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Does integrated care have a future?

Does integrated care have a future? JICA Editorial 27,2 At a recent conference celebrating the success of a European integrated care project, a colleague commented that what struck him most about integrated care is that there has been so little progress made for patients. Looking back over more than two decades of work in the field, the most remarkable aspect, he thought, was that most of the problems that services struggled with at the very inception of the discipline were still with us, issues around data sharing, governance and interprofessional learning. That is not to say that integrated care has not made enormous advances and produced tangible improvements. Increased multi-professional collaboration counts as one of the biggest gains brought about by integrated care initiatives and it is now well evidenced. Yet, the wider picture is one of dogged resilience of health systems in the face of the continuous onslaught of policies advocating service integration of one type or another. Why is that the case? Are we running out of steam on the integration front? When I started to work in learning disabilities in 2005, the doyen of Welsh learning disabilities research, David Felce, remarked to me that “learning disabilities have had it”. The English learning http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Integrated Care Emerald Publishing

Does integrated care have a future?

Kaehne, Axel
Journal of Integrated Care , Volume 27 (2): 2 – Apr 15, 2019
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Publisher
Emerald Publishing
Copyright
Copyright © Emerald Group Publishing Limited
ISSN
1476-9018
DOI
10.1108/JICA-04-2019-070
Publisher site
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Abstract

JICA Editorial 27,2 At a recent conference celebrating the success of a European integrated care project, a colleague commented that what struck him most about integrated care is that there has been so little progress made for patients. Looking back over more than two decades of work in the field, the most remarkable aspect, he thought, was that most of the problems that services struggled with at the very inception of the discipline were still with us, issues around data sharing, governance and interprofessional learning. That is not to say that integrated care has not made enormous advances and produced tangible improvements. Increased multi-professional collaboration counts as one of the biggest gains brought about by integrated care initiatives and it is now well evidenced. Yet, the wider picture is one of dogged resilience of health systems in the face of the continuous onslaught of policies advocating service integration of one type or another. Why is that the case? Are we running out of steam on the integration front? When I started to work in learning disabilities in 2005, the doyen of Welsh learning disabilities research, David Felce, remarked to me that “learning disabilities have had it”. The English learning

Journal

Journal of Integrated Care – Emerald Publishing

Published: Apr 15, 2019

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