Shifting the balance of care…and making the money add up
| Autor: | John Wilderspin |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Value (ethics)
Health (social science) Evidence-based practice Public Administration Sociology and Political Science business.industry 030503 health policy & services media_common.quotation_subject 05 social sciences Voluntary sector Public relations 0506 political science 03 medical and health sciences Statutory law Originality Community health 050602 political science & public administration Medicine Quality (business) Marketing Direct experience 0305 other medical science business media_common |
| Zdroj: | Journal of Integrated Care. 25:256-264 |
| ISSN: | 1476-9018 |
| DOI: | 10.1108/jica-06-2017-0015 |
| Popis: | Purpose A critical commentary on policy and practice over time in English health and social care. The paper aims to discuss these issues. Design/methodology/approach Personal reflections based on prior experience as a senior leader in the English health and care system, combined with insights and relevant evidence from other senior leaders and health and care “think-tanks”. Findings Shifting the balance of care from a hospital to a community setting can potentially be cost-effective as well as improving quality for service users. However, it will require a change in the approach to planning and implementation, by focussing on service users and communities, rather than on statutory organisations. It will also require a greater level of integration between primary care, community health services, social care and the voluntary sector, and greater levels of “co-production” with service users and the public. Research limitations/implications Front-line health and care leaders are generally unaware of the evidence base in this field. Emergent findings in this field need to be rapidly evaluated and then communicated to front-line leaders and practitioners. Originality/value Incorporates direct experience of senior leaders in the field together with the existing and emerging evidence base. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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