Implementing integrated care in ophthalmology: a community case study
IntroductionIn 2017, in a context of financial and patient care challenges, Moorfields Eye Hospital in the borough of Croydon launched the first Ophthalmology Integrated Care Contract in the United Kingdom.DescriptionA realistic, systematic approach is presented for an efficient implementation of an...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-12-01
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| Series: | Frontiers in Medicine |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2023.1150525/full |
| _version_ | 1797374841925402624 |
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| author | Eleni Nikita Richard Allen Hussein Khambati Christos Tsounis William Tucker Kirsten Malcolmson Melanie Hingorani Zoe Marjoram |
| author_facet | Eleni Nikita Richard Allen Hussein Khambati Christos Tsounis William Tucker Kirsten Malcolmson Melanie Hingorani Zoe Marjoram |
| author_sort | Eleni Nikita |
| collection | DOAJ |
| description | IntroductionIn 2017, in a context of financial and patient care challenges, Moorfields Eye Hospital in the borough of Croydon launched the first Ophthalmology Integrated Care Contract in the United Kingdom.DescriptionA realistic, systematic approach is presented for an efficient implementation of an integrated care ophthalmology contract under a lead provider. The main elements of the new contract are portrayed.DiscussionA new healthcare contract that would lead to system-wide transformation requires significant time commitment, vision, shared narrative, leadership, multi-functional working culture, shared accountability of all participating parties and education and support of all parties involved. Key levers to elevate the quality of care are collaborative relationships between health professionals, investing in information and technology and facilitating bottom-up innovation.ConclusionSystem-wide changes such, as integrated care contracts are possible, although the interplay between context, design and implementation is more complex than expected. |
| first_indexed | 2024-03-08T19:11:34Z |
| format | Article |
| id | doaj.art-622f2cbb843540dc82d321d1058c32a9 |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-03-08T19:11:34Z |
| publishDate | 2023-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-622f2cbb843540dc82d321d1058c32a92023-12-27T11:16:11ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-12-011010.3389/fmed.2023.11505251150525Implementing integrated care in ophthalmology: a community case studyEleni NikitaRichard AllenHussein KhambatiChristos TsounisWilliam TuckerKirsten MalcolmsonMelanie HingoraniZoe MarjoramIntroductionIn 2017, in a context of financial and patient care challenges, Moorfields Eye Hospital in the borough of Croydon launched the first Ophthalmology Integrated Care Contract in the United Kingdom.DescriptionA realistic, systematic approach is presented for an efficient implementation of an integrated care ophthalmology contract under a lead provider. The main elements of the new contract are portrayed.DiscussionA new healthcare contract that would lead to system-wide transformation requires significant time commitment, vision, shared narrative, leadership, multi-functional working culture, shared accountability of all participating parties and education and support of all parties involved. Key levers to elevate the quality of care are collaborative relationships between health professionals, investing in information and technology and facilitating bottom-up innovation.ConclusionSystem-wide changes such, as integrated care contracts are possible, although the interplay between context, design and implementation is more complex than expected.https://www.frontiersin.org/articles/10.3389/fmed.2023.1150525/fullblock contractimplementationintegrated careophthalmologyoptometry |
| spellingShingle | Eleni Nikita Richard Allen Hussein Khambati Christos Tsounis William Tucker Kirsten Malcolmson Melanie Hingorani Zoe Marjoram Implementing integrated care in ophthalmology: a community case study Frontiers in Medicine block contract implementation integrated care ophthalmology optometry |
| title | Implementing integrated care in ophthalmology: a community case study |
| title_full | Implementing integrated care in ophthalmology: a community case study |
| title_fullStr | Implementing integrated care in ophthalmology: a community case study |
| title_full_unstemmed | Implementing integrated care in ophthalmology: a community case study |
| title_short | Implementing integrated care in ophthalmology: a community case study |
| title_sort | implementing integrated care in ophthalmology a community case study |
| topic | block contract implementation integrated care ophthalmology optometry |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2023.1150525/full |
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