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Five Laws For Integrating Medical And Social Services: Lessons From The United States And The United Kingdom.
Published 1999 · Medicine
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Because persons with disabilities (PWDs) use health and social services extensively, both the United States and the United Kingdom have begun to integrate care across systems. Initiatives in these two countries are examined within the context of the reality that personal needs and use of systems differ by age and by type and severity of disability. The lessons derived from this scrutiny are presented in the form of five "laws" of integration. These laws identify three levels of integration, point to alternative roles for physicians, outline resource requirements, highlight friction from differing medical and social paradigms, and urge policy makers and administrators to consider carefully who would be most appropriately selected to design, oversee, and administer integration initiatives. Both users and caregivers must be involved in planning to ensure that all three levels of integration are attended to and that the borders between medical and other systems are clarified.
This paper references
Joint Commissioning of Services for People with Learning Disabilities: A Review of the Principles and the Practice
P. Waddington (1995)
Integrated Systems of Care for Persons with Developmental Disabilities and Mental Retardation: Not Easily Said and Not Easily Done
W. Leutz (1994)
Consuming health care
A. Cowper (2000)
Combining Acute and LTC in a Capitate Medicaid Program: The Arizona LTC System
N. McCall (1994)
The Wisconsin Partnership Program
T. Hamilton (1995)
Big bang health care reform--does it work?: the case of Britain's 1991 National Health Service reforms.
R. Klein (1995)
Across the great divide. Integrating acute, post-acute and long-term care.
R. Abrahams (1992)
Integrating care for the geriatric patient. Examples from the Social HMO (SHMO).
R. Abrahams (1992)
Call for action.
D. Hay (1971)
CHARACTERISTICS AND OUTCOME
E. Johnson (1969)
Final Report to HCFA on Expansion Design for the Social HMO Demonstration
W. Leutz (1992)
Testimony to the Ways and Means Committee, Subcommittee on Health
L. Nonnenkamp (1996)
Medical services in social HMOs: a reply to Harrington et al.
W. Leutz (1995)
Working Together—Bringing Primary Care into the Commissioning of Health and Social Care Services
K. Rummery (1997)
Evaluation of the PACE Demonstration: The Impact of PACE on Participant Outcomes
N. R. Burstein (1996)
Consensus management in the British National Health Service: implications for the United States?
R. Schulz (1984)
of Human Services
Edes Price (1980)
Lessons from Social HMO Marketing
W. Leutz (1993)
Care for Frail Elders: Developing Community Solutions
John A. Capitman (1992)
The continuing care guidelines and primary and community health services.
C. Glendinning (1998)
Public Expenditure on Services for People With Intellectual Disabilities
Christopher A Jones (1996)
Primary Health Care for People with a Learning Disability
M. Kerr (1996)
Growth in HMO share of the Medicare market, 1989-1994.
W. Welch (1996)
Highly Charged: Policy Issues Surrounding Charging for Non-Residential Care
F. Bennet (1996)
The PACE evaluation: initial findings.
L. Branch (1995)
The Future Care Plans of Older Adults with Intellectual Disabilities Living at Home with Family Carers
H. Prosser (1997)
The Power to Change: Commissioning Health and Social Services with Disabled People
J. Morris (1995)
The realpolitik of a new National Health Service for the UK
R. Horton (1998)
GP BUDGET HOLDING IN THE UK: Lessons from America
M. Pringle (1990)
An Examination of the CostEffectiveness of PACE in Relation to Medicare
L. Gruenberg (1997)
Medicaid Managed Care: Serving the Disabled Challenges State Programs
U. S. General Accounting Office. (1996)
Control, participation, and the British National Health Service.
R. Klein (1979)
On Lok CCODA: a consolidated model.
M. Ansak (1983)
Medical services in social health maintenance organizations.
C. Harrington (1993)
Adding long-term care to Medicare: The Social HMO Experience.
