From micro to macro: assessing implementation of integrated care in Australia

Angus, L; Valentijn, PP

From micro to macro: assessing implementation of integrated care in Australia

Angus, L Valentijn, PP

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Publisher:: CSIRO Publishing
Publication Type:: Journal Article
Citation:: Australian Journal of Primary Health, 2018, 24 (1), pp. 59 - 65
Issue Date:: 2018

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Field	Value	Language
dc.contributor.author	Angus, L	en_US
dc.contributor.author	Valentijn, PP	en_US
dc.date.issued	2018	en_US
dc.identifier.citation	Australian Journal of Primary Health, 2018, 24 (1), pp. 59 - 65	en_US
dc.identifier.issn	1448-7527	en_US
dc.identifier.uri	http://hdl.handle.net/10453/134283
dc.description.abstract	<jats:p> Many countries and health systems are pursuing integrated care as a means of achieving better outcomes. However, no standard approaches exist for comparing integration approaches across models or settings, and for evaluating whether the key components of integrated care are present in different initiatives. This study sheds light on how integrated care is being implemented in Australia, using a new tool to characterise and compare integration strategies at micro, meso and macro levels. In total, 114 staff from a purposive sample of 38 integrated care projects completed a survey based on the Rainbow Model of Integrated Care. Ten key informants gave follow-up interviews. Participating projects reported using multiple strategies to implement integrated care, but descriptions of implementation were often inconsistent. Micro-level strategies, including clinical–professional service coordination and person-centred care, were most commonly reported. A common vision was often described as an essential foundation for joint work. However, performance feedback appeared under-utilised, as did strategies requiring macro-level action such as data linkages or payment reform. The results suggest that current integrated care efforts are unevenly weighted towards micro-level strategies. Increased attention to macro-level strategies may be warranted in order to accelerate progress and sustain integrated care in Australia. </jats:p>	en_US
dc.language	en	en_US
dc.publisher	CSIRO Publishing	en_US
dc.relation.ispartof	Australian Journal of Primary Health	en_US
dc.relation.isbasedon	10.1071/py17024	en_US
dc.subject.classification	Public Health	en_US
dc.title	From micro to macro: assessing implementation of integrated care in Australia	en_US
dc.type	Journal Article
utslib.citation.volume	1	en_US
utslib.citation.volume	24	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	160508 Health Policy	en_US
utslib.for	11 Medical and Health Sciences	en_US
utslib.for	16 Studies in Human Society	en_US
utslib.for	17 Psychology and Cognitive Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Business
utslib.copyright.status	closed_access
pubs.consider-herdc	false	en_US
pubs.issue	1	en_US
pubs.publication-status	Published	en_US
pubs.volume	24	en_US

Abstract:

Many countries and health systems are pursuing integrated care as a means of achieving better outcomes. However, no standard approaches exist for comparing integration approaches across models or settings, and for evaluating whether the key components of integrated care are present in different initiatives. This study sheds light on how integrated care is being implemented in Australia, using a new tool to characterise and compare integration strategies at micro, meso and macro levels. In total, 114 staff from a purposive sample of 38 integrated care projects completed a survey based on the Rainbow Model of Integrated Care. Ten key informants gave follow-up interviews. Participating projects reported using multiple strategies to implement integrated care, but descriptions of implementation were often inconsistent. Micro-level strategies, including clinical–professional service coordination and person-centred care, were most commonly reported. A common vision was often described as an essential foundation for joint work. However, performance feedback appeared under-utilised, as did strategies requiring macro-level action such as data linkages or payment reform. The results suggest that current integrated care efforts are unevenly weighted towards micro-level strategies. Increased attention to macro-level strategies may be warranted in order to accelerate progress and sustain integrated care in Australia.

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http://hdl.handle.net/10453/134283