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Integrated Care and Community Services in Global Health

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Handbook of Global Health
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Abstract

People-centeredness, integrated care, and community care all spring from the same common challenge: the understanding that our health and care systems are consistently failing both people and professionals, and the need to recalibrate and relearn some of the old wisdom of what health and wellbeing actually mean. A core tenet for all is the partnership with people and communities on all levels of the system, accepting them as equal partners in the governance, design, delivery, and evaluation of services. As an instrument to address the global health issues and support the achievement of the Sustainable Development Goals, people-centered, integrated thinking is essential to ensure sustainable, system-wide, and locally relevant change. This paradigm shift can best be summarized in changing the question from “What’s the matter?” to “What matters to you?” This chapter will explore the key principles of people-centeredness, integrated care, and integrated community care, and discuss how these can support the tackling of global health challenges and lead to better outcomes on individual, community, and system levels.

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References

  • Amelung VE, Stein KV, Goodwin N, Balicer R, Nolte E, Suter E (2017) Handbook integrated care. Springer Nature, New York

    Book  Google Scholar 

  • Arnstein SR (1969) A ladder of citizen participation. J Am Inst Plann 35(4):216–224

    Article  Google Scholar 

  • Barr S, Robinson S, Marin-Link B, Salivaras S (2003) The expanded chronic care model: an integration of concepts and strategies from population health promotion and the chronic care model. Hosp Q 7(1):73–82

    PubMed  Google Scholar 

  • Bodenheimer T, Sinsky C (2014) From triple to quadruple aim: care of the patient requires care of the provider. Ann Fam Med 12:573–576. https://doi.org/10.1370/afm.1713

    Article  PubMed  PubMed Central  Google Scholar 

  • Booker C, Turbutt A, Fox R (2015) Models of care for a changing healthcare system: are there foundational pillars for design? Aust Health Rev 40(2):136–140

    Article  Google Scholar 

  • Braithwaite J, Herkes J, Ludlow K, Testa L, Lamprell G (2017) Association between organisational and workplace cultures, and patient outcomes: systematic review. BMJ Open 7(11):e017708

    Article  Google Scholar 

  • Cameron A (2011) Impermeable boundaries? Developments in professional and inter-professional practice. J Interprof Care 25(1):53–58

    Article  Google Scholar 

  • Carroll JS, Quijada MA (2004) Redirecting traditional professional values to support safety: changing organizational culture in health care. Qual Saf Health Care 13(1):16–21

    Google Scholar 

  • Engel GL (1977) The need for a new medical model: a challenge for biomedicine. Science 196:129–136

    Article  CAS  Google Scholar 

  • Ezzati M, on behalf of the NCD Risk Factor Collaboration (NCD-RisC) (2016) Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19.2 million participants. Lancet 387:1377–1396. https://doi.org/10.1016/S0140-6736(16)30054-X

  • Ferrer L (2015) Engaging patients, carers and communities for the provision of coordinated/integrated health services: strategies and tools. Working Document. Copenhagen: WHO Regional Office for Europe

    Google Scholar 

  • Gnadinger T (2014) Health policy brief: the relative contribution of multiple determinants to health outcomes. Health Affairs Blog, 22 August 2014. Available at: https://www.healthaffairs.org/do/10.1377/hblog20140822.040952/full/. Accessed 24 Aug 2020

  • González-Ortiz LG, Calciolari S, Goodwin N, Stein V (2018) The core dimensions of integrated care: a literature review to support the development of a comprehensive framework for implementing integrated care. Int J Integr Care 18(3):10

    Article  Google Scholar 

  • Goodwin N, Stein KV, Amelung V (2017) What is integrated care? In: Amelung VE, Stein KV, Goodwin N, Balicer R, Nolte E, Suter E (eds) Handbook integrated care. Springer Nature, New York

    Google Scholar 

  • Hood CM, Gennuso KP, Swain GR, Catlin BB (2016) County health rankings: relationships between determinant factors and health outcomes. Am J Prev Med 50(2):129–135

