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Centre for Policy on Ageing | |
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Whole-system approaches to health and social care partnerships for the frail elderly
— an exploration of North American models and lessons | | Author(s) | Dennis L Kodner |
| Journal title | Health & Social Care in the Community, vol 14, no 5, September 2006 |
| Pages | pp 384-390 |
| Source | www.blackwellpublishing.com/hsc |
| Keywords | Services ; Health services ; Community care ; Coordination ; Interaction [welfare services] ; Projects ; United States of America ; Canada. |
| Annotation | Irrespective of cross-national differences in long-term care, countries confront broadly similar challenges, including fragmented services, disjointed care, less-than-optimal quality, system inefficiencies, and difficult-to-control costs. Integrated or whole-system strategies are becoming increasingly important in tackling these shortcomings through the seamless provision of health and social care. North America is an especially fertile proving ground for structurally oriented whole-system models. This article summarises the structure, features and outcomes of the Program of All-Inclusive Care for Elderly People (PACE) programme in the US, and the Système de soins Intégrés pour Personnes Agées (SIPA) and the Programme of Research in Integrated Services for the Maintenance of Autonomy (PRISMA) in Canada. The review finds a somewhat positive pattern of results in terms of service access, utilisation, costs, care provision, quality, health status and client/carer satisfaction. It ends with the identification of common characteristics which are thought to be associated with the successful impact of these partnership initiatives, as well as a call for further research to understand the relationships, if any, between whole-system models, services and outcomes in integrated care for older people. (RH). |
| Accession Number | CPA-061114207 A |
| Classmark | I: L: PA: QAJ: QK6: 3E: 7T: 7S |
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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