W. Leutz (1991)
New Models of Primary Care: Developing the Future
D. Wilkin (1997)
B. C. Vladeck (1995)
The evaluation of the National Long Term Care Demonstration. 8. The effect of channeling on health and long-term care costs.
C. Thornton (1988)
Guidance on the Extension of the NCHS Element of the GP Fundholding Scheme for 1 April 1993
National Health Service Management Executive. (1993)
Politics and planning in the National Health Service
N. Small (1989)
National Evaluation of Total Purchasing Pilot Schemes: Community and Continuing Care for People with Complex Needs
S. Myles (1997)
Geriatric Care Approaches in Health Maintenance Organizations
A. Kramer (1992)
From managed competition to managed cooperation: theory and lessons from the British experience.
D. Light (1997)
Implementing Caring for People: Community Care for People with Learning Disabilities
Social Services Inspectorate. (1994)
Current Approaches to Integrating Acute and LTC Financing and Services
J. Wiener (1995)
Matching Resources to Needs in Community Care
B. Davies (1986)
Changing Health Care for an Aging Society: Planning for the Social Health Maintenance Organization
W. Leutz (1985)
Guiding Principles for Public Policy on Natural Supports
M. H. Gerry (1992)
The American health care system--managed care.
R. Reece (1992)
Integrating acute and long-term care.
W. Leutz (1994)
Strategic Challenges in Joint Commissioning
D. W. Light (1994)
Divisions of Labor and Home Care in Britain
B. Davies (1994)
Long-term care : measuring the impact of a medicaid cap
E. Kassner (1995)
An Extra Mile for the Elderly
T. Fama (1993)
Services for Adults with Learning Disabilities and Sensory Impairments
C. Hatton (1995)
Qualitative analysis of the Program of All-inclusive Care for the Elderly (PACE).
R. Kane (1992)
Countervailing agency: a strategy of principaled regulation under managed competition.
M. Schlesinger (1997)
Taking responsibility and giving power
Alan Tyne (1994)
Consuming health care
Prevalence and Incidence of Health Problems in People with Intellectual Disability
Going Home: Older People Leaving the Hospital
The Provision of Primary Health Care for Adults Who Have Learning Disabilities: Summary
THE NEW NHS; MODERN, DEPENDABLE : BUT IS IT GOOD FOR PHARMACY
C. Mccreedy (1999)
Community care for adults with learning disability and their carers: needs and outcomes from the Leicestershire register.
C. McGrother (1996)
Minnesota Senior Health Options Program Summary
Minnesota Department of Human Services. (1997)
Consumerism versus empowerment: a principled approach to the involvement of older service users
M. Barnes (1996)
Total Purchasing: A Profile of National Pilot Projects
A. Mahon (1997)
Economics, Public Health and Health Care Purchasing: The Tayside Experience of Programme Budgeting and Marginal Analysis
D. Ruta (1996)
Constraining costs at the community level: a critique.
L. Brown (1990)
Joint Commissioning: Searching for Stability in an Unstable World
R. Greig (1997)
Prevalence and incidence of health problems in people with intellectual disability.
H. M. J. van Schrojenstein Lantman-de Valk (1997)
The evaluation of the National Long Term Care Demonstration. 4. Case management under channeling.
B. R. Phillips (1988)
Characteristics and Outcomes of Persons Screened into Connecticut’s 2176 Program
K. Liu (1995)
Meeting the Costs of Continuing Care
Joseph Rowntree Foundation. (1996)
Cost Caps in State Long-Term Care Programs
W. Leutz (1992)
Service Planning Guidelines in Community Long-Term Care Programs
W. Leutz (1995)
Design of the 2nd Generation S0HMO Demonstration: An Analysis of Multiple Incentives
M. Finch (1992)
Managed Care Handbook for the Aging Network. Minneapolis: University of Minnesota, National LongTerm Care Resource Center
R. Kane (1996)
Population-centered and patient-focused purchasing: the U.K. experience.
C. Ham (1996)
The reform of community and long-term care of elderly persons: an international perspective
B. Davies (1995)
Why Should Health Services Be Primary Care-Led?
