Ten years of integrated care for the older in France
<p><strong>Background:</strong> This paper analyzes progress made toward the integration of the French health care system for the older and chronically ill population.</p><p><strong>Policies:</strong> Over the last ten years, the French health care system ha...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Ubiquity Press
2011-12-01
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| Series: | International Journal of Integrated Care |
| Subjects: | |
| Online Access: | http://www.ijic.org/index.php/ijic/article/view/668 |
| _version_ | 1811277877550776320 |
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| author | Dominique Somme Matthieu de Stampa |
| author_facet | Dominique Somme Matthieu de Stampa |
| author_sort | Dominique Somme |
| collection | DOAJ |
| description | <p><strong>Background:</strong> This paper analyzes progress made toward the integration of the French health care system for the older and chronically ill population.</p><p><strong>Policies:</strong> Over the last ten years, the French health care system has been principally influenced by two competing linkage models that failed to integrate social and health care services: local information and coordination centers, governed by the social field, and the gerontological health networks governed by the health field. In response to this fragmentation, Homes for the Integration and Autonomy for Alzheimer patients (MAIAs) is currently being implemented at experimental sites in the French national Alzheimer plan, using an evidence-based model of integrated care. In addition, the state's reforms recently created regional health agencies (ARSs) by merging seven strategic institutions to manage the overall delivery of care.</p><p><strong>Conclusion:</strong> The French health care system is moving from a linkage-based model to a more integrated care system. We draw some early lessons from these changes, including the importance of national leadership and governance and a change management strategy that uses both top-down and bottom-up approaches to implement these reforms.</p> |
| first_indexed | 2024-04-13T00:24:30Z |
| format | Article |
| id | doaj.art-7047d2f8309647be9c78f33989f4b81f |
| institution | Directory Open Access Journal |
| issn | 1568-4156 |
| language | English |
| last_indexed | 2024-04-13T00:24:30Z |
| publishDate | 2011-12-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj.art-7047d2f8309647be9c78f33989f4b81f2022-12-22T03:10:38ZengUbiquity PressInternational Journal of Integrated Care1568-41562011-12-01115741Ten years of integrated care for the older in FranceDominique Somme0Matthieu de StampaAPHP-HEGP<p><strong>Background:</strong> This paper analyzes progress made toward the integration of the French health care system for the older and chronically ill population.</p><p><strong>Policies:</strong> Over the last ten years, the French health care system has been principally influenced by two competing linkage models that failed to integrate social and health care services: local information and coordination centers, governed by the social field, and the gerontological health networks governed by the health field. In response to this fragmentation, Homes for the Integration and Autonomy for Alzheimer patients (MAIAs) is currently being implemented at experimental sites in the French national Alzheimer plan, using an evidence-based model of integrated care. In addition, the state's reforms recently created regional health agencies (ARSs) by merging seven strategic institutions to manage the overall delivery of care.</p><p><strong>Conclusion:</strong> The French health care system is moving from a linkage-based model to a more integrated care system. We draw some early lessons from these changes, including the importance of national leadership and governance and a change management strategy that uses both top-down and bottom-up approaches to implement these reforms.</p>http://www.ijic.org/index.php/ijic/article/view/668Francehealth and social integrationgerontology |
| spellingShingle | Dominique Somme Matthieu de Stampa Ten years of integrated care for the older in France International Journal of Integrated Care France health and social integration gerontology |
| title | Ten years of integrated care for the older in France |
| title_full | Ten years of integrated care for the older in France |
| title_fullStr | Ten years of integrated care for the older in France |
| title_full_unstemmed | Ten years of integrated care for the older in France |
| title_short | Ten years of integrated care for the older in France |
| title_sort | ten years of integrated care for the older in france |
| topic | France health and social integration gerontology |
| url | http://www.ijic.org/index.php/ijic/article/view/668 |
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