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Challenges in commissioning research on what works in integrated care
 

Challenges in commissioning research on what works in integrated care

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Challenges in commissioning research on what works in integrated care. ...

Challenges in commissioning research on what works in integrated care.

Tara Lamont, Scientific Adviser
NIHR Evaluation, Trials and Studies Coordinating Centre (NETSCC)
www.netscc.ac.uk

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  • Well recognised problems of silos of care which leave patients suffering fragmented, duplicated, sub-standard care. Micro – Locality based integrated health and social care teams Call for more integration and various things tried – from specialist nurses, integrated care pathways, multidisciplinary teams, personalised care and bundled payment. Let’s take a step back and just consider conceptually the model for different approaches. Macro – Health Maintenance Organisations in US with fully integrated primary and secondary providers and payments to incentivise hospital avoidance Meso – structural and service level integration, with joint planning and budgeting – for instance, diabetes or epilepsy managed networks and pathways or locality-based health and social care teams in Torbay for older people. Micro-level : coordination driven by single assessment of the patient (may be linked to personalised budgets) and with care or case manager.
  • Xoo patients at 3 sites

Challenges in commissioning research on what works in integrated care Challenges in commissioning research on what works in integrated care Presentation Transcript