    Article  Google Scholar 

  • Horne M, Khan H, Corrigan P (2013) People powered health: health for people, by people and with people. Nesta, London

    Google Scholar 

  • Kodner D, Spreeuwenberg C (2002) Integrated care: meaning, logic, applications and implications – a discussion paper. Int J Integr Care 2(14):e12

    PubMed  Google Scholar 

  • Kuluski K, Peckham A, Gill A, Gagnon D, Wong-Cornall C, McKillop A, Parsons J, Sheridan N (2019) What is important to older people with multimorbidity and their caregivers? Identifying attributes of person centered care from the user perspective. Int J Integr Care 19(3):4

    Article  Google Scholar 

  • Leijten FRM, Struckmann V, van Ginneken E, Czypionka T, Kraus M, Reiss M, Tsiachristas A, Boland M, de Bont A, Bal R, Busse R, Mölken MR (2018) The SELFIE framework for integrated care for multi-morbidity: development and description. Health Policy 122(1):12–22

    Article  Google Scholar 

  • Mangan C, Miller R, Ward C (2015) Knowing me, knowing you. J Integr Care 23(2):62–73

    Article  Google Scholar 

  • Mannion R, Davies H (2018) Understanding organisational culture for healthcare quality improvement. BMJ 363:1136–1140

    Google Scholar 

  • Marmot MG, Rose G, Shipley M, Hamilton PJ (1978) Employment grade and coronary heart disease in British civil servants. J Epidemiol Community Health 32(4):244–249

    Article  CAS  Google Scholar 

  • Marmot MG, Davey Smith G, Stansfield S, Patel C, North F, Head J, White I, Brunner E, Feeney A (1991) Health inequalities among British civil servants: the Whitehall II study. Lancet 337(8754):1387–1393

    Article  CAS  Google Scholar 

  • Marmot M, Bell R, Houweling TAJ, Taylor S (2008) Closing the gap in a generation: health equity through action on the social determinants of health. World Health Organization, Geneva

    Google Scholar 

  • Miller R, Stein KV (2020) The odyssey of integration: is management its achilles’ heel? Int J Integr Care 20(1):7. https://doi.org/10.5334/ijic.5440

  • Miller R, Mangan C, Brown H (2016) Integrated care in action: a practical guide for health, social care and housing support. Jessica Kingsley Publishing, London

    Google Scholar 

  • N.N. (2008) Determinants of health model based on frameworks developed by: Tarlov AR. Ann N Y Acad Sci 1999;896:281–293; and Kindig D, Asada Y, Booske B. JAMA 299(17):2081–2083

    Google Scholar 

  • National Voices (2013) A narrative for person-centred coordinated (‘integrated’) care. National Voices. Available at: www.nationalvoices.org.uk/sites/www.nationalvoices.org.uk/files/narrative-coordinated-care.pdf. Accessed 28 Sept 2020

  • Nies H, Minkman M, van Maar C (2017) Integrated care for frail older people suffering from dementia and multi-morbidity. In: Amelung VE, Stein KV, Goodwin N, Balicer R, Nolte E, Suter E (eds) Handbook integrated care. Springer Nature, New York

    Google Scholar 

  • Shaw S, Rosen R, Rumbold B (2011) What is integrated care? The Nuffield Trust, London

    Google Scholar 

  • Stein KV, Goodwin N, Miller R (2020) From crisis to coordination: challenges and opportunities for integrated care posed by the COVID-19 pandemic. Int J Integr Care 20(3):7. https://doi.org/10.5334/ijic.5595

  • Suter E, Oelke N, Adair CE, Armitage GD (2009) Ten key principles for successful health systems integration. Healthc Q 13(Spec No):16-23

    Google Scholar 

  • Suter E, Oelke ND, Dias da Silva Lima MA, Stiphout M, Janke R, Witt RR et al (2017) Indicators and measurement tools for health systems integration: a knowledge synthesis. Int J Integr Care 17(6):4. https://doi.org/10.5334/ijic.3931

