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Implementing integrated care: a synthesis of experiences in three European countries
- Authors:
- NOLTE Ellen, et al
- Journal article citation:
- International Journal of Care Coordination, 19(1-2), 2016, pp.5-19.
- Publisher:
- Sage
Many countries are experimenting with new models to better integrate care; yet, innovative care models are often implemented as time-limited, localised projects with limited impact on service delivery more broadly. This paper seeks to understand the processes behind successful projects that achieved some form of ‘routinisation’ and informed system-wide integrated care strategies. It draws on detailed case studies of three integrated care experiments: the ‘Integrated effort for people living with chronic diseases’ project in Denmark; the Gesundes Kinzigtal network in Germany; and Zio, a care group in the Maastricht region in the Netherlands. It explores how they were developed, implemented and sustained, and how they impacted the wider system context. All three models implicitly or explicitly adopted processes shown to be conducive to the dissemination of innovations, including dedicated time and resources, support and advocacy, leadership and management, stakeholder involvement, communication and networks, adaptation to local context and feedback. Each showed robust evidence of improvements on a number of service and patient outcomes and these findings were central to their wider impacts, shaping country-wide integrated care polices. However, the wider dissemination of projects occurred in an incremental and somewhat haphazard way. To further redesign health and social care a more formal strategy, alongside resources, may thus be needed to provide funders and providers with genuine incentives to invest in new business models of care. There remains a crucial need for better understanding of specific local conditions that influence implementation and sustainability to enable translation to other contexts and settings. (Publisher abstract)
British social attitudes 28
- Editors:
- PARK Alison, et al, (eds.)
- Publisher:
- Sage
- Publication year:
- 2011
- Pagination:
- 204p., tables
- Place of publication:
- London
The British Social Attitudes survey series is carried out by Britain's largest independent social research institute, the National Centre for Social Research. It provides guide to current political and social issues in contemporary Britain seeking to chart changes in British social values in relation to other changes in society. Areas covered in this edition are: political engagement; devolution; private education; school choice; higher education; environment; transport; housing; NHS; childhood and growing up in Britain; child poverty; and religion.
Intercountry adoption in Europe 1998-2008: patterns, trends and issues
- Author:
- SELMAN Peter
- Journal article citation:
- Adoption and Fostering, 34(1), Spring 2010, pp.4-19.
- Publisher:
- Sage
Examining the recent history of intercountry adoption in Europe in the context of the enlarged EU, containing both receiving and sending countries, this article provides a detailed analysis of the movements of children for adoption to, from and between European countries from 2004 to 2008, based on the 47 member states of the Council of Europe in 2010, with the addition of Belarus (a candidate for membership). It looks at intercountry adoption in Europe from the Second World War onwards, states of origin in Europe 1991-2008 and the movement of children within Europe 2004-08, the impact of intercountry adoption on the well-being of children in Europe, and current debates in the European Parliament on the future of intercountry adoption in Europe, including the revised European Convention on the Adoption of Children 2008. The author identifies unresolved questions about the impact of intercountry adoption on children in Europe, including the implications of the reduction in the level of adoptions from Romania and Bulgaria on the well-being of children in those countries, and concludes that the number of intercountry adoptions recorded worldwide has been falling since 2004 with the fall in numbers greater in Europe than in the United States from 2004 to 2007, and a major factor in this being a reduction in the number of children sent from Europe.
The rise and fall of intercountry adoption in the 21st century
- Author:
- SELMAN Peter
- Journal article citation:
- International Social Work, 52(5), September 2009, pp.575-594.
- Publisher:
- Sage
Recent developments in intercountry adoption worldwide, based on a demographic analysis of trends in 22 receiving states between 2001 and 2007, are reviewed. The analysis shows a marked decline in the global number of adoptions after a steady rise from the mid-1990s to over 45,000 in 2004.
British social attitudes: the 23rd report: perspectives on a changing society
- Editors:
- PARK Alison, et al, (eds.)
- Publisher:
- Sage
- Publication year:
- 2007
- Pagination:
- 422p.
- Place of publication:
- London
The British Social Attitudes survey series is carried out by Britain's largest independent social research institute, the National Centre for Social Research. It provides an indispensable guide to current political and social issues in contemporary Britain seeking to chart changes in British social values in relation to other changes in society.