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Care management in the twenty‐first century Persistent challenges in implementation in the context of the emergence of self‐care

Care management in the twenty‐first century Persistent challenges in implementation in the... Purpose – The purpose of this paper is to examine the persistent challenges in implementing care management within the context of integration. In addition the appropriateness of the care management model will be considered within the current, personalization focused, health and social care policy landscape. The paper draws upon a recent evaluation of a care management and assessment pilot project within a health and social care partnership in Scotland. Design/methodology/approach – A multi‐method approach was adopted, including interviews, vignettes and focus groups, in order to capture data around expectations in relation to the pilot as well as exploring processes and outcomes for those involved. Findings – This paper argues that whilst progress has been made with regard to care management, specific and persistent challenges remain. Professional and organizational boundaries, communication and information sharing remain key challenges. Policy imperatives have shifted the emphasis in community care services towards self‐care, co‐production and personalization contributing to a lack of clarity over the place of care management within the broader integration agenda. Research limitations/implications – This research was undertaken in one partnership locality in Scotland and as such the findings are related to that particular area. However, the key messages arising from this paper resonate with the broader academic literature on care management and as such are likely to be of interest to a broader audience. Originality/value – This paper brings together integrated working, care management and the developing policy framework of self‐care to consider the challenges for care management in this context. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Integrated Care Emerald Publishing

Care management in the twenty‐first century Persistent challenges in implementation in the context of the emergence of self‐care

Journal of Integrated Care , Volume 21 (2): 14 – Mar 29, 2013

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Publisher
Emerald Publishing
Copyright
Copyright © 2013 Emerald Group Publishing Limited. All rights reserved.
ISSN
1476-9018
DOI
10.1108/14769011311316024
Publisher site
See Article on Publisher Site

Abstract

Purpose – The purpose of this paper is to examine the persistent challenges in implementing care management within the context of integration. In addition the appropriateness of the care management model will be considered within the current, personalization focused, health and social care policy landscape. The paper draws upon a recent evaluation of a care management and assessment pilot project within a health and social care partnership in Scotland. Design/methodology/approach – A multi‐method approach was adopted, including interviews, vignettes and focus groups, in order to capture data around expectations in relation to the pilot as well as exploring processes and outcomes for those involved. Findings – This paper argues that whilst progress has been made with regard to care management, specific and persistent challenges remain. Professional and organizational boundaries, communication and information sharing remain key challenges. Policy imperatives have shifted the emphasis in community care services towards self‐care, co‐production and personalization contributing to a lack of clarity over the place of care management within the broader integration agenda. Research limitations/implications – This research was undertaken in one partnership locality in Scotland and as such the findings are related to that particular area. However, the key messages arising from this paper resonate with the broader academic literature on care management and as such are likely to be of interest to a broader audience. Originality/value – This paper brings together integrated working, care management and the developing policy framework of self‐care to consider the challenges for care management in this context.

Journal

Journal of Integrated CareEmerald Publishing

Published: Mar 29, 2013

Keywords: Care partnerships; Self care; Integrated care; Health services; Scotland

References

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