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An Introduction to Integrated Care and Diabetes Integrated Care

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Integrated Diabetes Care

Abstract

Health care has evolved as the complexity of interventions have advanced. Increasing specialisation has allowed greater skill and expertise to be focussed on any given health problem. However, diabetes has multiple causes and effects, resulting in a need for the involvement of a raft of specialties to focus on their part of the problem. The complexity of the interrelationships between these specialties, and their separate clinical, information, corporate and financial governance has inevitably led to a degree of fragmentation that now impacts on the overall quality of diabetes care received by a given patient. Diabetes Integrated Care is the term used for approaches that bring together these different components of health services that are responsible for the clinical care of people with diabetes. This includes horizontal integration, where care is integrated within primary care or within secondary care, which are now multidisciplinary, and vertical integration, which involves the articulation between primary and secondary care and the associated governance. This chapter provides an overview of the wider definitions, components and objectives of diabetes integrated care to provide a framework for the subsequent chapters.

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References

  1. Bunker JP. Medicine matters after all. J R Coll Physicians Lond. 1995;29(2):105–12.

    CAS  PubMed  Google Scholar 

  2. Glasby J, Dickinson H, Peck E. Guest editorial: partnership working in health and social care. Health Soc Care Community. 2006;14(5):373–4.

    Article  PubMed  Google Scholar 

  3. Simmons D, Wenzel H. Diabetes inpatients: a case of lose, lose, lose. Is it time to use a “diabetes-attributable hospitalization cost” to assess the impact of diabetes? Diabet Med. 2011;28(9):1123–30.

    Article  CAS  PubMed  Google Scholar 

  4. National Collaboration for Integrated Care and Support. Integrated care and support: our shared commitment. London: Department of Health; 2013.

    Google Scholar 

  5. N.N. Negative Koordination. n.d. Available from: http://www.olev.de/k/koordination.htm

  6. Scharpf FW. Coordination in hierarchies and networks. In: Scharpf F, editor. Games in hierarchies and networks. Frankfurt a.M.: Campus-Verl.; 1993: 125–65.

    Google Scholar 

  7. Holten Møller NL, Dourish P. Coordination by avoidance: bringing things together and keeping them apart across hospital departments. Proceedings of the 16th ACM international conference on supporting group work. 2010:9.

    Google Scholar 

  8. Zingerli C, Bisang K, Zimmermann W. Towards policy integration: experiences with intersectoral coordination in international and national forest policy. Berlin Conference 2004 on the human dimension of global environmental change “Greening of Policies – Interlinkages and Policy Integration”. Berlin; 2004.

    Google Scholar 

  9. Wenzel H. N 2.10 The global financial crisis and health. South East Eur J Pub Health Spec. vol 2015. A global public health curriculum 1st version. 2015:92–9.

    Google Scholar 

  10. Nolte E, Pitchforth E. What is the evidence on the economic impacts of integrated care? Copenhagen World Health Org. 2014;11:478–88.

    Google Scholar 

  11. Ouwens M, Wollersheim H, Hermens R, Hulscher M, Grol R. Integrated care programmes for chronically ill patients: a review of systematic reviews. Int J Qual Health Care. 2005;17(2):141–6.

    Article  PubMed  Google Scholar 

  12. Vogeli C, Shields AE, Lee TA, Gibson TB, Marder WD, Weiss KB, et al. Multiple chronic conditions: prevalence, health consequences, and implications for quality, care management, and costs. J Gen Intern Med. 2007;22 Suppl 3:391–5.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Committee on Quality of HealthCare in America IoM. Crossing the quality chasm: a new health system for the 21st century. Summary. Washington, DC: National Academy Press; 2001.

    Google Scholar 

  14. Laplante A. Integrated systems improve medical care, control costs, according to Enthoven. Stanford report. 26 Oct 2005.

    Google Scholar 

  15. New South Wales Government. Info summary – integrated care. n.d.

    Google Scholar 

  16. Haggerty JL, Reid RJ, Freeman GK, Starfield BH, Adair CE, McKendry R. Continuity of care: a multidisciplinary review. BMJ. 2003;327(7425):1219–21.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Juhnke C, Mühlbacher AC. Patient-centredness in integrated healthcare delivery systems – needs, expectations and priorities for organised healthcare systems. Int J Integr Care. 2013;13(28):e051.

    PubMed  PubMed Central  Google Scholar 

  18. Nair KM, Dolovich LR, Ciliska DK, Lee HN. The perception of continuity of care from the perspective of patients with diabetes. Fam Med. 2005;37(2):118–24.

    PubMed  Google Scholar 

  19. Price M, Lau FY. Provider connectedness and communication patterns: extending continuity of care in the context of the circle of care. BMC Health Serv Res. 2013;13:309.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Gulliford M, Naithani S, Morgan M. What is “continuity of care”? J Health Serv Res Policy. 2006;11(4):248–50.

