Person-centered and Integrated Care for Ageing Populations

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Published: Nov 9, 2015
DOI: https://doi.org/10.5750/ijpcm.v5i2.525
Keywords:
Older person person-centeredness integrated care coordinated care multi-morbidities multi-professional teams.

Main Article Content

Islene Araujo de Carvalho
World Health Organization, Geneva

Abstract

Background: Disintegrated and uncoordinated services and those neglecting the concerns of users tend to be associated to negative health outcomes for older people. Objectives: This paper is aimed at exploring how the concept of person centred care can be relevant for ageing populations and its implications for health systems.Methods: These involved a critical review of the literature, both standard scientific data banks as well as internet-based sources. Results: It was found that the best way to reorient health systems towards the goal of healthy ageing is by placing older people at the centre of service delivery. While people-centered and integrated services are fundamental for all including ageing people, the strategy mix may be optimized by attending to the goals of healthy ageing and the older person’s values. Discussion and Conclusions: An older person-centred integrated health care delivery model that focuses on prevention and care coordination seems to be the best approach to reorienting health systems. Successful older-people-centred health services are organized around the needs of older people, acknowledging their intrinsic value and contribution to society, and enabling their functional abilities.

Article Details

Issue
Vol. 5 No. 2 (2015)
Section
Regular Articles

References

. Low, L.F., M. Yap, and H. Brodaty, A systematic review of different models of home and community care services for older persons. [Review]. BMC Health Services Research, 2011. 11: p. 93.

. Ham, C., The ten characteristics of the high-performing chronic care system. Health Econ Policy Law, 2010. 5(Pt 1): p. 71-90.

. McDonald, K.M., E.M. Schultz, and C. Chang, Evaluating the state of quality-improvement science through evidence synthesis: insights from the closing the quality gap series. Perm J, 2013. 17(4): p. 52-61.

. Ouwens, M., et al., Integrated care programmes for chronically ill patients: a review of systematic reviews. International Journal of Quality Health Care, 2005. 17(2): p. 141--146.

. Nolte, E. and E. Pitchforth, What is the evidence on the economic impacts of integrated care? Policy Summary, 2014. 11.

. Johri, M., F. Beland, and H. Bergman, International experiments in integrated care for the elderly: a synthesis of the evidence. International Journal of Geriatric Psychiatry, 2003. 18(3): p. 222-235.

. World Health Organization. WHO Global Strategy on People-centred and Integrated Health Services. 2015 [cited 2015 12 February 2015]; Available from: http://www.who.int/servicedeliverysafety/areas/people-centred-care/en/.

. Valentijn, P.P., et al., Understanding integrated care: a comprehensive conceptual framework based on the integrative functions of primary care. Int J Integr Care, 2013. 13: p. e010.

. Esterman, A.J. and D.I. Ben-Tovim, The Australian coordinated care trials: success or failure? The second round of trials may provide more answers. Med J Aust, 2002. 177(9): p. 469-70.

. Nicholson, C., C. Jackson, and J. Marley, A governance model for integrated primary/secondary care for the health-reforming first world - results of a systematic review. BMC Health Serv Res, 2013. 13: p. 528.

. Smith, S.M., et al., Managing patients with multimorbidity: systematic review of interventions in primary care and community settings. BMJ, 2012. 345: p. e5205.

. Suter, E., et al., Ten key principles for successful health systems integration. Healthc Q, 2009. 13 Spec No: p. 16-23.

. Kodner, N.G.L.S.V.T.D.L., Co-ordinated care for people with complex chronic conditions. 2013, London: The King's Fund. 32.

. Hebert, R., et al., Impact of PRISMA, a coordination-type integrated service delivery system for frail older people in Quebec (Canada): A quasi-experimental study. J Gerontol B Psychol Sci Soc Sci, 2010. 65B(1): p. 107-18.

. Ouwens, M., et al., Integrated care programmes for chronically ill patients: a review of systematic reviews. Int J Qual Health Care, 2005. 17(2): p. 141-6.

. Oliver, D., Re: Making health and care systems fit for and ageing population. Why we wrote it, who we wrote it for, and how relevant it might be to Canada. Can Geriatr J, 2014. 17(4): p. 136-9.

. Patterson, L., Making our health and care systems fit for an ageing population: David Oliver, Catherine Foot, Richard Humphries. King's Fund March 2014. Age Ageing, 2014. 43(5): p. 731.

. Davies, S.L., et al., A systematic review of integrated working between care homes and health care services. BMC Health Serv Res, 2011. 11: p. 320.

. McCusker, J. and J. Verdon, Do geriatric interventions reduce emergency department visits? A systematic review. J Gerontol A Biol Sci Med Sci, 2006. 61(1): p. 53-62.

. Johri, M., F. Beland, and H. Bergman, International experiments in integrated care for the elderly: a synthesis of the evidence. Int J Geriatr Psychiatry, 2003. 18(3): p. 222-35.