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Evidence on the Efficacy of Integrated Care

Torben Larsen
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Torben Larsen: University of Southern Denmark, Denmark

International Journal of Healthcare Delivery Reform Initiatives (IJHDRI), 2009, vol. 1, issue 3, 70-87

Abstract: The fragmented delivery of healthcare and social services was put on the agenda as a major problem by WHO in 2002. Integrated Homecare (IHC) combining efficacy with net savings represents a prototype of integrated care (IC) with overlapping services for better clinical continuity. Frequent chronic conditions as stroke, heart failure, chronic obstructive pulmonary disease and mental disease exhibit parallel results as explained by a common neuroeconomic framework. A SWOT analysis of IHC emphasizes Strength, health economic dominance, Weakness, fragmented financial conditions, Opportunity, low-tech patient benefits affordable to low and middle income countries, and Threat, low levels of trust across professions and settings. A meso-strategy for EU recommends (1) Make a synthesis of existing and ongoing research as a health technology assessment (HTA) of IHC for multidisciplinary teamwork across the hospital and primary care interface and (2) Focus on dissemination by the formation of country specific multidisciplinary networks on IHC, see www.integratedhomecare.eu.

Date: 2009
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