    Article  PubMed  Google Scholar 

  21. Schrijvers G, Goodwin N. Looking back whilst moving forward: observations on the science and application of integrated care over the past 10 years and predictions for what the next 10 years may hold. Int J Integr Care. 2010;10:e057.

    PubMed  PubMed Central  Google Scholar 

  22. Gröne O, Garcia-Barbero M. Trends in integrated care – reflections on conceptual issues Copenhagen: World Health Organization, Regional Office for Europe. 2002.

    Google Scholar 

  23. Nolte E, McKee M. Integration and chronic care: a review. In: Nolte E, McKee M, editors. Caring for people with chronic conditions: a health system perspective. Maidenhead: Open University Press; 2008. p. 1. online resource (xxi, 259).

    Google Scholar 

  24. Leutz WN. Five laws for integrating medical and social services: lessons from the United States and the United Kingdom. Milbank Q. 1999;77(1):77–110. iv–v.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. Ahgren B, Axelsson R. Evaluating integrated health care: a model for measurement. Int J Integr Care. 2005;5:e01. discussion e3, e9.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Goodwin N, Peck E, Freeman T, Posaner R. Managing across diverse networks of care: lessons from other sectors London: report to the National Co-ordinating Centre for NHS Service Delivery and Organisation R & D (NCCSDO). 2004.

    Google Scholar 

  27. Britnell M. Patients need to be the focus of integrated care. Healthcare network [internet]. 2013. Available from: http://www.theguardian.com/healthcare-network/2013/jun/04/patients-need-to-be-focus-of-integrated-care

  28. Ham C, Smith J. Removing the policy barriers to integrated care in England the Nutfield trust for research and policy studies in health services – briefing. The Nuffield Trust for Research and Policy Studies in Health Services. 2010.

    Google Scholar 

  29. Shortell SM, Gillies RR, Anderson DA. The new world of managed care: creating organized delivery systems. Health Aff. 1994;13(5):46–64.

    Article  CAS  Google Scholar 

  30. Kodner DL, Spreeuwenberg C. Integrated care: meaning, logic, applications, and implications – a discussion paper. Int J Integr Care. 2002;2:e12.

    Article  PubMed  Google Scholar 

  31. Leichsenring K. Developing integrated health and social care services for older persons in Europe. Int J Integr Care. 2004;4:e10.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Kodner D. All together now: a conceptual exploration of integrated care. Healthc Q. 2009;13(sp):6–15.

    Article  PubMed  Google Scholar 

  33. Berwick DM, Nolan TW, Whittington J. The triple aim: care, health, and cost. Health Aff (Millwood). 2008;27(3):759–69.

    Article  Google Scholar 

  34. Powell Davies G, Harris M, Perkins D, Roland M, Williams A, Larsen K, et al. Coordination of care within primary health care and within other sectors: a systematic review. Research Centre for Primary Health Care and Equity, School of Public Health and Community Medicine, UNSW, 2006.

    Google Scholar 

  35. de Bakker DH, Struijs JN, Baan CB, Raams J, Wildt J-E, Vrijhoef HJM, et al. Early results from adoption of bundled payment for diabetes care in the Netherlands show improvement in care coordination. Health Aff (Project Hope). 2012;31(2):426–33.

    Article  Google Scholar 

  36. Struijs JN, Baan CA. Integrating care through bundled payments – lessons from The Netherlands. N Engl J Med. 2011;364(11):990–1.

    Article  CAS  PubMed  Google Scholar 

  37. de Bruin SR, Heijink R, Lemmens LC, Struijs JN, Baan CA. Impact of disease management programs on healthcare expenditures for patients with diabetes, depression, heart failure or chronic obstructive pulmonary disease: a systematic review of the literature. Health Policy. 2011;101(2):105–21.

    Article  PubMed  Google Scholar 

  38. Evers SM. Value of integrated care: revival of the monetary valuation of health care benefits. Int J Integr Care. 2010;10:e045.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Vondeling H. Economic evaluation of integrated care: an introduction. Int J Integr Care. 2004;4:e20.

    Article  PubMed  PubMed Central  Google Scholar 

  40. International Diabetes Federation. IDF diabetes atlas. 6th ed. Brussels: International Diabetes Federation; 2013. Available from: www.idf.org/diabetesatlas.

    Google Scholar 

  41. Roy T, Lloyd CE. Epidemiology of depression and diabetes: a systematic review. J Affect Disord. 2012;142:S8–21.

    Article  PubMed  Google Scholar 

  42. Kodner DL, Kyriacou CK. Fully integrated care for frail elderly: two American models. Int J Integr Care. 2000;1:e08.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Correspondence to Helmut Wenzel .

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Wenzel, H., Simmons, D. (2017). An Introduction to Integrated Care and Diabetes Integrated Care. In: Simmons, D., Wenzel, H., Zgibor, J. (eds) Integrated Diabetes Care. Springer, Cham. https://doi.org/10.1007/978-3-319-13389-8_1

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  • DOI: https://doi.org/10.1007/978-3-319-13389-8_1

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