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A Research Perspective 2014 NSW HEALTH SYMPOSIUM 19 June 2014 James Gillespie. SESSION 3: Integrated Care and Health System Sustainability Associate Professor James Gillespie Director, Menzies Centre for Health Policy. A R esearch Perspective. 2014 NSW HEALTH SYMPOSIUM 19 June 2014

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slide1

A Research Perspective

2014 NSW HEALTH SYMPOSIUM

19 June 2014

James Gillespie

SESSION 3: Integrated Care and Health System Sustainability

Associate Professor James Gillespie

Director, Menzies Centre for Health Policy

a r esearch perspective

A Research Perspective

2014 NSW HEALTH SYMPOSIUM

19 June 2014

James Gillespie

cf kf 7 nation study
CF/KF 7 Nation Study
  • Te Whiringa Ora (TWO) Bay of Plenty NZ
  • Geriant, Noord Holland province, Netherlands
  • Torbay and Southern Devon Health and Care Trust, UK
  • The Norrtalje Model, Sweden
  • The Massachusetts General Care Management Program
  • The Program of Research to Integrate the Services for the Maintenance of Autonomy (PRISMA), Quebec, Canada
  • HealthOne Mount Druitt, Sydney.
findings
Findings
  • High touch vs high tech
  • Top-down v bottom up
  • Engagement of primary care
  • The role of ‘system spanners’
conclusion
Conclusion
  • Most required some ‘central’ stimulus to get going.
  • Successful integration was initiated and led from the ‘bottom up’, with active involvement and leadership from the clinicians providing the care.
  • Each successful local initiative had to overcome funding and other barriers to sustainability from the broader health system.
references
References

Anne-marieBoxall and James A Gillespie, Making Medicare: the politics of universal health care in Australia, UNSW Press 2013

Nick Goodwin et al, Providing integrated care for older people with complex needs: Key insights and lessons from seven cross national case studies, King’s Fund/Commonwealth Fund/Health System Performance Review Network, October 2013 www.kingsfund.org.uk/sites/files/kf/field/field_publication_file/providing-integrated-care-for-older-people-with-complex-needs-kingsfund-jan14.pdf

J. McNab, K Mallit and JA Gillespie (2013), Evaluation of HealthOne Mount Druitt, Menzies Centre for Health Policy, University of Sydney, available at

http://ses.library.usyd.edu.au//bitstream/2123/8988/4/HOMDevaloct13.pdf

Ellen Nolte, Emma Pitchforth (2014), What is the evidence on the economic impacts of integrated care? European Observatory on Health Systems and Policies. Policy Summary 11.