A. Coulter (1996)
The past and future of home- and community-based long-term care.
W. Weissert (1988)
Targeting expanded care for the aged: early SHMO experience.
W. Leutz (1988)
A contextual approach for understanding individual autonomy in managed community long-term care.
J. Capitman (1995)
The future of locality commissioning
N. Mays (1997)
A Call for Action
A. Maskrey (1997)
The Future of Health Care Systems
R. Smith (1997)
This paper is referenced by
Integrating Health and Social Care in England: Lessons from Early Adopters and Implications for Policy
C. Ham (2009)
'What is going to happen to me now?’: systemic uncertainty and complexity between hospital and home for older people, people with disability, carers and service providers.
R. King (2010)
Financing and Reimbursement
E. Nolte (2017)
Lessons from the National Mental Health Integration Program.
K. Eagar (2005)
Policy Vol 11, Special 10th Anniversary Edition Divergent modes of integration: the Canadian way
Izzat Jiwani (2011)
Measuring integrated care.
Martin Strandberg-Larsen (2011)
Going through changes : a single point of access for health and social care
Luan C. Buckley (2013)
Management in collaborative and integrated healthcare service systems: concept and practice
Ally R. Memon (2015)
Expedited knowledge synthesis on factors affecting implementation of integrated services networks for the elderly : the experts' viewpoint
Léo-Roch Poirier (2013)
Integrated healthcare for chronically ill. Reflections on the gap between science and practice and how to bridge the gap
Wilma van der Vlegel-Brouwer (2013)
Modelli organizzativi per la cura delle malattie croniche:il caso dei piani di disease management per la cura del diabete di tipo 2
D. Mascia (2008)
Co-located health and social care services in Wales: What are the benefits to professionals?
Axel Kaehne (2012)
Efficacy of chronic disease self-management among low-income Black males with behavioral health disorders: Pilot study
Carol S. Collard (2017)
Citizens as Active Participants in Integrated Care: Challenging the Field’s Dominant Paradigms
L. Glimmerveen (2019)
As redes de atenção à saúde
E. V. Mendes (2008)
Integration of health and wellbeing services with general health services
M. Sutton (2014)
Understanding integrated care: a comprehensive conceptual framework based on the integrative functions of primary care
Pim P Valentijn (2013)
valuation of health care delivery integration : The case of the ussian Federation gor
Comorbidités, disparité des soins, et évolution de la prise en charge somatique des patients schizophrènes
Ingrid Aubineau (2015)
Can community and hospital medicine meet? A novel integrative care experience at Assuta University Medical Center.
Yeshayahu Michal (2019)
A model for the creation and operation of an integrated childrens services team : Can collaborative inquiry be used as a tool to facilitate the professional acceptability of organisational change?
N. Johnson (2006)
Participation des médecins généralistes dans les réseaux de santé : expériences en Amérique du Nord
M. Stampa (2007)
Data protection and the promotion of health research.
Valerie Steeves (2007)
Use of Standardized Multidimensional Evaluation Tools and the Emergence of the Case Manager’s Professional Identity in France
Mathilde Nugue (2012)
Locality based approaches to integrated care in Tower Hamlets Interim Report – Phase 1 June 2018
Mirza Lalani (2018)
Using Project Evaluation to Build Capacity for Integrated Health Care at Local Levels
S. Elmer (2006)
Developing integrated health and social care services for older persons in Europe
Kai Leichsenring (2004)
Monitoring the degree of implementation of an integrated delivery system
R. R. Hebert (2004)
Réformes dans l'organisation des soins de santé mentale : étude d'évaluation des 'projets thérapeutiques'
O. Schmitz (2011)
How to support integration to promote care for people with multimorbidity in Europe
Anneli Hujala (2017)
Tuberculosis and HIV integration in sub-Saharan Africa
G. Ansa (2015)
Health systems integration: competing or shared mental models?
Jenna M Evans (2014)See more