How to Deliver Integrated Care

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Author :
Publisher : Emerald Group Publishing
ISBN 13 : 1838675272
Total Pages : 228 pages
Book Rating : 4.8/5 (386 download)

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Book Synopsis How to Deliver Integrated Care by : Axel Kaehne

Download or read book How to Deliver Integrated Care written by Axel Kaehne and published by Emerald Group Publishing. This book was released on 2021-01-11 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book introduces service planners and managers to successful strategies to design, implement and manage care integration programmes. It details the various components of change in individual chapters, which are illustrated with practical examples from actual care implementation projects.

Training to Deliver Integrated Care

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Author :
Publisher : Springer
ISBN 13 : 3319788507
Total Pages : 244 pages
Book Rating : 4.3/5 (197 download)

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Book Synopsis Training to Deliver Integrated Care by : C.R. Macchi

Download or read book Training to Deliver Integrated Care written by C.R. Macchi and published by Springer. This book was released on 2018-08-22 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: This unique trainer’s resource offers a comprehensive blueprint for preparing clinicians for practice in the changing and challenging environment of integrated care. Based firmly in new evidence-based models of behavioral care in medicine, it sets out the aims and objectives of modern integrated care delivery in a streamlined pedagogy-to-practice framework. Teaching strategies for developing core skills and competencies, suitable across diverse educational and workforce development settings, are presented with data-based rationales and guidelines for design and implementation. Chapters also cover the range of essentials, from research support to business acumen to program evaluation methods, needed to meet bedrock goals of improved quality of care, clinical outcomes, and patient satisfaction. The book’s comprehensive coverage: Reviews the evidence base for integrating medical and behavioral care. Provides empirically sound guidelines for training learners in integrated practice. Breaks down skill development into critical training objectives. Offers detailed content of a current degree program in integrative behavioral medicine. Recommends measures to support responsive, patient-centered, and sustainable training programs. A robust guide to a more inclusive and effective future, Training to Deliver Integrated Care expands the healthcare horizon to accommodate trainers working in health psychology, general practice, primary care medicine, and consulting, as well as supervision and coaching professionals.

Handbook Integrated Care

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Publisher : Springer
ISBN 13 : 3319561030
Total Pages : 578 pages
Book Rating : 4.3/5 (195 download)

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Book Synopsis Handbook Integrated Care by : Volker Amelung

Download or read book Handbook Integrated Care written by Volker Amelung and published by Springer. This book was released on 2017-06-30 with total page 578 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handbook gives profound insight into the main ideas and concepts of integrated care. It offers a managed care perspective with a focus on patient orientation, efficiency, and quality by applying widely recognized management approaches to the field of health care. The handbook also provides international best practices and shows how integrated care does work throughout various health systems. The delivery of health and social care is characterised by fragmentation and complexity in most health systems throughout the world. Therefore, much of the recent international discussion in the field of health policy and health management has focused on the topic of integrated care. “Integrated” acknowledges the complexity of patients ́ needs and aims to meet it by taking into account both health and social care aspects. Changing and improving processes in a coordinated way is at the heart of this approach.

Integrated Care

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Author :
Publisher : John Wiley & Sons
ISBN 13 : 1118900030
Total Pages : 336 pages
Book Rating : 4.1/5 (189 download)

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Book Synopsis Integrated Care by : Anna Ratzliff

Download or read book Integrated Care written by Anna Ratzliff and published by John Wiley & Sons. This book was released on 2016-01-13 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: An integrated, collaborative model for more comprehensivepatient care Creating Effective Mental and Primary Health Care Teamsprovides the practical information, skills, and clinical approachesneeded to implement an integrated collaborative care program andsupport the members of the care team as they learn this new,evidence-based, legislatively mandated care delivery system. Uniquein presenting information specifically designed to be used in anintegrated, collaborative care workflow, this book providesspecific guidance for each member of the team. Care managers,consulting psychiatrists, primary care providers, andadministrators alike can finally get on the same page in regard topatient care by referring to the same resource and employing acommon framework. Written by recognized experts with broadresearch, clinical, implementation, and training experience, thisbook provides a complete solution to the problem of fragmentedcare. Escalating costs and federal legislation expanding access tohealthcare are forcing the industry to transition to a new model ofhealth care delivery. This book provides guidance on navigating thechanges as a team to provide the best possible patient care. Integrate physical and behavioral care Use evidence-based treatments for both Exploit leading-edge technology for patient management Support each member of the collaborative care team Strong evidence has demonstrated the efficacy of a collaborativecare approach for delivering mental health care to patients in aprimary care setting. The field is rapidly growing, but fewresources are available and working models are limited. This bookprovides a roadmap for transitioning from traditional methods ofhealth care to the new integrated model. Providers ready to move tothe next level of care will find Creating Effective Mental andPrimary Health Care Teams an invaluable resource.

