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Emergent approaches to care coordination in England: exploring the evidence from two national organizations

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Emergent approaches to care coordination in England : exploring the evidence from two national organizations. / Hughes, Jane; Reilly, Siobhan; Berzins, Kathryn; Abell, Jessica; Stewart, Karen; Challis, David.

In: Care Management Journals, Vol. 12, No. 4, 2011, p. 194-201.

Research output: Contribution to journalJournal articlepeer-review

Harvard

Hughes, J, Reilly, S, Berzins, K, Abell, J, Stewart, K & Challis, D 2011, 'Emergent approaches to care coordination in England: exploring the evidence from two national organizations', Care Management Journals, vol. 12, no. 4, pp. 194-201. https://doi.org/10.1891/1521-0987.12.4.194

APA

Hughes, J., Reilly, S., Berzins, K., Abell, J., Stewart, K., & Challis, D. (2011). Emergent approaches to care coordination in England: exploring the evidence from two national organizations. Care Management Journals, 12(4), 194-201. https://doi.org/10.1891/1521-0987.12.4.194

Vancouver

Author

Hughes, Jane ; Reilly, Siobhan ; Berzins, Kathryn ; Abell, Jessica ; Stewart, Karen ; Challis, David. / Emergent approaches to care coordination in England : exploring the evidence from two national organizations. In: Care Management Journals. 2011 ; Vol. 12, No. 4. pp. 194-201.

Bibtex

@article{4aaf497952894624b3a8b9676197fcdd,
title = "Emergent approaches to care coordination in England: exploring the evidence from two national organizations",
abstract = "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.",
keywords = "Aged, Case Management, Delivery of Health Care, Integrated, England, Frail Elderly, Goals, Health Policy, Health Services for the Aged, Humans, Primary Health Care, State Medicine, Vulnerable Populations",
author = "Jane Hughes and Siobhan Reilly and Kathryn Berzins and Jessica Abell and Karen Stewart and David Challis",
year = "2011",
doi = "10.1891/1521-0987.12.4.194",
language = "English",
volume = "12",
pages = "194--201",
journal = "Care Management Journals",
issn = "1521-0987",
publisher = "Springer Publishing Company",
number = "4",

}

RIS

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 -