Integration of healthcare rehabilitation in chronic conditions

Quality of care provided to people with chronic conditions does not often fulfil standards of care in Denmark and in other countries. Inadequate organisation of healthcare systems has been identified as one of the most important causes for observed performance inadequacies, and providing integrated...

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Bibliographic Details
Published in:International journal of integrated care 2010-02, Vol.10 (1), p.e033-e033
Main Authors: Frølich, Anne, Høst, Dorte, Schnor, Helle, Nørgaard, Annette, Ravn-Jensen, Cecilia, Borg, Eva, Hendriksen, Carsten
Format: Article
Language:English
Subjects:
chronic care model
chronic conditions
Chronic illnesses
Chronic obstructive pulmonary disease
Clinical practice guidelines
Collaboration
Committees
Departments
Diabetes
Horizontal integration
Hospitals
Information systems
Integrated Care Cases
Integrated delivery systems
integration of healthcare
Leadership
Lung diseases
Medical personnel
Meetings
Patient education
quality of care
Rehabilitation
Systems design
Vertical integration
Working groups
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Summary:Quality of care provided to people with chronic conditions does not often fulfil standards of care in Denmark and in other countries. Inadequate organisation of healthcare systems has been identified as one of the most important causes for observed performance inadequacies, and providing integrated healthcare has been identified as an important organisational challenge for healthcare systems. Three entities-Bispebjerg University Hospital, the City of Copenhagen, and the GPs in Copenhagen-collaborated on a quality improvement project focusing on integration and implementation of rehabilitation programmes in four conditions. FOUR MULTIDISCIPLINARY REHABILITATION INTERVENTION PROGRAMMES, ONE FOR EACH CHRONIC CONDITION: chronic obstructive pulmonary disease, type 2 diabetes, chronic heart failure, and falls in elderly people were developed and implemented during the project period. The chronic care model was used as a framework for support of implementing and integration of the four rehabilitation programmes. The chronic care model provided support for implementing rehabilitation programmes for four chronic conditions in Bispebjerg University Hospital, the City of Copenhagen, and GPs' offices. New management practices were developed, known practices were improved to support integration, and known practices were used for implementation purposes. Several barriers to integrated care were identified.
ISSN:1568-4156
1568-4156
DOI:10.5334/ijic.507