Integrating Social Care into the Delivery of Health Care

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Author :
Publisher : National Academies Press
ISBN 13 : 0309493439
Total Pages : 195 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Integrating Social Care into the Delivery of Health Care by : National Academies of Sciences, Engineering, and Medicine

Download or read book Integrating Social Care into the Delivery of Health Care written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-01-30 with total page 195 pages. Available in PDF, EPUB and Kindle. Book excerpt: Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health was released in September 2019, before the World Health Organization declared COVID-19 a global pandemic in March 2020. Improving social conditions remains critical to improving health outcomes, and integrating social care into health care delivery is more relevant than ever in the context of the pandemic and increased strains placed on the U.S. health care system. The report and its related products ultimately aim to help improve health and health equity, during COVID-19 and beyond. The consistent and compelling evidence on how social determinants shape health has led to a growing recognition throughout the health care sector that improving health and health equity is likely to depend â€" at least in part â€" on mitigating adverse social determinants. This recognition has been bolstered by a shift in the health care sector towards value-based payment, which incentivizes improved health outcomes for persons and populations rather than service delivery alone. The combined result of these changes has been a growing emphasis on health care systems addressing patients' social risk factors and social needs with the aim of improving health outcomes. This may involve health care systems linking individual patients with government and community social services, but important questions need to be answered about when and how health care systems should integrate social care into their practices and what kinds of infrastructure are required to facilitate such activities. Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health examines the potential for integrating services addressing social needs and the social determinants of health into the delivery of health care to achieve better health outcomes. This report assesses approaches to social care integration currently being taken by health care providers and systems, and new or emerging approaches and opportunities; current roles in such integration by different disciplines and organizations, and new or emerging roles and types of providers; and current and emerging efforts to design health care systems to improve the nation's health and reduce health inequities.

Implementing High-Quality Primary Care

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Publisher :
ISBN 13 : 9780309685108
Total Pages : 448 pages
Book Rating : 4.6/5 (851 download)

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Book Synopsis Implementing High-Quality Primary Care by : National Academies of Sciences, Engineering, and Medicine

Download or read book Implementing High-Quality Primary Care written by National Academies of Sciences, Engineering, and Medicine and published by . This book was released on 2021-06-30 with total page 448 pages. Available in PDF, EPUB and Kindle. Book excerpt: High-quality primary care is the foundation of the health care system. It provides continuous, person-centered, relationship-based care that considers the needs and preferences of individuals, families, and communities. Without access to high-quality primary care, minor health problems can spiral into chronic disease, chronic disease management becomes difficult and uncoordinated, visits to emergency departments increase, preventive care lags, and health care spending soars to unsustainable levels. Unequal access to primary care remains a concern, and the COVID-19 pandemic amplified pervasive economic, mental health, and social health disparities that ubiquitous, high-quality primary care might have reduced. Primary care is the only health care component where an increased supply is associated with better population health and more equitable outcomes. For this reason, primary care is a common good, which makes the strength and quality of the country's primary care services a public concern. Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care puts forth an evidence-based plan with actionable objectives and recommendations for implementing high-quality primary care in the United States. The implementation plan of this report balances national needs for scalable solutions while allowing for adaptations to meet local needs.