    Article  PubMed  PubMed Central  Google Scholar 

  • Valentijn PP (2016) Rainbow of chaos. A study into the theory and practice of integrated primary care. [Dissertation]. Tilburg University, The Netherlands

    Google Scholar 

  • Vandenbroeck P, Braes T (2020) Integrated community care 4all. New principles for care. Strategy paper to move ICC forward. Transformational Forum on Integrated Community Care. Available at: https://transform-integratedcommunitycare.com/integrated-community-care/. Accessed 30 Sept 2020

  • Wagner EH, Austin BT, Davis C, Hindmarsh M, Schaefer J, Bonomi A (1999) Improving chronic illness care: translating evidence into action. Health Aff 20(6):64–78

    Article  Google Scholar 

  • WHO – World Health Organisation (1946) Preamble to the constitution of the World Health Organisation. World Health Organisation, New York

    Google Scholar 

  • WHO – World Health Organization (1978) Declaration of Alma-Ata, International Conference on Primary Health Care 1978. World Health Organization, Geneva

    Google Scholar 

  • WHO – World Health Organization (1999) Chapter 2: the double burden: emerging epidemics and persistent problems. World Health report 1999 – making a difference. World Health Organization, Geneva. Available at: https://www.who.int/whr/1999/en/whr99_ch2_en.pdf?ua=1. Accessed 27 Sept 2020

  • WHO – World Health Organization (2002) Innovative care for chronic conditions. Building blocks for action. World Health Organization, Geneva

    Google Scholar 

  • WHO – World Health Organisation (2015a) WHO global strategy on people-centred and integrated health services: interim report. World Health Organization, Geneva

    Google Scholar 

  • WHO – World Health Organisation (2015b) People-centred and integrated health services: an overview of the evidence. World Health Organization, Geneva

    Google Scholar 

  • WHO – World Health Organisation (2016) Framework on integrated, people-centred health services. Report by the Secretariat, 69th World Health Assembly, World Health Organisation, Geneva

    Google Scholar 

  • WHO – World Health Organisation (2018) Declaration of Astana. Global Conference on Primary Health Care, 25–26 October 2018. Astana, Kazakhstan. Available at: https://www.who.int/docs/default-source/primary-health/declaration/gcphc-declaration.pdf?ua=1. Accessed 28 Sept 2020

  • WHO – World Health Organisation Western Pacific Region (2007) People-centred health care: a policy framework. World Health Organization, Geneva

    Google Scholar 

  • WHO Europe (2016) Strengthening people-centred health systems in the WHO European region: framework for action on integrated health services delivery. WHO Regional Office for Europe, Copenhagen

    Google Scholar 

  • WHO Europe, Health Evidence Network, European Observatory on Health Systems and Policies, Coulter Angela, Parsons Suzanne et al. (2008) Where are the patients in decision-making about their own care? World Health Organization, Regional Office for Europe. Available at: https://apps.who.int/iris/handle/10665/107980. Accessed 30 Sept 2020

  • Wilkinson R, Marmot M (2003) The social determinants of health: the solid facts, 2nd edn. World Health Organization Regional Office for Europe, Copenhagen

    Google Scholar 

  • Willis CD, Saul J, Bevan H, Scheirer MA, Best A, Greenhalgh T et al (2016) Sustaining organizational culture change in health systems. J Health Organ Manag 30:2–30

    Article  Google Scholar 

  • Woodbridge K, Fulford KWM (2004) Whose values?: a workbook for values-based practice in mental health care. Sainsbury Centre for Mental Health, London

    Google Scholar 

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Correspondence to K. Viktoria Stein .

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Stein, K.V. (2021). Integrated Care and Community Services in Global Health. In: Kickbusch, I., Ganten, D., Moeti, M. (eds) Handbook of Global Health. Springer, Cham. https://doi.org/10.1007/978-3-030-05325-3_124-1

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  • DOI: https://doi.org/10.1007/978-3-030-05325-3_124-1

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  • Print ISBN: 978-3-030-05325-3

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