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Harvey, G., Dollard, J., Marshall, A., Mittinty, M. (2018). Achieving Integrated Care for Older People: Shuffling the Deckchairs or Making the System Watertight For the Future?. International Journal of Health Policy and Management, 7(4), 290-293. doi: 10.15171/ijhpm.2017.144
Gill Harvey; Joanne Dollard; Amy Marshall; Manasi Murthy Mittinty. "Achieving Integrated Care for Older People: Shuffling the Deckchairs or Making the System Watertight For the Future?". International Journal of Health Policy and Management, 7, 4, 2018, 290-293. doi: 10.15171/ijhpm.2017.144
Harvey, G., Dollard, J., Marshall, A., Mittinty, M. (2018). 'Achieving Integrated Care for Older People: Shuffling the Deckchairs or Making the System Watertight For the Future?', International Journal of Health Policy and Management, 7(4), pp. 290-293. doi: 10.15171/ijhpm.2017.144
Harvey, G., Dollard, J., Marshall, A., Mittinty, M. Achieving Integrated Care for Older People: Shuffling the Deckchairs or Making the System Watertight For the Future?. International Journal of Health Policy and Management, 2018; 7(4): 290-293. doi: 10.15171/ijhpm.2017.144

Achieving Integrated Care for Older People: Shuffling the Deckchairs or Making the System Watertight For the Future?

Article 1, Volume 7, Issue 4, April 2018, Page 290-293  XML PDF (419 K)
Document Type: Editorial
DOI: 10.15171/ijhpm.2017.144
Authors
Gill Harvey 1; Joanne Dollard2; Amy Marshall1; Manasi Murthy Mittinty1, 3
1Adelaide Nursing School, University of Adelaide, Adelaide, SA, Australia
2Adelaide Medical School, University of Adelaide, Adelaide, SA, Australia
3Australian Research Centre for Population Oral Health, Adelaide Dental School, University of Adelaide, Adelaide, SA, Australia
Abstract
Integrated care has been recognised as a key initiative to resolve the issues surrounding care for older people living with multi-morbidity. Multiple strategies and policies have been implemented to increase coordination of care globally however, evidence of effectiveness remains mixed. The reasons for this are complex and multifactorial, yet many strategies deal with parts of the problem rather than taking a whole systems view with the older person clearly at the centre. This approach of fixing parts of the system may be akin to shuffling the deckchairs on the Titanic, rather than dealing with the fundamental reasons why the ship is sinking. Attempts to make the ship more watertight need to be firmly centred on the older person, pay close attention to implementation and embrace approaches that promote collaborative working between all the stakeholders involved.
Keywords
Integrated Care; Older People; Multi-morbidity
Main Subjects
Health Policy Analysis
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