Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - Emergent approaches to care coordination in England
T2 - exploring the evidence from two national organizations
AU - Hughes, Jane
AU - Reilly, Siobhan
AU - Berzins, Kathryn
AU - Abell, Jessica
AU - Stewart, Karen
AU - Challis, David
PY - 2011
Y1 - 2011
N2 - For many years, there has been an international concern about the fragmented nature of health and social care services for vulnerable older people and younger adults. This article examines the implementation of two major policies in England designed to ensure frail adults and older people receive services appropriate to their needs. First, care management, which was introduced in 1993 and provided by local government, and second case management, which was introduced in 2005 and provided by primary care through the National Health Service. An analysis of the implementation of the two policies is presented, and data from two national surveys are used to describe similarities and differences between the two approaches in terms of goals, arrangements, service characteristics, and indicators of integration and differentiation within care coordination arrangements. Both were designed to promote the provision of care at home as an alternative to more costly alternatives. Discretion within the policy implementation process has militated against the development of a more differentiated approach to care management in local authorities as compared with case management in primary care trusts and more generally, integration between the two. Future developments within both service settings will be influenced by the introduction of personal budgets.
AB - For many years, there has been an international concern about the fragmented nature of health and social care services for vulnerable older people and younger adults. This article examines the implementation of two major policies in England designed to ensure frail adults and older people receive services appropriate to their needs. First, care management, which was introduced in 1993 and provided by local government, and second case management, which was introduced in 2005 and provided by primary care through the National Health Service. An analysis of the implementation of the two policies is presented, and data from two national surveys are used to describe similarities and differences between the two approaches in terms of goals, arrangements, service characteristics, and indicators of integration and differentiation within care coordination arrangements. Both were designed to promote the provision of care at home as an alternative to more costly alternatives. Discretion within the policy implementation process has militated against the development of a more differentiated approach to care management in local authorities as compared with case management in primary care trusts and more generally, integration between the two. Future developments within both service settings will be influenced by the introduction of personal budgets.
KW - Aged
KW - Case Management
KW - Delivery of Health Care, Integrated
KW - England
KW - Frail Elderly
KW - Goals
KW - Health Policy
KW - Health Services for the Aged
KW - Humans
KW - Primary Health Care
KW - State Medicine
KW - Vulnerable Populations
U2 - 10.1891/1521-0987.12.4.194
DO - 10.1891/1521-0987.12.4.194
M3 - Journal article
C2 - 23214241
VL - 12
SP - 194
EP - 201
JO - Care Management Journals
JF - Care Management Journals
SN - 1521-0987
IS - 4
ER -