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Care management for older people: does integration make a difference?
- Authors:
- CHALLIS David, et al
- Journal article citation:
- Journal of Interprofessional Care, 20(4), August 2006, pp.335-348.
- Publisher:
- Taylor and Francis
England and Northern Ireland provide examples of different degrees of integration of health and social care within broadly similar administrative and funding frameworks. This paper examines whether integrated structures appear to impact upon the operation of care management, a key approach to providing coordinated care for vulnerable older people. It draws on a study undertaken by the Personal Social Services Research Unit (PSSRU) and funded by the Department of Health to evaluate the different forms and types of care management that have emerged since the NHS and Community Care Act for two user groups: older people and people with mental health problems. Results found there appeared to be more evidence of integrated practice between health and social care in Northern Ireland than England, although some key features, such as intensive care management, were no more evident. It is concluded that further investigation is required as to the extent to which integrated structures have impacted upon patterns of professional working and underlying beliefs about roles.