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Clinical Continuity by Integrated Care
Abstract
The fragmented delivery of healthcare and social services was put on the research agenda by WHO in 2002. Integrated Homecare (IHC) combining efficacy with net savings represents a prototype of integrated care for better clinical continuity. Frequent chronic conditions as stroke, heart failure and chronic obstructive pulmonary disease exhibit parallel results as explained by a common neuroeconomic framework. A SWOT analysis of IHC emphasizes: 1) Strength: health economic dominance; 2) Weakness: fragmented financial conditions; 3) Opportunity: low-tech patient benefits affordable to European countries facing tight finances as the elder share grows; 3) Threat: low levels of trust across professions and settings. A meso-strategy for EU recommends: 1) A health technology assessment (HTA) of IHC by multidisciplinary teamwork across the hospital and primary care interface synthesizes existing research for health care decision-makers. 2)Dissemination focuses on a regional level with direct contact between the clinical and financial level, see information on practical implementation guides at www.integratedhomecare.eu.
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