Integrated Care for People with Complex Chronic Conditions: Research Summary (King’s Fund)

Summary

This King’s Fund report summarises the findings from a 2-year research project (funded by Aetna and the Aetna Foundation) which involved looking at five UK-based programmes delivering coordinated care for people with long-term and complex needs.

The aim has been to draw generalisable conclusions about the essential and / or important components of effective strategies for delivering integrated care for such clients. This report proposes how the essential principles for effective care coordination might be transferred from the UK context to the US and more widely internationally.

Enablers and Facilitators

Certain design features appear to promote successful care coordination:

  • A holistic focus which supports patients and carers.
  • Building community awareness and trust.
  • Effective communication, and multi-disciplinary teamworking.
  • Localised care co-ordination programmes which address the priorities of specific communities.
  • Leadership and commitment (from commissioners and providers) which promote shared vision and challenge silo-based working.
  • Integrated commissioning, across health and social care, which actively supports the overall strategy.

“Facilitating factors included: a political narrative that supports a shift to person-centred care; local leadership and commitment; a clearly defined, shared vision of what better patient care looks like; being able to react flexibly to patients’ changing needs; and investment in supporting carers and ‘low-level’ community support services”.

Read more: Co-ordinated care for people with complex chronic conditions. The King’s Fund.

Challenges and Barriers

Common challenges and barriers to integration include: funding issues; lack of GP engagement; inability to see innovation as “core business”; poorly integrated IT systems; and problems caring for people in remote / rural locations.

Full Text Link

Reference

Goodwin, N. Sonola, L. Thiel, V. [and] Kodner, D.L. (2013). Co-ordinated care for people with complex chronic conditions: key lessons and markers for success. London: The King’s Fund / Aetna and the Aetna Foundation, October 2013.

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About Dementia and Elderly Care News

Dementia and Elderly Care News. Wolverhampton Medical Institute: WMI. (jh)
This entry was posted in Commissioning, Community Care, End of Life Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, International, King's Fund, Management of Condition, Mental Health, Models of Dementia Care, National, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Personalisation, Practical Advice, Quick Insights, Standards, UK, Universal Interest, Wales and tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , . Bookmark the permalink.

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