Successful projects that show that this is the way

The Catalan health system is a public healthcare system, funded by taxes, with universal coverage and public healthcare services portfolio. There´s a mixed healthcare providers network. Delivery of integrated health and social care witha a shift to a patient-centered model is one of the main challenges of our public system. this artcile share three experiences of different models developed to improve integration of social and healthcare services, to guarantee the continuum of care and to achieve quality health and social care outcomes. 

Effective Organizational Leadership in the Implementation of Integrated Care; Lessons from 9 cases in the iCoach Project

Policy makers in many countries are encouraging the development of integrated care strategies and the development of new models of integrated care. These new models require changes at a clinical or service level, organizational level and system level with strong leadership necessary at all three levels. Despite the key role of leadership in these efforts, there has been only limited study of what organizational leadership approach is successful in different contexts for integrated care. 

Developing accountable care systems: lessons from Canterbury, New Zealand

The health system in Canterbury, New Zealand, has undertaken a significant programme of transformation over the past decade. As a result of the changes, the health system is supporting more people in their homes and communities and has moderated demand for hospital care, particularly among older people. Change was achieved through developing a number of new delivery models, which involve better integration of care across organisational and service boundaries, increased investment in community-based services, and strengthening primary care. The experience in Canterbury offers useful lessons for the NHS in terms of how to redesign care in this way. Key approaches ...

Client-centredness of government primary health-care services in the Gaza Strip, occupied Palestinian territory: a cross-sectional study

Client-centred services respond to clients' needs and involve them in the provision of health-care services to achieve improved health outcomes. We aimed to assess the extent to which governmental primary health-care services in the Gaza Strip are client-centred, from the clients' perspectives.

Centers of excellence in healthcare institutions: what they are and how to assemble them

Centers of excellence have the ability to dramatically enhance the depth and breadth of healthcare services available in communities. Given the numerous mutual benefits afforded by this delivery model, it is hoped that the light shed by this article will help healthcare providers better understand centers of excellence and be more capable and confident in associated development initiatives, affording greater opportunities for themselves and their patient populations. 

Supporting nurse practitioners’ practice in primary healthcare settings: a three-level qualitative model

While greater reliance on nurse practitioners in primary healthcare settings can improve service efficiency and accessibility, their integration is not straihtfoward, challenging existing role definitions of both registered nurses and physicians. This study´s main objetive is to examine different structures and mechanims put in place to support the development of primary healthcare nurse practitiones´s practice in different healthcare settings, and develop a practical model for identifying and planning adequate support practices.