Integrated Care

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Author :
Publisher : John Wiley & Sons
ISBN 13 : 1118900022
Total Pages : 336 pages
Book Rating : 4.1/5 (189 download)

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Book Synopsis Integrated Care by : Anna Ratzliff

Download or read book Integrated Care written by Anna Ratzliff and published by John Wiley & Sons. This book was released on 2016-02-08 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: An integrated, collaborative model for more comprehensive patient care Creating Effective Mental and Primary Health Care Teams provides the practical information, skills, and clinical approaches needed to implement an integrated collaborative care program and support the members of the care team as they learn this new, evidence-based, legislatively mandated care delivery system. Unique in presenting information specifically designed to be used in an integrated, collaborative care workflow, this book provides specific guidance for each member of the team. Care managers, consulting psychiatrists, primary care providers, and administrators alike can finally get on the same page in regard to patient care by referring to the same resource and employing a common framework. Written by recognized experts with broad research, clinical, implementation, and training experience, this book provides a complete solution to the problem of fragmented care. Escalating costs and federal legislation expanding access to healthcare are forcing the industry to transition to a new model of health care delivery. This book provides guidance on navigating the changes as a team to provide the best possible patient care. Integrate physical and behavioral care Use evidence-based treatments for both Exploit leading-edge technology for patient management Support each member of the collaborative care team Strong evidence has demonstrated the efficacy of a collaborative care approach for delivering mental health care to patients in a primary care setting. The field is rapidly growing, but few resources are available and working models are limited. This book provides a roadmap for transitioning from traditional methods of health care to the new integrated model. Providers ready to move to the next level of care will find Creating Effective Mental and Primary Health Care Teams an invaluable resource.

Integrated Care

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Author :
Publisher : American Psychiatric Pub
ISBN 13 : 1585625485
Total Pages : 302 pages
Book Rating : 4.5/5 (856 download)

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Book Synopsis Integrated Care by : Lori E. Raney

Download or read book Integrated Care written by Lori E. Raney and published by American Psychiatric Pub. This book was released on 2015-04-01 with total page 302 pages. Available in PDF, EPUB and Kindle. Book excerpt: The goals of Integrated Care: Working at the Interface of Primary Care and Behavioral Health are to educate psychiatrists about the fundamental shift underway in health care and to prepare them to be successful and effective in the new health care arena. The passage and implementation of the Patient Protection and Affordable Care Act presents an opportunity for newly insured patients and for funding models of integrated care, enabling psychiatrists to have a more significant population-level impact. The only book of its kind, the guide defines integrated care, reviews the evidence base, and addresses the three potential benefits of this model of care: improved outcomes, cost containment, and enhanced patient experience (also known as the "triple aim"). The new models of integrated care presented in this book are population-based, which is the key to improved outcomes, and they represent a change in how medicine in general and psychiatry in particular will approach health care delivery moving forward. The book's features are both high-impact and user-friendly: The book is divided into two sections, "Behavioral Health in Primary Care Settings" and "Primary Care in Behavioral Health Care Settings," with Section 1 focused on improving the detection and treatment of behavioral health conditions by integrating behavioral health services into primary care settings and Section 2 focused on improving the health status of patient populations with serious mental illness by integrating primary care into behavioral health treatment. Each chapter presents a set of "core principles of effective collaborative care," which serve as a guide for the structure and provision of care for the varying models, regardless of the setting. Contributors provide dozens of examples that highlight the impact psychiatrists can make in achieving the triple aim of improved outcomes, cost containment, and enhanced experience. Detailed case vignettes integrated throughout the book bring concepts to life and help clinicians to understand and improve the patient-provider relationship. The information presented in these chapters allows both practicing psychiatrists and those in training to develop a skill set essential to designing, working in, teaching, or promoting an integrated care program within a health care system. Evidence based and timely, Integrated Care: Working at the Interface of Primary Care and Behavioral Health is a must read for clinicians in the brave new world of health care reform.

