Providing Integrated Care For Older People With Complex Needs

This report synthesises evidence from seven case studies covering Australia, Canada, the Netherlands, New Zealand, Sweden, the United Kingdom and the United States. It considers similarities and differences of programmes that are successfully delivering integrated care, and identifies lessons for policy-makers and service providers to help them address the challenges ahead.

Community-based integrated care (CBIC) is designed to keep older adults where they want to be – at home and out of hospitals and nursing homes. The Program of All-Inclusive Care for the Elderly (PACE) is an example of successful CBIC, established in 1985 as an innovative solution to pervasive issue: how to provide integrated care to a high-risk population of older adults that promotes community living (not a nursing home) in a cost-effective manner. This unique guide provides readers with a concise yet informative base of understanding of PACE as well as a “deep dive” into the components and job roles that will serve as a reference for existing PACE providers and will inform those who are considering the possibility of developing a new PACE program. Chapters are organized into five thematic sections. Part one presents both domestic and international perspectives on CBIC, with part two delving deeper into the US PACE model, including its history, policy evolution and effectiveness. Specifics regarding the organization and management of PACE and the essential roles and positions comprise parts three and four, respectively, from leadership and the involvement of the state to the roles of the social worker, nurse, nutritionist, rehabilitation specialist, and more. Care planning, coordination and end of life care round out part five. In addition to geriatricians and other clinical practitioners involved with the care of older patients, Community-Based Integrated Care for Older Adults is also a resource for scholars, policy makers and the general public who are interested in innovations in long-term care that provide older adults with alternatives to nursing homes.

This handbook shares profound insights into the main principles and concepts of integrated care. It offers a multi-disciplinary perspective with a focus on patient orientation, efficiency, and quality by applying widely recognized management approaches to the field of healthcare. The handbook also highlights international best practices and shows how integrated care can work in various health systems. In the majority of health systems around the world, the delivery of healthcare and social care is characterised by fragmentation and complexity. Consequently, much of the recent international discussion in the fields of health policy and health management has focused on the topic of integrated care. “Integrated” acknowledges the complexity of patients’ needs and aims to meet them by taking into account both health and social care aspects. Changing and improving processes in a coordinated way is at the heart of this approach. The second edition offers new chapters on people-centredness, complexity theories and evaluation methods, additional management tools and a wealth of experiences from different countries and localities. It is essential reading both for health policymakers seeking inspiration for legislation and for practitioners involved in the management of public health services who want to learn from good practice.

This timely and much needed text book provides a systematic assessment of recent policy developments across the UK and introduces the different models of integration which currently operate - from structural integration in Northern Ireland to health and care partnerships in Scotland. It examines the achievements of integrated working, showing how it can lead to improvements in the quality of services and access to services, as well as create cost efficiencies. It also considers barriers to integration and draw comparisons with experiences in the US, Canada, Australia and Europe to identify lessons for practice in the UK. Supported throughout by case studies and a wealth of illustrative material - including charts and diagrams - this is key reading for students taking degree programmes and foundational qualifications in health and social care, or related degrees in social policy, health studies, social work and nursing.

Integrated care aims to address inequality through removing fragmented health and social care. It is being adopted worldwide, including in the UK, where the NHS is undergoing significant transformation as it introduces integrated care for all providers. This new book aims to equip students and practitioners to take the lead in this new model of care delivery. It will help them understand the key principles of integrated care and then apply these to the design, implementation and practice of integrated care in their own work. Written by academics and operational healthcare leaders, this book is ideal for final year students of nursing, allied health and social care, postgraduates, and all nursing and allied health professionals who will be required to work within the UK’s new integrated care systems. Comprehensive coverage of the design, implementation and practice of integrated care Covers theory and concepts of integrated care as well as applicability to practice for individuals, organisations and systems Presents a comprehensive and up-to-date evidence base for integrated care Accessible to a range of practitioners Wide range of case studies provide real-life examples of how integrated care has been applied in different areas Contributions from academics across disciplines, including nursing, occupational therapy, social care and public health Co-written with business partners, clinical leads or specialists within their field – reflects the realities of practice Includes an international focus, with examples from countries which have a strong history in integrated care such as the Netherlands, New Zealand, USA and Finland

This practical manual in the care of older cancer patients won best oncology book in the BMA Medical Book Awards 2016, and is an essential tool created as a joint project of the Association of Cancer Physicians (ACP) and the British Geriatric Society (BGS). Written by 134 contributors who are all experts in their fields, it offers an overview of the latest developments, with 32 real life case studies. It is a valuable learning and reference resource for doctors, nurses, trainees and other professionals managing cancer in older patients. This evidence-based guidebook will assist the physician in managing the older cancer patient when implementing the appropriate treatment strategy, taking account of comorbidities, frailty, and patient choice. Each clinical case includes a concise discussion on patient presentation and of scenarios underpinning issues experienced by older patients followed by a clear appraisal of how the latest clinical research impacts on patient management. This large cohort of patients requires both innovative care and individual attention, and this carefully crafted book shares the experience of an expert multidisciplinary team in the interest of patient-centred care. It is essential reading for specialists in oncology, specialists in geriatric care, general physicians, doctors in training, oncology nurses, healthcare managers and administrators.

This volume aims to provide an understanding of the evolving aged care landscape in China; review international experiences in long-term care provision, financing, and quality assurance and assess their relevance to China; discuss implications of current developments and trends for the future of aged care in China; and propose policy options.