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Butler M, Kane RL, McAlpine D, Kathol, RG, Fu SS, Hagedorn H, Wilt TJ. Integration of Mental Health/Substance Abuse and
Primary Care No. 173 (Prepared by the Minnesota Evidence-based Practice Center under Contract No. 290-02-0009.) AHRQ Publication No. 09-E003. Rockville, MD. Agency for Healthcare
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and movement that has many names, models, and definitions that often includes the provision of mental-health, behavioral-health and substance-use services in primary care. Common derivatives of the name collaborative care include integrated care, primary care behavioral health, integrated primary
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Essential for the implementation of the integrated care programme is a framework that guides the process. In
Ireland, the Health Service Executive (HSE) is implementing an integrated care programme according to a 10-Step Framework. This Framework is created along the recommendation of the World
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The proper integrating of care does not mean the merging of roles. It remains uneconomical to make a physician serve as a nurse. Besides, the opposite approach is strictly prohibited by accreditation and certification schemes. The mix of staff for the various roles is maintained to enable a
80:. While autonomy refers to the one end of a continuum with least co-operation, integration (the combination of parts into a working whole by overlapping services) refers to the end with most co-operation and co-ordination (the relation of parts) to a point in between.
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is closely related to integrated care and emphasizes the patient's perspective through the system of health and social services, providing valuable lessons for the integration of systems. Continuity of care is often subdivided into three components:
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and new organizational arrangements focusing on more coordinated and integrated forms of care provision. Integrated care may be seen as a response to the fragmented delivery of health and social services being an acknowledged problem in many
151:, and many other documents advocating integration, claim that it will produce reductions in costs or emergency admissions to hospital but there is no convincing evidence to support this.
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Gröne, O & Garcia-Barbero, M (2002): Trends in
Integrated Care – Reflections on Conceptual Issues. World Health Organization, Copenhagen, 2002, EUR/02/5037864
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The integrated care literature distinguishes between different ways and degrees of working together and three central terms in this respect are
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There are various national associations committed to collaborative care such as the
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Kodner, DL & Spreeuwenberg, C (2002): Integrated care: meaning, logic, applications, and implications – a discussion paper.
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503:(June 2011). "Quality and equity of care in the Veterans Affairs health-care system and in Medicare Advantage health plans".
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Integrated care seems particularly important to service provision to the elderly, as elderly patients often become
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provider continuity (seeing the same professional each time, with value added if there is a therapeutic, trusting
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Building a Better
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continuity across the secondary–primary care interface (discharge planning from
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that supports them. These are the key features of collaborative care models:
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52:. This model of care is working towards moving away from a
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is the largest integrated care delivery system in the US.
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Focus on treating the whole person and whole family.
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275:profitable integration in caring.
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559:National Academy of Sciences
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548:Lawrence, David (2005).
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338:Health systems science
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363:2014-02-01 at the
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