TY - JOUR
KW - Addiction
KW - Caregivers
KW - Global Health
KW - Health Policy
KW - Home Care
KW - integrated care
KW - International comparison
KW - Organization of care
KW - Populations
KW - primary care
KW - primary care providers
KW - serious mental illness
KW - shared decision making
KW - Mental Health
AU - O. Bhattacharyya
AU - J. Shaw
AU - S. Sinha
AU - D. Gordon
AU - S. Shahid
AU - W. P. Wodchis
AU - G. Anderson
A1 - 
AB - High-income countries face the challenge of providing effective and efficient care to the relatively small proportion of their populations with high health and social care needs. Recent reports suggest that integrated health and social care programs target specific high-needs population segments, coordinate health and social care services to meet their clients' needs, and engage clients and their caregivers. We identified thirty health and social care programs in eleven high-income countries that delivered care in new ways. We used a structured survey to characterize the strategies and activities used by these programs to identify and recruit clients, coordinate care, and engage clients and caregivers. We found that there were some common features in the implementation of these innovations across the eleven countries and some variation related to local context or the clients served by these programs. Researchers could use this structured approach to better characterize the core components of innovative integrated care programs. Policy makers could use this approach to provide a common language for international policy exchange, and this structured characterization of successful programs could play an important role in spreading them and scaling them up.
AD - Onil Bhattacharyya is Frigon Blau Chair in Family Medicine Research, Women's College Hospital, University of Toronto, in Ontario.; James Shaw is a scientist at the Women's College Hospital Institute for Health System Solutions and Virtual Care (WHIV), in Toronto.; Samir Sinha is an associate professor in the Department of Medicine, Division of Geriatric Medicine, University of Toronto.; Dara Gordon is a research coordinator at WHIV.; Simone Shahid is a research assistant at WHIV.; Walter P. Wodchis is a professor in the Institute of Health Policy, Management, and Evaluation (IHPME), University of Toronto.; Geoffrey Anderson ( geoff. anderson@utoronto. ca ) is a professor in the IHPME, University of Toronto.
BT - Health affairs (Project Hope)
C5 - Education & Workforce; Healthcare Disparities
CP - 4
CY - United States
DO - 10.1377/hlthaff.2019.00826
IS - 4
JF - Health affairs (Project Hope)
LA - eng
M1 - Journal Article
N2 - High-income countries face the challenge of providing effective and efficient care to the relatively small proportion of their populations with high health and social care needs. Recent reports suggest that integrated health and social care programs target specific high-needs population segments, coordinate health and social care services to meet their clients' needs, and engage clients and their caregivers. We identified thirty health and social care programs in eleven high-income countries that delivered care in new ways. We used a structured survey to characterize the strategies and activities used by these programs to identify and recruit clients, coordinate care, and engage clients and caregivers. We found that there were some common features in the implementation of these innovations across the eleven countries and some variation related to local context or the clients served by these programs. Researchers could use this structured approach to better characterize the core components of innovative integrated care programs. Policy makers could use this approach to provide a common language for international policy exchange, and this structured characterization of successful programs could play an important role in spreading them and scaling them up.
PP - United States
PY - 2020
SN - 1544-5208; 0278-2715
SP - 689
EP - 696
EP - 
T1 - Innovative Integrated Health And Social Care Programs In Eleven High-Income Countries
T2 - Health affairs (Project Hope)
TI - Innovative Integrated Health And Social Care Programs In Eleven High-Income Countries
U1 - Education & Workforce; Healthcare Disparities
U2 - 32250690
U3 - 10.1377/hlthaff.2019.00826
VL - 39
VO - 1544-5208; 0278-2715
Y1 - 2020
Y2 - Apr
ER -