International experiments in integrated care for the elderly: a synthesis of the evidence

2003 ◽  
Vol 18 (3) ◽  
pp. 222-235 ◽  
Author(s):  
Mira Johri ◽  
Francois Beland ◽  
Howard Bergman
2015 ◽  
pp. 1177-1189 ◽  
Author(s):  
Ken Eason ◽  
Patrick Waterson ◽  
Priya Davda

Telehealth and telecare have been heralded as major mechanisms by which frail elderly people can continue to live at home but numerous pilot studies have not led to the adoption of these technologies as mainstream contributors to the health and social care of people in the community. This paper reviews why dissemination has proved difficult and concludes that one problem is that these technologies require considerable organisational changes if they are to be effective: successful implementation is not just a technical design issue but is a sociotechnical design challenge. The paper reviews the plans of 25 health communities in England to introduce integrated health and social care for the elderly. It concludes that these plans when implemented will produce organisational environments conducive to the mainstream deployment of telehealth and telecare. However, the plans focus on different kinds of integrated care and each makes different demands on telehealth and telecare. Progress on getting mainstream benefits from telehealth and telecare will therefore depend on building a number of different sociotechnical systems geared to different forms of integrated care and incorporating different forms of telehealth and telecare.


2018 ◽  
Vol 21 (2) ◽  
pp. 186-193 ◽  
Author(s):  
Wanderson Carneiro Moreira ◽  
Ana Raquel Batista de Carvalho ◽  
Eliana Campêlo Lago ◽  
Fernanda Cláudia Miranda Amorim ◽  
Delmo de Carvalho Alencar ◽  
...  

Abstract Objective: To analyze training in integrated health care for the elderly from the perspective of nursing students. Method: A descriptive and exploratory study with a qualitative approach was carried out using the action research method with the participation of 24 nursing students from a university center in Piauí, Brazil. Data were obtained through semi-structured interviews and submitted to content analysis. Results: Two thematic categories emerged: Perspectives on aging, violence and sexuality and A holistic approach to the elderly: integrating training and care. Conclusion: The perspective of the students on integrated care for the elderly is fragmented, stemming from the limitations of the training process for such care.


2009 ◽  
Vol 21 (6) ◽  
pp. 414-423 ◽  
Author(s):  
Isabelle Vedel ◽  
Matthieu De Stampa ◽  
Howard Bergman ◽  
Joel Ankri ◽  
Bernard Cassou ◽  
...  

Author(s):  
Hadas Lewy

This chapter will review the individual's, organizational and societal needs for integrated care for the elderly population and the suggested solutions. For the elderly population, early diagnosis and timely personalized intervention is crucial for treatment, prevention of deterioration and hospitalization. The author describes the development of new technologies that enables the involved parties (e.g. healthcare, welfare, community) to receive relevant reliable information and respond in a timely and personalized way that will address the specific needs of the patient/elderly person. The need also exists at the organizational level for better management and care. The proposed solution will address the organizational needs by integrating into healthcare system and workflow and involving multidisciplinary healthcare professionals, family and other care providers.


Author(s):  
Ken Eason ◽  
Patrick Waterson ◽  
Priya Davda

Telehealth and telecare have been heralded as major mechanisms by which frail elderly people can continue to live at home but numerous pilot studies have not led to the adoption of these technologies as mainstream contributors to the health and social care of people in the community. This paper reviews why dissemination has proved difficult and concludes that one problem is that these technologies require considerable organisational changes if they are to be effective: successful implementation is not just a technical design issue but is a sociotechnical design challenge. The paper reviews the plans of 25 health communities in England to introduce integrated health and social care for the elderly. It concludes that these plans when implemented will produce organisational environments conducive to the mainstream deployment of telehealth and telecare. However, the plans focus on different kinds of integrated care and each makes different demands on telehealth and telecare. Progress on getting mainstream benefits from telehealth and telecare will therefore depend on building a number of different sociotechnical systems geared to different forms of integrated care and incorporating different forms of telehealth and telecare.


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