What is the evidence on the economic impacts of integrated care?

"There is evidence of cost–effectiveness of selected integrated care approaches but the evidence base remains weak. Eight of the nineteen studies reported on cost–effectiveness."

What is the evidence on the economic impacts of integrated care?
E Nolte, E Pitchforth
European Observatory on Health Systems and Policies
World Health Organization
2014

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Determinants of treatment plan implementation in multidisciplinary team meetings for patients with chronic diseases

"Greater multidisciplinarity is not necessarily associated with more effective decision making. Explicit goals and procedures are also crucial. Decision implementation should be routinely monitored to ensure the equitable provision of care."

Determinants of treatment plan implementation in multidisciplinary team meetings for patients with chronic diseases: a mixed-methods study
R Raine et al.
BMJ Quality and Safety 2014;23:867-876

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What is the evidence on the economic impacts of integrated care?

"Evidence that is available points to a positive impact of integrated care programmes on the quality of patient care and improved health or patient satisfaction outcomes but uncertainty remains about the relative effectiveness of different approaches and their impacts on costs."

What is the evidence on the economic impacts of integrated care?
E Nolte, E Pitchforth
European Observatory on Health Systems and Policies, World Health Organization
2014

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Commissioning guide: weight assessment and management clinics

"This Tier 3 guidance describes the role of the referring GP, what should be achieved in the clinics and who should be referred for bariatric surgery. Given the lack of consistency in the provision of medical obesity services, this guidance should provide an organised structure and evidence-base for treatment"

Commissioning guide: weight assessment and management clinics (tier 3)
Royal College of Surgeons, British Obesity and Metabolic Surgery Society

March 2014

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Association between chronic disease related hospitalisations and primary health care resourcing

"Measuring hospitalisations, that could potentially be avoided with high quality and accessible primary care, is one indicator of how well primary care services are performing."

A systematic review of evidence on the association between hospitalisation for chronic disease related ambulatory care sensitive conditions and primary health care resourcing
OR Gibson, L Segal, RA McDermott
BMC Health Services Research, 2013, 13:336

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Patient and carer experience of obtaining medication for chronic conditions

"This paper presents findings from England of a qualitative study and survey of patients and their carers' experiences of community and primary care based services for physical chronic diseases."

Patient and carer experience of obtaining regular prescribed medication for chronic disease in the English National Health Service: a qualitative study
PM Wilson, N Kataria, E McNeilly
BMC Health Services Research, 2013, 13:192

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Health care lessons from Australia

"This paper is the first in a series that examines the way health services are funded and delivered in other nations."

Health care lessons from Australia
N Esmail
Fraser Institute
February 2013

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Evaluating disease management programmes: learning from diverse approaches across Europe

"The project reviewed the policy context for, and approaches to, chronic disease management in 13 European countries, using a structured data collection instrument that organised chronic disease management around four components: active patient involvement, service design, decision support and clinical information systems."

Evaluating disease management programmes: learning from diverse approaches across Europe
E Nolte, et al.
RAND Europe
October 2012

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European guideline variations and access to innovative therapies for rheumatoid arthritis

"This report usefully documents the variation in treatment across 12 European countries in the treatment of Rheumatoid Arthritis (RA), and notes the large cost imposed on societies by this disease."

A common disease with uncommon treatment: European guideline variations and access to innovative therapies for rheumatoid arthritis
T Hockley, J Costa-Font
Policy Analysis Centre Limited
June 2012

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Impact of telehealth on use of hospital care and mortality

"Over the 12 months that they spent in the trial, patients allocated to receive the telehealth intervention had fewer emergency hospital admissions."

The impact of telehealth on use of hospital care and mortality
A Steventon, M Bardsley
Nuffield Trust
June 2012

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