Health care agreements as a tool for coordinating health and social services


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Autorzy: Andreas Rudkjøbing, Martin Strandberg-Larsen, Karsten Vrangbæk, John Sahl Andersen, Allan Krasnik

Tytuł: Health care agreements as a tool for coordinating health and social services

Streszczenie:

Introduction: In 2007, a substantial reform changed the administrative boundaries of the Danish health care system and introduced health care agreements to be signed between municipal and regional authorities. To assess the health care agreements as a tool for coordinating health and social services, a survey was conducted before (2005–2006) and after the reform (2011).
Theory and methods: The study was designed on the basis of a modified version of Alter and Hage’s framework for conceptualising coordination. Both surveys addressed all municipal level units (n = 271/98) and a random sample of general practitioners (n = 700/853).
Results: The health care agreements were considered more useful for coordinating care than the previous health plans. The power relationship between the regional and municipal authorities in drawing up the agreements was described as more equal. Familiarity with the agreements among general practitioners was higher, as was the perceived influence of the health care agreements on their work.
Discussion: Health care agreements with specific content and with regular follow-up and systematic mechanisms for organising feedback between collaborative partners exemplify a useful tool for the coordination of health and social services.
Conclusion: There are substantial improvements with the new health agreements in terms of formalising a better coordination of the health care system.

Wydane: 15 December 2014

Tagi: Integrated care. Coordinated care. Health planning. National Health System.  Denmark 

 

Comparative case-study of implementation of a coordinated rehabilitation care pathway between municipalities and hospitals for stroke patients in the Central Denmark region


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Autor: Karla Douw

Tytuł: Comparative case-study of implementation of a coordinated rehabilitation care pathway between municipalities and hospitals for stroke patients in the Central Denmark region

Wydane: 7 July 2014

 

 

 

Organising to Deliver Integrated Care


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Tytuł: Organising to Deliver Integrated Care. Health Service Executive

Streszczenie:  This document covers the major perspectives emerging from the HSE commissioning work to “assist in the design of integrated services management”.  The work was conducted between March and May 2008.  It involved review of international experiences and extensive participation of stakeholders within Ireland.  The report is structured as follows:

  • Executive summary
  • Introduction and background
  • Why integrated care?
  • Historical context and case for change
  • Potential refinements to the HSE organisation and operating model
  • Potential implementation approach.

Tagi: Denmark. Canada. Germany.Singapore. Integrated Car. Sweden. England. Northern Ireland. Integration of primary care.

Is the Kaiser Permanente model superior in terms of clinical integration?: a comparative study of Kaiser Permanente, Northern California and the Danish healthcare system


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Autor: Martin Strandberg-Larsen, Michaela L Schiøtz, Jeremy D Silver, Anne Frølich, John S Andersen, Ilana Graetz, Mary Reed, Jim Bellows, Allan Krasnik, Thomas Rundall and John Hsu

Tytuł: Is the Kaiser Permanente model superior in terms of clinical integration?: a comparative study of Kaiser Permanente, Northern California and the Danish healthcare system

Data publikacji: 2010

Tagi: Integration of medical care. Primary care clinicians’ perceptions of clinical integration. Kaiser Permanente. Northern California (KPNC) and the Danish healthcare system (DHS)