Cargando…

Defining Pooled’ Place-Based’ Budgets for Health and Social Care: A Scoping Review

INTRODUCTION: Current descriptions of pooled budgets in the literature pose challenges to good quality evaluation of their contribution to integrated care. Addressing this gap is increasingly important given the shift from early models of integrated care targeting segments of the population, to more...

Descripción completa

Detalles Bibliográficos
Autores principales: Tebaldi, Davide, Stokes, Jonathan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Ubiquity Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9479665/
https://www.ncbi.nlm.nih.gov/pubmed/36186513
http://dx.doi.org/10.5334/ijic.6507
_version_ 1784790842383269888
author Tebaldi, Davide
Stokes, Jonathan
author_facet Tebaldi, Davide
Stokes, Jonathan
author_sort Tebaldi, Davide
collection PubMed
description INTRODUCTION: Current descriptions of pooled budgets in the literature pose challenges to good quality evaluation of their contribution to integrated care. Addressing this gap is increasingly important given the shift from early models of integrated care targeting segments of the population, to more recent approaches that aim to target ‘places’, broader geographically defined populations. This review draws on the current international evidence to describe practical examples of pooled health and social care budgets, highlighting specific place-based approaches. METHODS: We initially conducted a scoping review, a systematic database search (‘Medline’, ‘Embase’, ‘Econ Lit’ and ‘Google Scholar’) complemented by further snowballing for academic and ‘grey literature’ publications (1995 – 2020). Results were analysed thematically according to budget characteristics and macro-environment, with additional specific case studies. RESULTS: Thirty-six primary studies were included, describing ten broad models of pooled budgets across seven countries. Most budgets targeted specific sub-populations rather than an entire geographically defined population. Specific budget structures varied and were generally under-described. The closest place-based models were for small populations and implemented in a national health system, or insurance-based with natural geographical boundaries. CONCLUSION: Despite their increasing relevance in the current political debate, pooled place-based budgets are still at an early stage of implementation and research. Adequate description is required for future meta-analysis of effectiveness on outcomes.
format Online
Article
Text
id pubmed-9479665
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Ubiquity Press
record_format MEDLINE/PubMed
spelling pubmed-94796652022-10-01 Defining Pooled’ Place-Based’ Budgets for Health and Social Care: A Scoping Review Tebaldi, Davide Stokes, Jonathan Int J Integr Care Research and Theory INTRODUCTION: Current descriptions of pooled budgets in the literature pose challenges to good quality evaluation of their contribution to integrated care. Addressing this gap is increasingly important given the shift from early models of integrated care targeting segments of the population, to more recent approaches that aim to target ‘places’, broader geographically defined populations. This review draws on the current international evidence to describe practical examples of pooled health and social care budgets, highlighting specific place-based approaches. METHODS: We initially conducted a scoping review, a systematic database search (‘Medline’, ‘Embase’, ‘Econ Lit’ and ‘Google Scholar’) complemented by further snowballing for academic and ‘grey literature’ publications (1995 – 2020). Results were analysed thematically according to budget characteristics and macro-environment, with additional specific case studies. RESULTS: Thirty-six primary studies were included, describing ten broad models of pooled budgets across seven countries. Most budgets targeted specific sub-populations rather than an entire geographically defined population. Specific budget structures varied and were generally under-described. The closest place-based models were for small populations and implemented in a national health system, or insurance-based with natural geographical boundaries. CONCLUSION: Despite their increasing relevance in the current political debate, pooled place-based budgets are still at an early stage of implementation and research. Adequate description is required for future meta-analysis of effectiveness on outcomes. Ubiquity Press 2022-09-13 /pmc/articles/PMC9479665/ /pubmed/36186513 http://dx.doi.org/10.5334/ijic.6507 Text en Copyright: © 2022 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.
spellingShingle Research and Theory
Tebaldi, Davide
Stokes, Jonathan
Defining Pooled’ Place-Based’ Budgets for Health and Social Care: A Scoping Review
title Defining Pooled’ Place-Based’ Budgets for Health and Social Care: A Scoping Review
title_full Defining Pooled’ Place-Based’ Budgets for Health and Social Care: A Scoping Review
title_fullStr Defining Pooled’ Place-Based’ Budgets for Health and Social Care: A Scoping Review
title_full_unstemmed Defining Pooled’ Place-Based’ Budgets for Health and Social Care: A Scoping Review
title_short Defining Pooled’ Place-Based’ Budgets for Health and Social Care: A Scoping Review
title_sort defining pooled’ place-based’ budgets for health and social care: a scoping review
topic Research and Theory
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9479665/
https://www.ncbi.nlm.nih.gov/pubmed/36186513
http://dx.doi.org/10.5334/ijic.6507
work_keys_str_mv AT tebaldidavide definingpooledplacebasedbudgetsforhealthandsocialcareascopingreview
AT stokesjonathan definingpooledplacebasedbudgetsforhealthandsocialcareascopingreview