Register      Login
Australian Health Review Australian Health Review Society
Journal of the Australian Healthcare & Hospitals Association
RESEARCH ARTICLE

Integrated health care: it’s time for it to blossom

Sandeep Reddy
+ Author Affiliations
- Author Affiliations

Flinders University, Centre for Remote Health, Corner Simpson and Skinner Street, Alice Springs, NT 0870, Australia. Email: sandeep.reddy@flinders.edu.au

Australian Health Review 40(4) 428-430 https://doi.org/10.1071/AH15135
Submitted: 19 July 2015  Accepted: 2 December 2015   Published: 25 January 2016

Abstract

Considering the grim scenario of burgeoning health-care costs and cost-cutting measures by the Australian Government, there is a clear case to invest and research into disciplines that will ensure sustainability of the public health system. There is evidence that integrated health care contributes to a cost-efficient and quality health system because of potential benefits like streamlined care for patients, efficient use of resources, a better cover of patients and improved patient safety. However, integrated health care as a notion is submerged in the disciplines of public health and primary care. In reality, it is a distinct concept acting as a bridge between primary and secondary care. This article argues it is time for the discipline of integrated health care to be recognised on its own and investment be driven into the establishment of integrated care centres.


References

[1]  Ahgren B, Axelsson R. Determinants of integrated health care development: chains of care in Sweden. Int J Health Plann Manage 2007; 22 145–57.
Determinants of integrated health care development: chains of care in Sweden.Crossref | GoogleScholarGoogle Scholar | 17623356PubMed |

[2]  Gröne O, Garcia-Barbero M. Integrated care: a position paper of the WHO European Office for Integrated Health Care Services. Int J Integr Care 2001; 1 e21
| 16896400PubMed |

[3]  Kodner DL, Spreeuwenberg C. Integrated care: meaning, logic, applications, and implications: a discussion paper. Int J Integr Care 2002; 2 e12
| 16896389PubMed |

[4]  World Health Organization (WHO). Integrated health services: what and why? Technical brief no. 1. Geneva: WHO; 2008. Available at: http://www.who.int/healthsystems/service_delivery_techbrief1.pdf [verified 4 January 2016].

[5]  World Health Organization (WHO). WHO global strategy on people-centred and integrated health services. Geneva: WHO; 2015. Available at: http://www.who.int/servicedeliverysafety/areas/people-centred-care/en/ [verified 25 May 2015].

[6]  NSW Government. Integrated care branch. Integrated care. 2015. Available at: http://www.health.nsw.gov.au/integratedcare/Pages/integrated-care-branch.aspx [verified 29 June 2015].

[7]  Department of Health and Human Services. The integrated care centre program team. Our plans and strategies. 2015. Available at: https://www.dhhs.tas.gov.au/about_the_department/our_plans_and_strategies/clarence_integrated_care_centre [verified 9 July 2015].

[8]  Department of Health. Integrated care. Evaluation of the GP super clinics program 2007–2008. 2012. Available at: http://www.health.gov.au/internet/publications/publishing.nsf/Content/GPSuperClinicsEvaluation-toc~operationsaspect~multidisciplinary~integratedcare [verified 1 July 2015].

[9]  Armstrong K. Framework for Health Service Integration: Elements to support the development of strengthened primary care system in facilitating coordinated, cross sector services. Presentation at the GPQ Division Forum, October 15, 2010. Available at: http://www.gpqld.com.au/page/Partnershipss/Collaborative_Research_Hub/ [verified 2 July 2015].

[10]  Powell Davies P, Mcdonald J, Jeon Y, Krastev Y, Christl B, Faruqi N. A rapid review of integrated primary care centres and polyclinics. Canberra; 2010. Available from: http://files.aphcri.anu.edu.au/research/policy_options_18304.pdf. [verified 17 June 2015].

[11]  CMS.gov (Centers for Medicare and Medicaid Services). Accountable care organizations (ACOs). 2015. Available at: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ACO/index.html?redirect=/aco [verified 9 July 2015].

[12]  Shortell AS, Addicott R, Walsh N, Ham C. Briefing. Accountable care organisations in the United States and England. Testing, evaluating and learning what works. 2014. Available at: http://www.kingsfund.org.uk/sites/files/kf/field/field_publication_file/accountable-care-organisations-united-states-england-shortell-mar14.pdf [verified 2 June 2015].

[13]  Porter Kellog MM. Kaiser Permanente: an integrated health care experience. Rev Innovación Sanit Atención Integr 2008; 1 1–8.

[14]  Jones S. NHS five year forward view: new care models. 2015. Available at: http://www.kingsfund.org.uk/audio-video/samantha-jones-embracing-opportunities-under-nhs-five-year-forward-view [verified 10 July 2015].

[15]  NHS. Integrated primary and acute care systems vanguard sites. The NHS five year forward review. 2015. Available at: http://www.england.nhs.uk/ourwork/futurenhs/5yfv-ch3/new-care-models/primary-acute-sites/ [verified 1 July 2015].

[16]  Feachem RG, Sekhri NK, White KL. Getting more for their dollar: a comparison of the NHS with California’s Kaiser Permanente. BMJ 2002; 324 135–41.
| 11799029PubMed |

[17]  NSW Government. Integrated primary and community care (IPCC) development plans for the South West Growth Centre (SWGC). 2012. Available at: https://www.swslhd.nsw.gov.au/pdfs/SWGC_IPCCS.pdf [verified 28 May 2015].