Integrating Behavioral Health and Primary Care

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Author :
Publisher : Oxford University Press
ISBN 13 : 0190276207
Total Pages : 593 pages
Book Rating : 4.1/5 (92 download)

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Book Synopsis Integrating Behavioral Health and Primary Care by : Robert E. Feinstein

Download or read book Integrating Behavioral Health and Primary Care written by Robert E. Feinstein and published by Oxford University Press. This book was released on 2017 with total page 593 pages. Available in PDF, EPUB and Kindle. Book excerpt: Integrated care incorporates behavioral and physical health services into primary care and specialty medical environments. These models of care are patient-centered. population focused, and delivered by a multidisciplinary team of medical professionals. This book is practical, office-based, comfortably accessible, and intended for mental health professionals, primary care and medical specialists, and professional health students, residents, and other professionals working in integrated care environments.

Integrated Behavioral Health in Primary Care

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Author :
Publisher : American Psychological Association (APA)
ISBN 13 : 9781433840982
Total Pages : 0 pages
Book Rating : 4.8/5 (49 download)

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Book Synopsis Integrated Behavioral Health in Primary Care by : Christopher L. Hunter

Download or read book Integrated Behavioral Health in Primary Care written by Christopher L. Hunter and published by American Psychological Association (APA). This book was released on 2022-09 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This timely new edition of Integrated Behavioral Health in Primary Care brings the reader up to speed with the changing aspects of primary care service delivery in response to the Patient-Centered Medical Home (PCMH), the Triple-Aim health approach, and the Patient Protection and Affordable Care Act. Drawing on research evidence and years of experience, the authors provide practical information and guidance for behavioral health care practitioners who wish to work more effectively in the fast-paced setting of primary care, and provide detailed advice for addressing common health problems such as generalized anxiety disorder, depression, weight issues, sleep problems, cardiovascular disorders, pain disorders, sexual problems, and more. New to this edition are chapters on population health and the PCMH; children, adolescents, and parenting; couples; managing suicide risk; and shared medical appointments. This paperback edition was previously published in hardcover in 2017.

Integrated Primary Care

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Publisher : W W Norton & Company Incorporated
ISBN 13 : 9780393702538
Total Pages : 297 pages
Book Rating : 4.7/5 (25 download)

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Book Synopsis Integrated Primary Care by : Alexander Blount

Download or read book Integrated Primary Care written by Alexander Blount and published by W W Norton & Company Incorporated. This book was released on 1998 with total page 297 pages. Available in PDF, EPUB and Kindle. Book excerpt: Integrated primary care, now instituted in many areas of the country, is both the service that integrates medical and mental health primary care and the practice of defining the problem brought by a patient without using "medical" or "mental" as inevitable distinctions. This volume makes the case for this approach, shows how to implement it, and describes some successful programs. It will be attractive to medical managers, plan administrators, physicians, and mental health providers.

Measuring the Impact of Interprofessional Education on Collaborative Practice and Patient Outcomes

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Publisher : National Academies Press
ISBN 13 : 0309372852
Total Pages : 183 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Measuring the Impact of Interprofessional Education on Collaborative Practice and Patient Outcomes by : Institute of Medicine

Download or read book Measuring the Impact of Interprofessional Education on Collaborative Practice and Patient Outcomes written by Institute of Medicine and published by National Academies Press. This book was released on 2015-12-15 with total page 183 pages. Available in PDF, EPUB and Kindle. Book excerpt: Interprofessional teamwork and collaborative practice are emerging as key elements of efficient and productive work in promoting health and treating patients. The vision for these collaborations is one where different health and/or social professionals share a team identity and work closely together to solve problems and improve delivery of care. Although the value of interprofessional education (IPE) has been embraced around the world - particularly for its impact on learning - many in leadership positions have questioned how IPE affects patent, population, and health system outcomes. This question cannot be fully answered without well-designed studies, and these studies cannot be conducted without an understanding of the methods and measurements needed to conduct such an analysis. This Institute of Medicine report examines ways to measure the impacts of IPE on collaborative practice and health and system outcomes. According to this report, it is possible to link the learning process with downstream person or population directed outcomes through thoughtful, well-designed studies of the association between IPE and collaborative behavior. Measuring the Impact of Interprofessional Education on Collaborative Practice and Patient Outcomes describes the research needed to strengthen the evidence base for IPE outcomes. Additionally, this report presents a conceptual model for evaluating IPE that could be adapted to particular settings in which it is applied. Measuring the Impact of Interprofessional Education on Collaborative Practice and Patient Outcomes addresses the current lack of broadly applicable measures of collaborative behavior and makes recommendations for resource commitments from interprofessional stakeholders, funders, and policy makers to advance the study of IPE.

