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.
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de Carvalho, I.A., Epping-Jordan, J., Beard, J.R. (2019). Integrated Care for Older People. In: Michel, JP. (eds) Prevention of Chronic Diseases and Age-Related Disability. Practical Issues in Geriatrics. Springer, Cham. https://doi.org/10.1007/978-3-319-96529-1_19
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