The objectives of this report are to understand the rationale for and early impact of vertical integration in the National Health Service in England and Wales, and to develop a theory of change for vertical integration.
Primary care networks in the UK bring together general practices and community providers to develop new services for patients and to provide better integration of health and social care services and sustainability in primary care. While still relatively new, their trajectory is likely to be influenced by COVID-19–related adaptations they have made over the course of the pandemic.
Integrating family caregivers into a patient's health care team can help improve care quality and the quality of life for both patients and their families, yet family caregivers face significant barriers coordinating their efforts with the formal health care team.
About 53 million family and friends provide care and assistance to loved ones in the United States, but they are often overlooked by health care systems. Integrating them into a patient's health care team can help improve care quality and the quality of life for patients and their families.
In 2019, NHS England asked general practices to group into primary care networks and offer extra services to improve the health and wellbeing of local communities. This research looked at how these networks were established, what they have achieved so far and what has helped or hindered progress.
In this report, the authors offer an initial assessment of clinically integrated networks (CINs), describe how health systems are using CINs strategically to compete in crowded health care markets, and identify why CINs require further study.
This article estimates the impact on hospital utilisation and costs of a multi-faceted primary care intervention for older people identified as being at risk of avoidable hospitalisation. It concludes the intervention was not cost saving.
This evidence map provides an overview of the existing research evaluating technology in depression and anxiety care and documents upcoming research to evaluate the role of technology to support clinical care.
Evidence suggests that the Primary and Behavioral Health Care Integration Program reduced the cost of care and use of emergency room and inpatient services, as well as improved follow-up after hospitalization for mental illness.
Transforming care for older people is complex. This report summarises workshops undertaken with different stakeholders in an attempt to identify ways to improve how evaluations are commissioned, completed and used in a changing policy landscape.
The Southwark and Lambeth Older People's Programme for older people at risk of avoidable hospitalisation, reduced A&E and outpatient attendances and elective admissions but not emergency admissions. The Programme was not cost-saving.
Delivering physical health care in specialty mental health clinics was a promising strategy for improving the care that adults with SMI receive for their physical health conditions, but financial feasibility remains a major challenge.
The greatest opportunities to improve health happen pretty much everywhere but the doctor's office. Collaborative programming that merges strategies from housing, education, or labor could make a big difference.
More frequent contact with the mental health system, educational system, and Child Protective Services after a behavioral health evaluation may inform development of integrated care systems for children.
Community hospitals could be better integrated into the current healthcare system in England and can play an important role in the middle of the patient journey between home and hospital. If done correctly, community hospitals could be a traditional solution to help address some of the modern day challenges of the NHS.