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Integrated Care for Older People

  • Islène Araujo de CarvalhoEmail author
  • Joanne Epping-Jordan
  • John R. Beard
Chapter
Part of the Practical Issues in Geriatrics book series (PIG)

Abstract

In most care contexts, fundamental changes need to be made in the focus of clinical care for older people. Instead of trying to manage an array of diseases in a disjointed fashion, interventions that will optimize the trajectories of older people’s physical and mental capacities must be prioritized, so that they can do the things that they value.

Evidence suggests that an integrated care model produces better outcomes, at a cost equivalent to that of usual care. This includes a comprehensive assessment of the person’s health and social care needs; a common goal that all care providers work towards; and a care plan that is shared between all providers. Key health system levers are: supportive policies, plans and regulatory frameworks; workforce development; investment in information and communication technologies; and use of pooled budgets, bundled payments, and contractual incentives to support integrated ways of working. Actions can be taken at all levels of healthcare.

Keywords

Healthcare System Integrated care Person-centred care Comprehensive Geriatric Assessment 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Islène Araujo de Carvalho
    • 1
    Email author
  • Joanne Epping-Jordan
    • 2
  • John R. Beard
    • 1
  1. 1.WHO, Department of Ageing and Life CourseGeneva HeadquartersGenevaSwitzerland
  2. 2.SeattleUSA

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