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Centre for Policy on Ageing | |
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International experiments in integrated care for the elderly
— a synthesis of the evidence | | Author(s) | Mira Johri, Francois Beland, Howard Bergman |
| Journal title | International Journal of Geriatric Psychiatry, vol 18, no 3, March 2003 |
| Pages | pp 222-235 |
| Keywords | Management [care] ; Coordination ; Interaction [welfare services] ; Comparison ; International. |
| Annotation | The OECD countries have recently promoted policies of de-institutionalisation and community-based care for older people. These policies respond to common cost pressures associated with population ageing and the challenge of providing improved care for older people. The authors use a comparative, cross-national approach to examine the evidence to identify common features of an effective system of integrated care, and the potential of such models to positively affect care of older people and public finances. Results of a systematic review of recent demonstration projects provide information on rates of hospital admissions, long-term care institutionalisation, utilisation and costs, impact on process of care, and health outcomes. The following features of an effective integrated system of care are identified: a single entry point system; case management; geriatric assessment and a multidisciplinary team; and use of financial incentives to promote downward substitution. Community care can affect rates of institutionalisation and costs favourably. Comprehensive approaches to programme restructuring are necessary, as cost-effectiveness depends on the characteristics of a system of care. (RH). |
| Accession Number | CPA-030425216 A |
| Classmark | QA: QAJ: QK6: 48: 72 |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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