Integrated Care

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Author :
Publisher : Emerald Group Publishing
ISBN 13 : 1801179786
Total Pages : 144 pages
Book Rating : 4.8/5 (11 download)

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Book Synopsis Integrated Care by : Axel Kaehne

Download or read book Integrated Care written by Axel Kaehne and published by Emerald Group Publishing. This book was released on 2022-04-15 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book critically examines integrated care, looking at integration from an unconventional angle to reveal the tacit assumptions we make when we manage and change health services. Kaehne questions our premises on health services management, the motivations for change and the shortcomings of health policy in complex environments.

Behavioral Medicine and Integrated Care

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Author :
Publisher : Springer
ISBN 13 : 3319930036
Total Pages : 409 pages
Book Rating : 4.3/5 (199 download)

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Book Synopsis Behavioral Medicine and Integrated Care by : Melanie P. Duckworth

Download or read book Behavioral Medicine and Integrated Care written by Melanie P. Duckworth and published by Springer. This book was released on 2018-10-12 with total page 409 pages. Available in PDF, EPUB and Kindle. Book excerpt: This evidence-to-practice volume deftly analyzes the processes and skills of integrating mental healthcare with primary care, using multiple perspectives to address challenges that often derail these joint efforts. Experts across integrative medicine offer accessible blueprints for smoothly implementing data-based behavioral interventions, from disease management strategies to treatment of psychological problems, into patient-centered, cost-effective integrated care. Coverage highlights training and technology issues, key healthcare constructs that often get lost in translation, and other knowledge necessary to create systems that are rooted in—and contribute to—a robust evidence base. Contributors also provide step-by-step guidelines for integrating behavioral health care delivery in treating cancer, dementia, and chronic pain. Among the topics covered: The epidemiology of medical diseases and associated behavioral risk factors. Provider training: recognizing the relevance of behavioral medicine and the importance of behavioral health consultations and referrals. Screening for behavioral health problems in adult primary care. Health care transformation: the electronic health record. Meeting the care needs of patients with multiple medical conditions. Smoking cessation in the context of integrated care. This depth of clinical guidance makes Behavioral Medicine and Integrated Care an essential reference for practitioners on all sides of the equation, including health psychologists and other professionals in health promotion, disease prevention, psychotherapy and counseling, and primary care medicine.

Preparing the Workforce for Integrated Healthcare

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Publisher :
ISBN 13 :
Total Pages : 137 pages
Book Rating : 4.:/5 (15 download)

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Book Synopsis Preparing the Workforce for Integrated Healthcare by : Denise Ratliff Black

Download or read book Preparing the Workforce for Integrated Healthcare written by Denise Ratliff Black and published by . This book was released on 2017 with total page 137 pages. Available in PDF, EPUB and Kindle. Book excerpt: Integrated healthcare is recommended to deliver care to individuals with co-occurring medical and mental health conditions. Identifying the knowledge necessary for behavioral health providers to practice in integrated settings, and determining whether a computer application is an effective strategy to disseminate this knowledge, are essential steps to transitioning these individuals to integrated healthcare delivery systems. A literature review of U.S. based publications from 1999 to 2015 identified 68 articles that met inclusion criteria and identified specific knowledge for integrated healthcare settings. A survey completed by 154 behavioral health providers working in integrated healthcare settings examined the extent to which respondents agreed the specific domains of knowledge identified in the systematic review were necessary for practice in integrated healthcare settings. An internet based computer application was developed and tested through a rapid prototyping method with two focus groups and 5 individual interviews. Nielson's usability heurstics were used to evaluate data from focus groups and interviews and changes were incorporated in development of the computer application. The computer application was evaluated through an experimental pre-test/post-test design in which the knowledge of screening measures of 15 masters level social work students was tested. The results of the literature review provided evidence that behavioral health providers require specific knowledge of medical diagnoses, psychiatric diagnoses, screening instruments and intervention skills. A first-order, four-subscale model of this knowledge was confirmed by a CFA model in the survey sample. The computer application developed through the focus groups and interviews is an introduction to integrated healthcare concepts, reinforces the integrated nature of physical and behavioral health, and puts evidence-based knowledge at the point of care. When compared to an asynchronous training session in the experimental investigation, ANCOVA results revealed no significant differences on post-test knowledge of screening measures between the two groups. Outcomes of training on an integrated healthcare topic using a computer application are comparable to those using an asynchronous instructional method. Further research is needed to evaluate the impact of computer application use in real-world practice settings.

