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Integrated care cannot be designed in Whitehall
In recent years England has introduced a number of initiatives to promote more integrated care. Two contrasting examples are the GP-led health centres and the Integrated Care Pilots announced in the interim and final reports, respectively, of the NHS Next Stage Review in 2007–2008. The GP-led health...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Igitur, Utrecht Publishing & Archiving
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3440250/ https://www.ncbi.nlm.nih.gov/pubmed/22977433 |
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author | Darzi, Ara Howitt, Peter |
author_facet | Darzi, Ara Howitt, Peter |
author_sort | Darzi, Ara |
collection | PubMed |
description | In recent years England has introduced a number of initiatives to promote more integrated care. Two contrasting examples are the GP-led health centres and the Integrated Care Pilots announced in the interim and final reports, respectively, of the NHS Next Stage Review in 2007–2008. The GP-led health centres were proposed as a very centralised, prescriptive approach where the aim was that all the NHS should adopt the same model of facilitating integration through co-location. Integrated Care Pilots, on the other hand, looked to the NHS to suggest their own solutions to improve integration, resulting in a variety of solutions tailored to the needs of localities. Although the results of the evaluation of the Integrated Care Pilots have been equivocal, this bottom-up approach must be the right way to foster integrated care. Long-term commitment to integrate care is needed, as well as more exploration of integration between primary care and hospitals. |
format | Online Article Text |
id | pubmed-3440250 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Igitur, Utrecht Publishing & Archiving |
record_format | MEDLINE/PubMed |
spelling | pubmed-34402502012-09-13 Integrated care cannot be designed in Whitehall Darzi, Ara Howitt, Peter Int J Integr Care Perspectives In recent years England has introduced a number of initiatives to promote more integrated care. Two contrasting examples are the GP-led health centres and the Integrated Care Pilots announced in the interim and final reports, respectively, of the NHS Next Stage Review in 2007–2008. The GP-led health centres were proposed as a very centralised, prescriptive approach where the aim was that all the NHS should adopt the same model of facilitating integration through co-location. Integrated Care Pilots, on the other hand, looked to the NHS to suggest their own solutions to improve integration, resulting in a variety of solutions tailored to the needs of localities. Although the results of the evaluation of the Integrated Care Pilots have been equivocal, this bottom-up approach must be the right way to foster integrated care. Long-term commitment to integrate care is needed, as well as more exploration of integration between primary care and hospitals. Igitur, Utrecht Publishing & Archiving 2012-05-18 /pmc/articles/PMC3440250/ /pubmed/22977433 Text en Copyright 2012, International Journal of Integrated Care (IJIC) http://creativecommons.org/licenses/by/3.0/ This work is licensed under a (http://creativecommons.org/licenses/by/3.0) Creative Commons Attribution 3.0 Unported License |
spellingShingle | Perspectives Darzi, Ara Howitt, Peter Integrated care cannot be designed in Whitehall |
title | Integrated care cannot be designed in Whitehall |
title_full | Integrated care cannot be designed in Whitehall |
title_fullStr | Integrated care cannot be designed in Whitehall |
title_full_unstemmed | Integrated care cannot be designed in Whitehall |
title_short | Integrated care cannot be designed in Whitehall |
title_sort | integrated care cannot be designed in whitehall |
topic | Perspectives |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3440250/ https://www.ncbi.nlm.nih.gov/pubmed/22977433 |
work_keys_str_mv | AT darziara integratedcarecannotbedesignedinwhitehall AT howittpeter integratedcarecannotbedesignedinwhitehall |