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Building integrated care systems: a case study of Bidasoa Integrated Health Organisation.

Polanco NT, Zabalegui IB, Irazusta IP, Solinís RN, Del Río Cámara M - Int J Integr Care (2015)

Bottom Line: Similarly the collaboration between professionals of different care levels showed a steady improvement in each of the 10 items.Furthermore, the Triple Aim-based indicators showed a better experience of care in terms of patients' perceptions of care coordination; a reduction in hospital utilisation, particularly for patients with complex chronic conditions; and cost-containment in terms of per capita expenditure.There is a significant amount of data that shows that Bidasoa Integrated Health Organisation has progressed in terms of delivering integrated care for chronic conditions with a positive impact on several Triple Aim outcomes.

View Article: PubMed Central - HTML - PubMed

Affiliation: O+Berri, Basque Institute for Healthcare Innovation, Basque Country, Spain.

ABSTRACT

Introduction: This paper analyses the implementation of integrated care policies in the Basque Country through the deployment of an Integrated Health Organisation in Bidasoa area during the period 2011-2014. Structural, functional and clinical integration policies have been employed with the aim to deliver integrated and person-centred care for patients, especially for those living with chronic conditions.

Methods: This organisational case study used multiple data sources and methods in a pragmatic and reflexive manner to build a picture of the organisational development over a 4-year period. In order to measure the progress of integration three concepts have been measured: (i) readiness for chronicity measured with Assessment of Readiness for Chronicity in Healthcare Organisations tool; (ii) collaboration between clinicians from different care levels measured with the D'Amour Questionnaire, and (iii) overall impact of integration through several indicators based on the Triple Aim Framework.

Results: The measurement of organisational readiness for chronicity showed improvements in five of the six areas under evaluation. Similarly the collaboration between professionals of different care levels showed a steady improvement in each of the 10 items. Furthermore, the Triple Aim-based indicators showed a better experience of care in terms of patients' perceptions of care coordination; a reduction in hospital utilisation, particularly for patients with complex chronic conditions; and cost-containment in terms of per capita expenditure.

Conclusion: There is a significant amount of data that shows that Bidasoa Integrated Health Organisation has progressed in terms of delivering integrated care for chronic conditions with a positive impact on several Triple Aim outcomes.

No MeSH data available.


Ambulatory Care Sensitive Conditions in Bidasoa Integrated Health Organisation
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fg0008: Ambulatory Care Sensitive Conditions in Bidasoa Integrated Health Organisation

Mentions: Ambulatory Care Sensitive Conditions (ACSCs) are conditions for which effective management and treatment should prevent admission to hospital [30], high levels of admissions for ACSCs often indicate poor co-ordination between the different elements of the health care system, in particular between primary and secondary care. Emergency admissions for an ACSC are a sign of the poor overall quality of care, even if the ACSC episode itself is managed well. Looking at Figure 8, we see how ACSCs in Bidasoa Integrated Health Organisation have moderately fallen since 2010, standing at 4.7 in 2013 (−10%), which means a decreasing trend that favours better coordination between primary and secondary care professionals. Comparing these data with other relevant sources [30], countries such as England we get to the conclusion that the organisation is performing outstandingly in this area.


Building integrated care systems: a case study of Bidasoa Integrated Health Organisation.

Polanco NT, Zabalegui IB, Irazusta IP, Solinís RN, Del Río Cámara M - Int J Integr Care (2015)

Ambulatory Care Sensitive Conditions in Bidasoa Integrated Health Organisation
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4491322&req=5

fg0008: Ambulatory Care Sensitive Conditions in Bidasoa Integrated Health Organisation
Mentions: Ambulatory Care Sensitive Conditions (ACSCs) are conditions for which effective management and treatment should prevent admission to hospital [30], high levels of admissions for ACSCs often indicate poor co-ordination between the different elements of the health care system, in particular between primary and secondary care. Emergency admissions for an ACSC are a sign of the poor overall quality of care, even if the ACSC episode itself is managed well. Looking at Figure 8, we see how ACSCs in Bidasoa Integrated Health Organisation have moderately fallen since 2010, standing at 4.7 in 2013 (−10%), which means a decreasing trend that favours better coordination between primary and secondary care professionals. Comparing these data with other relevant sources [30], countries such as England we get to the conclusion that the organisation is performing outstandingly in this area.

Bottom Line: Similarly the collaboration between professionals of different care levels showed a steady improvement in each of the 10 items.Furthermore, the Triple Aim-based indicators showed a better experience of care in terms of patients' perceptions of care coordination; a reduction in hospital utilisation, particularly for patients with complex chronic conditions; and cost-containment in terms of per capita expenditure.There is a significant amount of data that shows that Bidasoa Integrated Health Organisation has progressed in terms of delivering integrated care for chronic conditions with a positive impact on several Triple Aim outcomes.

View Article: PubMed Central - HTML - PubMed

Affiliation: O+Berri, Basque Institute for Healthcare Innovation, Basque Country, Spain.

ABSTRACT

Introduction: This paper analyses the implementation of integrated care policies in the Basque Country through the deployment of an Integrated Health Organisation in Bidasoa area during the period 2011-2014. Structural, functional and clinical integration policies have been employed with the aim to deliver integrated and person-centred care for patients, especially for those living with chronic conditions.

Methods: This organisational case study used multiple data sources and methods in a pragmatic and reflexive manner to build a picture of the organisational development over a 4-year period. In order to measure the progress of integration three concepts have been measured: (i) readiness for chronicity measured with Assessment of Readiness for Chronicity in Healthcare Organisations tool; (ii) collaboration between clinicians from different care levels measured with the D'Amour Questionnaire, and (iii) overall impact of integration through several indicators based on the Triple Aim Framework.

Results: The measurement of organisational readiness for chronicity showed improvements in five of the six areas under evaluation. Similarly the collaboration between professionals of different care levels showed a steady improvement in each of the 10 items. Furthermore, the Triple Aim-based indicators showed a better experience of care in terms of patients' perceptions of care coordination; a reduction in hospital utilisation, particularly for patients with complex chronic conditions; and cost-containment in terms of per capita expenditure.

Conclusion: There is a significant amount of data that shows that Bidasoa Integrated Health Organisation has progressed in terms of delivering integrated care for chronic conditions with a positive impact on several Triple Aim outcomes.

No MeSH data available.