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The long term importance of English primary care groups for integration in primary health care and deinstitutionalisation of hospital care

PURPOSE: This article reviews the impact of successive experiments in the development of primary care organisations in England and assesses the long-term importance of English primary care groups for the integration of health and community and health and social care and the deinstitutionalisation of...

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Autor principal: Goodwin, Nick
Formato: Texto
Lenguaje:English
Publicado: Igitur, Utrecht Publishing & Archiving Services 2001
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1484401/
https://www.ncbi.nlm.nih.gov/pubmed/16896416
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author Goodwin, Nick
author_facet Goodwin, Nick
author_sort Goodwin, Nick
collection PubMed
description PURPOSE: This article reviews the impact of successive experiments in the development of primary care organisations in England and assesses the long-term importance of English primary care groups for the integration of health and community and health and social care and the deinstitutionalisation of hospital care. THEORY: Governments in a number of Western countries are attempting to improve the efficiency, appropriateness and equity of their health systems. One of the main ways of doing this is to devolve provision and commissioning responsibility from national and regional organisations to more local agencies based in primary care. Such primary care organisations are allocated budgets that span both primary and secondary (hospital) services and also, potentially, social care. METHOD: This article is based on a systematic review of the literature forthcoming from the UK Government's Department of Health-funded evaluations of successive primary care organisational developments. These include total purchasing pilots, GP commissioning group pilots, personal medical services pilots and primary care groups and trusts. RESULTS: Primary care organisations in England have proved to be a catalyst in facilitating the development of integrated care working between primary and community health services. Conversely, primary care organisations have proved less effective in promoting integration between health and social care agencies where most progress has been made at the strategic commissioning level. The development of primary care trusts in England is heralding an end to traditional community hospitals. CONCLUSIONS: The development of primary care groups in England are but an intermediate step of a policy progression towards future primary care-based organisations that will functionally integrate primary and community health services with local authority services under a single management umbrella.
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spelling pubmed-14844012006-08-07 The long term importance of English primary care groups for integration in primary health care and deinstitutionalisation of hospital care Goodwin, Nick Int J Integr Care Projects and Developments PURPOSE: This article reviews the impact of successive experiments in the development of primary care organisations in England and assesses the long-term importance of English primary care groups for the integration of health and community and health and social care and the deinstitutionalisation of hospital care. THEORY: Governments in a number of Western countries are attempting to improve the efficiency, appropriateness and equity of their health systems. One of the main ways of doing this is to devolve provision and commissioning responsibility from national and regional organisations to more local agencies based in primary care. Such primary care organisations are allocated budgets that span both primary and secondary (hospital) services and also, potentially, social care. METHOD: This article is based on a systematic review of the literature forthcoming from the UK Government's Department of Health-funded evaluations of successive primary care organisational developments. These include total purchasing pilots, GP commissioning group pilots, personal medical services pilots and primary care groups and trusts. RESULTS: Primary care organisations in England have proved to be a catalyst in facilitating the development of integrated care working between primary and community health services. Conversely, primary care organisations have proved less effective in promoting integration between health and social care agencies where most progress has been made at the strategic commissioning level. The development of primary care trusts in England is heralding an end to traditional community hospitals. CONCLUSIONS: The development of primary care groups in England are but an intermediate step of a policy progression towards future primary care-based organisations that will functionally integrate primary and community health services with local authority services under a single management umbrella. Igitur, Utrecht Publishing & Archiving Services 2001-03-01 /pmc/articles/PMC1484401/ /pubmed/16896416 Text en Copyright 2001, International Journal of Integrated Care (IJIC)
spellingShingle Projects and Developments
Goodwin, Nick
The long term importance of English primary care groups for integration in primary health care and deinstitutionalisation of hospital care
title The long term importance of English primary care groups for integration in primary health care and deinstitutionalisation of hospital care
title_full The long term importance of English primary care groups for integration in primary health care and deinstitutionalisation of hospital care
title_fullStr The long term importance of English primary care groups for integration in primary health care and deinstitutionalisation of hospital care
title_full_unstemmed The long term importance of English primary care groups for integration in primary health care and deinstitutionalisation of hospital care
title_short The long term importance of English primary care groups for integration in primary health care and deinstitutionalisation of hospital care
title_sort long term importance of english primary care groups for integration in primary health care and deinstitutionalisation of hospital care
topic Projects and Developments
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1484401/
https://www.ncbi.nlm.nih.gov/pubmed/16896416
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