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2019 | 13 | 1 |

Tytuł artykułu

Can community and hospital medicine meet? A novel integrative care experience at Assuta University Medical Center

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Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
The ageing of the population, along with the rise in chronic complex illnesses, requires extensive interprofessional, individualized care, mainly in the community, but also in hospitals. Fragmentation results in suboptimal care, higher cost due to duplication and poor quality of care. Hence, collaboration between health systems is essential to prevent further complications and provide enhanced medical care to patients. Integrative care creates bridges between community and hospital health. Integration should be pursued at different levels within a system to facilitate the continuous, comprehensive, and coordinated delivery of services to individuals and populations. To be applied and to make a difference in patient care and outcome, its significance needs to be understood and embedded at the management level. Health systems should abandon familiar paradigms and collaborate with other health systems on the macro level. Several studies describe integrative care from its different aspects. Division of integration into levels: systemic to clinical, horizontal vs longitudinal and according to the degree of integration (from linkage to full integration). Maccabi Health Services is the first Israeli health organization to place an integrative care team at Assuta Hospital in Ashdod. The multiprofessional team, situated in the hospital, sees every Maccabi patient in the hospital. Through close communication and collaborative work with the hospital team – a shared continuity of the care plan is prepared. The team coordinates future care in the community from the hospital to ease the release process and improve outcomes.

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-

Rocznik

Tom

13

Numer

1

Opis fizyczny

p.26-28,fig.,ref.

Twórcy

autor
  • Maccabi Health Services, Southern District, Israel
  • Assuta University Medical Center, Ben Gurion University Medical School, 7 Harefua st.Ashdod, 7747629 Ashdod, Israel
autor
  • Maccabi Health Services, Southern District, Israel
  • Assuta University Medical Center, Ben Gurion University Medical School, Ashdod, Israel
  • Maccabi Health Services, Southern District, Israel
  • Assuta University Medical Center, Ben Gurion University Medical School, Ashdod, Israel
autor
  • Maccabi Health Services, Southern District, Israel
  • Assuta University Medical Center, Ben Gurion University Medical School, Ashdod, Israel

Bibliografia

  • 1. Valentin PP , Schepman SM, Opheij W, Bruijnzeels MA Understanding integrated care: a comprehensive conceptual framework based on the integrative functions of primary care. Int J Integr Care 2013 Mar 22; 13: e010.
  • 2. De Regge M, De Pourcq K, Meijboom B, Trybou J, Mortier E, Eeckloo K. The role of hospitals in bridging the care continuum: a systematic review of coordination of care and follow-up for adults with chronic conditions. BMC Health Serv Res 2017 Aug 9; 17(1): 550.
  • 3. Council of the European Union. Document 12981/13, Annex IV; 2017.
  • 4. Shortell SM, Gillies RR, Anderson DA. The new world of managed care: creating organized delivery systems. Health Aff (Millwood). 1994 Winter; 13(5): 46–64.
  • 5. Simoens S, Scott A. Towards a definition and taxonomy of integration in primary care. Aberdeen: University of Aderdeen; 1999.
  • 6. Leutz W. 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.
  • 7. Ahgren B, Axelsson R. Evaluating integrated health care: a model for measurement. Int J Integr Care 2005; 5: e01; discussion e03, e09.

Typ dokumentu

Bibliografia

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