Integrated Care

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Author :
Publisher : American Psychiatric Pub
ISBN 13 : 1615371338
Total Pages : 292 pages
Book Rating : 4.6/5 (153 download)

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Book Synopsis Integrated Care by : Lori E. Raney

Download or read book Integrated Care written by Lori E. Raney and published by American Psychiatric Pub. This book was released on 2017-04-26 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: Integrated Care: A Guide for Effective Implementation provides a detailed, thoughtful, and experience-based guide to the complex and potentially overwhelming process of implementing an integrated care program. The advantages of integrated care from both the clinical and administrative perspectives are many, including better detection of illness, improvement in overall health outcomes, a better patient care experience, flexibility in responding to policy and financial changes, and an emphasis on return on investment. The book addresses the emerging framework of core principles for effective integrated care, reviews the most up-to-date research on implementation, and presents practice-based experience to serve as a guide. This information is useful in both traditional integration of behavioral health into general medical settings (often primary care) or integrating general medical care into a specialty mental health or substance use treatment setting. Because administrators, clinicians, policy makers, payers and others need guidance in determining what effective implementation looks like, the authors offer a three-part examination of the key components of an implementation strategy and explore the elements essential for success. The book is grounded in the authors' real-world expertise and offers readers practical, accessible information and support: Often efforts to implement an integrated care program fail because the model is more than just "plug and play." To address this misconception, the authors explore the successful implementation from every angle -- from leadership, primary care, therapist, psychiatric provider, and policy perspectives. As procedural and institutional hurdles are being overcome, codes for integrated care have been adopted. Accordingly, the book provides in-depth coverage of finance and funding models, challenges to billing, and emerging payment models. Each of the chapter authors were selected for their direct clinical experience in various integrated environments, their leadership in ushering teams through these initiatives, and/or their deep knowledge of payment and policy barriers. Impediments to the widespread implementation of evidence-based programs include payment and regulatory barriers, lack of a workforce trained in effective collaboration, and cultural differences between the worlds of primary care and behavioral health care. Integrated Care: A Guide for Effective Implementation helps health care leaders and providers overcome these obstacles to implement a successful, patient-centered integrated care program.

Integrating the prevention and control of noncommunicable diseases in HIV/AIDS, tuberculosis, and sexual and reproductive health programmes

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Author :
Publisher : World Health Organization
ISBN 13 : 9240061681
Total Pages : 125 pages
Book Rating : 4.2/5 (4 download)

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Book Synopsis Integrating the prevention and control of noncommunicable diseases in HIV/AIDS, tuberculosis, and sexual and reproductive health programmes by : World Health Organization

Download or read book Integrating the prevention and control of noncommunicable diseases in HIV/AIDS, tuberculosis, and sexual and reproductive health programmes written by World Health Organization and published by World Health Organization. This book was released on 2023-04-03 with total page 125 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2011, heads of state and government at the United Nations General Assembly formally acknowledged that NCDs are one of the major challenges to development and committed to integrate NCD prevention and control into other programmes, such as for HIV and broader maternal and child health programmes, especially in PHC. The commitment to integrate NCDs into existing disease programmes was reaffirmed again through its NCD resolutions at its Third High-level Meeting in 2018. This guidance outlines strategic actions and practical solutions in response to the challenges of integration of NCDs, as appropriate and relevant to the country context. The objective is to maximize the impact of health services and extend access to NCD care. The target readership is policymakers, programme managers and health providers. The guidance should also be useful for WHO and international partners (including donors and banks) that champion integrated support for NCD service delivery in countries and better management.