scholarly journals Integrated care systems in trauma to elective care: Can we emulate the integration of services in orthopaedic trauma care within elective practice?

2021 ◽  
Vol 2 (6) ◽  
pp. 411-413
Author(s):  
Joshua W. Thompson ◽  
Fares S. Haddad
Author(s):  
George Crooks ◽  
Donna Henderson

Across the developed world, the majority of health and care systems are looking towards the integration of services within and across organisations to deliver efficiencies and enhance effectiveness and, by doing so, deliver service sustainability in an increasingly challenging environment, while a simple aspiration to articulate in reality the delivery of integrated care is proving challenging and in some cases elusive. In 2012, the European Innovation Partnership on Active and Healthy Ageing's B3 Integrated Care Action Group carried out a high-level survey of 27 B3 Action Group members from regions and delivery organisations across Europe to determine their state of readiness for the delivery of integrated care services. This chapter highlights the common bottlenecks and barriers identified, before moving on to explore the key components that support the successful integration of services, including incentives/levers for change and technology-enabled service solutions.


Injury ◽  
2003 ◽  
Vol 34 (9) ◽  
pp. 649-651 ◽  
Author(s):  
John L Croser
Keyword(s):  

2008 ◽  
Vol 51 (4) ◽  
pp. 546 ◽  
Author(s):  
N. Cheung ◽  
C.H. Cheng ◽  
C.A. Graham ◽  
B.J. Gabbe ◽  
J.H. Yeung ◽  
...  
Keyword(s):  

2021 ◽  
Vol 233 (5) ◽  
pp. e133
Author(s):  
Nicholas A. Giordano ◽  
Jesse Seilern und Aspang ◽  
Cammie Wolf Rice ◽  
Bailey Barrell ◽  
Lauren Kirk ◽  
...  

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Michael Clark ◽  
Michelle Cornes ◽  
Martin Whiteford ◽  
Robert Aldridge ◽  
Elizabeth Biswell ◽  
...  

PurposePeople experiencing homelessness often have complex needs requiring a range of support. These may include health problems (physical illness, mental health and/or substance misuse) as well as social, financial and housing needs. Addressing these issues requires a high degree of coordination amongst services. It is, thus, an example of a wicked policy issue. The purpose of this paper is to examine the challenge of integrating care in this context using evidence from an evaluation of English hospital discharge services for people experiencing homelessness.Design/methodology/approachThe paper undertakes secondary analysis of qualitative data from a mixed methods evaluation of hospital discharge schemes and uses an established framework for understanding integrated care, the Rainbow Model of Integrated Care (RMIC), to help examine the complexities of integration in this area.FindingsSupporting people experiencing homelessness to have a good discharge from hospital was confirmed as a wicked policy issue. The RMIC provided a strong framework for exploring the concept of integration, demonstrating how intertwined the elements of the framework are and, hence, that solutions need to be holistically organised across the RMIC. Limitations to integration were also highlighted, such as shortages of suitable accommodation and the impacts of policies in aligned areas of the welfare state.Research limitations/implicationsThe data for this secondary analysis were not specifically focussed on integration which meant the themes in the RMIC could not be explored directly nor in as much depth. However, important issues raised in the data directly related to integration of support, and the RMIC emerged as a helpful organising framework for understanding integration in this wicked policy context.Practical implicationsIntegration is happening in services directly concerned with the discharge from hospital of people experiencing homelessness. Key challenges to this integration are reported in terms of the RMIC, which would be a helpful framework for planning better integrated care for this area of practice.Social implicationsAddressing homelessness not only requires careful planning of integration of services at specific pathway points, such as hospital discharge, but also integration across wider systems. A complex set of challenges are discussed to help with planning the better integration desired, and the RMIC was seen as a helpful framework for thinking about key issues and their interactions.Originality/valueThis paper examines an application of integrated care knowledge to a key complex, or wicked policy issue.


2010 ◽  
Vol 30 (1) ◽  
pp. 50-58 ◽  
Author(s):  
Mohammed Y. Al-Naami ◽  
Maria A. Arafah ◽  
Fatimah S. Al-Ibrahim

Author(s):  
Joshua W. Thompson ◽  
Alice O'Brien ◽  
Anna Stewart ◽  
Rob Hurd ◽  
Fares S Haddad

Health service innovation is required to meet the ever-growing demands of modern medicine. This editorial discusses the transformation of the north central London elective orthopaedic network and the essential principles which future integrated care systems could incorporate.


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