TAILIEUCHUNG - Frameworks of Integrated Care for the Elderly: A Systematic Review

Skilled Nursing Facility SNPs allow specialization in patients who are already institutionalized. Health centers may wish to explore partnering with such plans if their physicians are serving a significant number of nursing home residents or if they contract with or own nursing homes. Typically such plans can provide a more comprehensive and coordinated package of medical care to SNF residents than would be normally provided, thus saving on high cost care and, ideally, providing better quality of life for residents. United Health’s Evercare SNF plan is one of the models for this type of plan. ( DemoProjectsEvalRpts/downloads/) | CANADIAN POLICY RESEARCH NETWORKS RÉSEAUX CANADIENS DE RECHERCHE EN POLITIQUES PUBLIQUES Frameworks of Integrated Care for the Elderly A Systematic Review Margaret MacAdam CPRN Research Report April 2008 Canadian Policy Research Networks is a not-for-profit organization. Our mission is to help make Canada a more just prosperous and caring society. We seek to do this through excellent and timely research effective networking and dissemination and by providing a valued neutral space within which an open dialogue among all interested parties can take place. You can obtain further information about CPRN and its work in public involvement and other policy areas at . This report Frameworks of Integrated Care for the Elderly A Systematic Review has been generously funded by a grant from the Ontario Ministry of Health and Long-Term Care. The views expressed in the report are the views of the author and do not necessarily reflect those of the Ontario Ministry of Health and Long-Term Care. Copyright 2008 Canadian Policy Research Networks Inc. Contents Acknowledgements . ii Foreword. iii Executive Summary. iv Background and Rationale . 1 What Is Integration in a Health Policy Context . 1 Types. 2 Levels. 3 Form . 3 Our Working Definition. 4 Methods. 4 Results. 5 Trials of Integrated Models of Care of the Elderly. 5 Reviews of Programs of Integrated Health and Social Care of the Elderly. 9 Reports of Surveys of Features of Integrated Care Models. 14 OECD Survey of Care Coordination . 14 European Union Survey of Integrated Care Approaches. 14 Frameworks of Integrated Care . 16 Conclusion . 24 References . 25 Our Support . 28 Figures and Table Figure 1. Wagner Chronic Care Model . 12 Figure 2. Hollander and Prince Framework . 20 Table 1. Evaluated Trials of Integrated Health and Social Care Projects for the Elderly . 5 Table 2. Summary Table of Project Features and Outcomes. 8 Table 3. Key Features of .

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