Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

EPH3021: (Public) Health Care Systems in EU > Case 5: Integrated care > Flashcards

Case 5: Integrated care Flashcards

1
Q

What is integrated care (IC)?

A

concept of bringing together inputs, delivery, management & organisation of services related to diagnosis, treatment, care, rehabilitation & health promotion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What does it mean when IC is referred to as an ‘umbrella term’ or ‘conceptual soup’?

A
  • IC is used as an ‘umbrella term’ for a wide variety of concepts and organisational structures
  • Conceptual soup: mix of different concepts, contexts
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

delete

A

delete

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

delet

A

dwe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What does IC require?

A
  • collaboration between many stakeholders
  • These stakeholders may have different, even competing, interests which makes collaboration difficult
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is a major problem of health systems in highly developed countries?

A

increasing demand of HC expenditures caused by ageing chronic patients with both physical & cognitive problems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

*What can IC improve?

A
  • cost
  • efficiency
  • quality of care
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What patient groups can benefit from IC?

A
  • Multimorbid patients with 2 (+) chronic diseases
  • Patients with mental health conditions
  • Elderly patients

They consume highest amount of HC resources & require most coordinated care (i.e. have a high economic burden)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What 3 levels are part of the Goddard model?

A

3 “levels” defined by the group to whom care is delivered:

  • Macro
  • Meso
  • Micro
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Explain the macro level of the Goddard model

A

providers deliver IC across full spectrum of services to entire population

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Explain the meso level of the Goddard model

A

care delivered to particular sub-populations (eg, older people, mental health)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Explain the micro level of the Goddard model

A

care delivered to individual service users & their carers (eg, through care coordination & planning)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is horizontal integration (Grattani model)

A

IC applied at various services delivered at the same clinical stage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is vertical integration (Grattani model)

A
  • IC brings together services at different stages of care
  • Takes patients from first contact → specialist → ongoing care.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is functional integration (FI)?

A

Mechanisms by which financing, information & management (FIM) modalities are linked to add the greatest overall value to the system.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is normative integration (NI)?

A

development & maintenance of a common frame of reference (i.e. shared mission, vision, values & culture) between organisations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is the rainbow model of integrated care (RMIC)?

A
  • Conceptual framework for IC based on integrative functions of primary care (rainbow model)
18
Q

What are the benefits of IC?

A
  • Better access & preventive care
  • improved satisfaction & experience
  • reduced avoidable hospital & emergency admissions
  • improved health status
  • improved QoL
19
Q

What problems does IC try to solve?

A
  • Fragmentation
  • Duplication
  • Poor coordination of care
20
Q

What is value?

A
  • an economic term.
  • used in VBHC
  • degree of success shown by provider in meeting needs of clients, relative to costs
21
Q

What are values?

A
  • organisational term
  • Can be defined as meaningful beliefs, principles or standards of behaviour referring to desirable goals that motivate action
22
Q

What are 5 common characteristics of values?

A
  1. values are concepts or beliefs.
  2. values refer to desirable goals, end states or behaviours.
  3. values go beyond specific situations & objects - values relevant in multiple contexts: in personal relationships, work, politics
  4. values used in selection/evaluation of events, policies or behaviour.
  5. values are ordered by relative importance.
23
Q

What are enablers of IC?

A
  1. Professional & cultural enablers
  2. Organisational enablers
  3. Policy enablers
24
Q

What are professional & cultural enablers for IC?

A
  • common purpose & vision
  • shared professional values
  • shared culture
  • strong leadership
25
Q

What are organisaitonal enablers for IC?

A
  • involvement of staff at all levels
  • ability to share data across organisations
  • incentives for collaboration
  • trained and engaged workforce.
26
Q

What are policy enablers for IC?

A
  • payment mechanisms supporting cross-organisational care
  • consistent regulatory policies
  • political will to support appropriate structural changes
27
Q

delete

A

delete

28
Q

What are barriers of IC?

A
  • Disease-centred ?
  • IC initiatives could reveal ‘unmet needs’ of multimorbid patients within & beyond HC = extra costs rather than savings.
  • Division, decentralisation & specialisation can impact effectiveness & efficiency of IC
  • Lots of costs and complexity - regulatory challengers and cultural inertia
  • Insufficient IT infrastructure
29
Q

How to achieve IC?

see image

A
  • identification & targeting of a specific patient population
  • Achieving IC is challenging & highly context dependent. NO one-size-fits-all solution
30
Q

How can integration of service be achieved according to the rainbow model?

A
  • system integration
  • institutional (organisational) integration
  • professiona integration
  • service (clinical) integration
31
Q

What pillars does the framework contain?

A
  1. Key elements of primary care
  2. Dimension of integrated care
  3. combination of key elements & dimensions
32
Q

What are 2 features in the key elements of primary care?

rainbow model

A
  1. Person-focused care
  2. Population-based care
33
Q

What is person-focused care?

A

reflects a biopsychosocial perspective of health which acknowledges that health problems are not synonymous to biology alone bridging the gap between medical and social problems

34
Q

What is population based care?

A

based on personal preferences, needs and values which recognises a need to understand the personal meanings behind an illness

35
Q

What are the dimensions of IC?

pillar rainbow model

A
  • Macro level / system integration
  • Meso level / organisational integration
  • Meso level / proffessional integration
  • Micro level / clinical integration
36
Q

Explain the macro level / system integration

rainbow model

A
  • refers to alignment of rules & policies in health system.
  • includes horizontal & vertical integration
37
Q

Explain the meso level / organisational integration

A

extent to which organisations coordinate services across different organisational boundaries

38
Q

Explain meso level / professional integration

A

partnerships within & between different organisations

39
Q

Explain the micro level / clinical integration

A
  • extent to which care services are coordinated across various professional, institutional and sectoral boundaries
  • Integration based on person-focused care
40
Q

How to combine key elements & dimensions

pillar 3 of rainbow model

A

FI & NI supports & links clinical (micro-level), professional & organisational integration (meso-level) dimensions within a system (macro-level).

EPH3021: (Public) Health Care Systems in EU (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions