Academic Journal
Progress in Building Integration: Lessons from Great Britain, Northern Ireland and the Basque Country
| العنوان: | Progress in Building Integration: Lessons from Great Britain, Northern Ireland and the Basque Country |
|---|---|
| المؤلفون: | Heenan, Deirdre Anne, Bengoa, Rafael, Birrell, Derek |
| المصدر: | International Journal of Integrated Care; Vol. 17: Annual Conference Supplement 2017; A262 ; 1568-4156 |
| بيانات النشر: | Ubiquity Press |
| سنة النشر: | 2017 |
| المجموعة: | International Journal of Integrated Care (IJIC) |
| مصطلحات موضوعية: | integration, scaling-up, leadership, it, alignment |
| الوصف: | The integration of health and social care has been a constant policy goal of successive UK governments for over 40 years and is a contemporary priority now supported in Great Britain by legislation. It has been noted that the ‘imperative to integrate and transform has never been greater’ (NHS Confederation/Local Government Association, 2016). The main rationales for the importance of integration have also been largely accepted relating to; a holistic approach; facilitating a more person centred approach; producing a better experience and outcomes for users; reducing the complexity of organisational divisions, responding to more complex conditions and delivering more effective and efficient use of resources. Integration is also accepted as an appropriate response to increasing demands on both health and social care services. The challenges to transforming delivery are a consequence of well-established factors. Demographic change, with larger numbers of older people, changes in life expectancy, the needs of people with multiple health problems and complex conditions and large increases in the numbers of older people without a child to care for them if needed. The importance of integration has also been enhanced by the broader direction of change relating to health provision and the desirability of making a shift from acute hospital provision and institutional care to more community based provision covering community health services and social care. Integration is thus part of the envisaged transformation in care in health related areas. Other challenges have come from the impact of economic recession and austerity policy with reductions in the funding resources and increasing costs of services.The task of producing effective integrated care involves in Great Britain bringing together two separate institutional configurations, the NHS and local authority social services and also developing the delivery of integrated services and integrated practice. Numerous policy and delivery initiatives have been developed but ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| Relation: | https://account.ijic.org/index.php/up-j-ijic/article/view/3573/4349; https://account.ijic.org/index.php/up-j-ijic/article/view/3573 |
| DOI: | 10.5334/ijic.3573 |
| الاتاحة: | https://account.ijic.org/index.php/up-j-ijic/article/view/3573 https://doi.org/10.5334/ijic.3573 |
| Rights: | Copyright (c) 2017 The Author(s) ; https://creativecommons.org/licenses/by/4.0 |
| رقم الانضمام: | edsbas.D97E3CE7 |
| قاعدة البيانات: | BASE |
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