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How to support integration to promote care for people with multimorbidity in Europe?
- Authors:
- HUJALA Anneli, TASKINEN Helena, RISSANEN Sari
- Publisher:
- World Health Organization. Regional Office for Europe
- Publication year:
- 2017
- Pagination:
- 28
- Place of publication:
- Denmark
The complex care needs of people with multimorbidity heightens the demand for integrated care. This policy briefing looks how to improve integrated care for people with the co-occurrence of multiple chronic conditions, focusing on: coordination of care across organisational boundaries, collaboration between care professionals and strengthening professional competencies. Drawing on the findings of the ICARE4EU (Innovating Care for People with Multiple Chronic Conditions in Europe) project provides examples of how integration, in particular coordination of care, collaboration between professionals and related competencies have been addressed in care organisations in order to improve the care of people with multiple chronic conditions. Key messages for policy-makers trying to encourage integrated care for multimorbidity include the importance of effective connections between health and social care and that linking formal and informal care. (Edited publisher abstract)
Community care for people with complex care needs: bridging the gap between health and social care
- Authors:
- KULUSKI Kerry, et al
- Journal article citation:
- International Journal of Integrated Care, 17(4), 2017, Online only
- Publisher:
- International Foundation for Integrated Care
Introduction: A growing number of people are living with complex care needs characterized by multimorbidity, mental health challenges and social deprivation. Required is the integration of health and social care, beyond traditional health care services to address social determinants. This study investigates key care components to support complex patients and their families in the community. Methods: Expert panel focus groups with 24 care providers, working in health and social care sectors across Toronto, Ontario, Canada were conducted. Patient vignettes illustrating significant health and social care needs were presented to participants. The vignettes prompted discussions on i) how best to meet complex care needs in the community and ii) the barriers to delivering care to this population. Results: Categories to support care needs of complex patients and their families included i) relationships as the foundation for care, ii) desired processes and structures of care, and iii) barriers and workarounds for desired care. Discussion and Conclusions: Meeting the needs of the population who require health and social care requires time to develop authentic relationships, broadening the membership of the care team, communicating across sectors, co-locating health and social care, and addressing the barriers that prevent providers from engaging in these required practices. (Publisher abstract)
How to improve care for people with multimorbidity in Europe?
- Authors:
- RIJKEN Mieke, et al
- Publisher:
- World Health Organization
- Publication year:
- 2017
- Pagination:
- 31
- Place of publication:
- Denmark
This policy briefing suggests ways to improve the provision of patient-centred integrated care by changing practice and reforming health and social care systems. It highlights approaches to improving care for people with multimorbidity at micro, meso, and macro levels. It also includes the experiences from innovative care programmes in Europe that target patients with multimorbidity. Approaches at micro-level, which support professionals to customise care and help people to engage in the care process, include: needs assessment and individual care planning, decision support and shared decision-making and self-management support. Meso-level approaches, which support care organisations to provide integrated care at a local or regional level, include: care coordination, multiprofessional collaboration, inter-organisational collaboration. And lastly, it highlights macro level approaches though reform of health and social care systems, such as education and professional training; policy reform; and changes in funding mechanisms. The briefing draws on the findings of the ICARE4EU (Innovating Care for People with Multiple Chronic Conditions in Europe) project, where experts in 31 European countries identified 101 integrated care programmes that were improving care for patients with multiple chronic conditions. (Edited publisher abstract)