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Gawaine Davies, Anna Williams, K. Larsen, D. Perkins, M. Roland, M. Harris (2008)
Coordinating primary health care: an analysis of the outcomes of a systematic reviewMedical Journal of Australia, 188
Stefanie Ettelt, E. Nolte (2012)
Funding Intensive Care - Approaches in Systems Using Diagnosis-Related Groups.Rand health quarterly, 1 4
S. Thomson, Thomas Foubister, Elias Mossialos (2009)
Financing health care in the European Union: challenges and policy responses
(2008)
The human resource challenge in chronic care
E. Nolte, C. Knai, M. Hofmarcher, A. Conklin, A. Erler, A. Elissen, M. Flamm, Brigit Fullerton, A. Sönnichsen, H. Vrijhoef (2012)
Overcoming fragmentation in health care: chronic care in Austria, Germany and the NetherlandsHealth Economics, Policy and Law, 7
G. Walt, L. Gilson, L. Gilson (1994)
Reforming the health sector in developing countries: the central role of policy analysis.Health policy and planning, 9 4
C. Knai, S. Brusamento, Helena Legido-Quigley, V. Saliba, D. Panteli, E. Turk, J. Car, M. Mckee, R. Busse (2012)
Systematic review of the methodological quality of clinical guideline development for the management of chronic disease in Europe.Health policy, 107 2-3
D. Reider, P. Partner (2012)
Leverage Points: Places to Intervene in a System
Richard Smith, K. Hanson (2012)
Health Systems in Low- and Middle-Income Countries: An economic and policy perspective
R. Busse, N. Mays (2008)
Paying for chronic disease care
R. Busse, M. Blümel, D. Scheller-Kreinsen, A. Zentner (2010)
Tackling Chronic Disease in Europe: Strategies, Interventions and Challenges
C. Knai, E. Nolte, M. Brunn, A. Elissen, A. Conklin, Jan Pedersen, L. Brereton, A. Erler, A. Frølich, M. Flamm, Birgit Fullerton, R. Jacobsen, Robert Krohn, Z. Saz-Parkinson, B. Vrijhoef, K. Chevreul, I. Durand-zaleski, F. Farsi, A. Sarría-Santamera, A. Soennichsen (2013)
Reported barriers to evaluation in chronic care: experiences in six European countries.Health policy, 110 2-3
J. Ritchie, L. Spencer (2002)
Qualitative data analysis for applied policy research
Stefanie Ettelt, Ellen Nolte, Nicholas Mays (2008)
Decision-making in health care: Roles and responsibilities at local, regional and national level
Joanne Epping-jordan, S. Pruitt, R. Bengoa, E. Wagner (2004)
Improving the quality of health care for chronic conditionsQuality and Safety in Health Care, 13
(2003)
Improving the performance of health services: the role of clinical leadershipThe Lancet, 361
E. Nolte, Stefanie Ettelt, S. Thomson, N. Mays (2008)
Learning from Other Countries: An On-Call Facility for Health Care PolicyJournal of Health Services Research & Policy, 13
B. Chewning, Carma Bylund, Bupendra Shah, N. Arora, Jennifer Gueguen, G. Makoul (2012)
Patient preferences for shared decisions: a systematic review.Patient education and counseling, 86 1
C. Imison (2015)
Transforming our health care system: ten priorities for commissioners
(2012)
and Public Health
R. Epstein, Louis Sherwood (1996)
From Outcomes Research to Disease Management: A Guide for the PerplexedAnnals of Internal Medicine, 124
M. Hofmarcher, H. Oxley, Elena Rusticelli (2007)
Improved Health System Performance through better Care Coordination
Beyond disease management : population - based health management
Eric Fortress (1982)
A comparative approach to policy analysis: Health care policy in four nationsHealth Policy and Education, 3
Stefanie Ettelt, E. Nolte, N. Mays, S. Thomson, M. Mckee (2006)
Health care outside hospital: accessing generalist and specialist care in eight countries. Policy Brief.
L. Segal, D. Dunt, S. Day (2004)
Introducing coordinated care (2): evaluation of design features and implementation processes implications for a preferred health system reform model.Health policy, 69 2
T. Weijden, A. Boivin, J. Burgers, H. Schünemann, G. Elwyn (2012)
Clinical practice guidelines and patient decision aids. An inevitable relationship.Journal of clinical epidemiology, 65 6
S. Shaw, R. Rosen (2013)
Fragmentation: A wicked problem with an integrated solution?Journal of Health Services Research & Policy, 18
E. Suter, N. Oelke, C. Adair, Gail Armitage (2009)
Ten key principles for successful health systems integration.Healthcare quarterly, 13 Spec No
E. Nolte, S. Hinrichs (2012)
DISMEVAL Developing and validating disease management evaluation methods for European healthcare systems
G. Walt, J. Shiffman, H. Schneider, S. Murray, R. Brugha, L. Gilson (2008)
‘Doing’ health policy analysis: methodological and conceptual reflections and challengesHealth Policy and Planning, 23
E. Nolte, C. Knai, M. Mckee (2008)
Managing chronic conditions: experience in eight countries.
M. Dobrow (2009)
Caring for people with chronic conditions: a health system perspectiveInternational Journal of Integrated Care, 9
An effective response to the rising burden of chronic disease requires a health system environment that is conducive to implementing structured, integrated approaches to chronic disease prevention and management. This study presents some of the reported factors hindering the successful implementation of chronic care approaches in six European healthcare systems and focuses on processes to address these. We conducted 42 semi-structured interviews with key informants in Austria, Denmark, France, Germany, The Netherlands and Spain, representing the decision-maker, payer, provider and/or patient perspective. Despite differences among the healthcare systems studied, a shared set of barriers emerged. These included: (i) a continued focus on complications management and a failure to integrate risk minimisation and disease prevention along the spectrum of care; (ii) care fragmentation acting as a barrier to better coordination; (iii) a mismatch between intent, at national level, to enhance coordination and integration, and ability at regional or local level to translate these ambitions into practice; and (iv) a lack of structures suitable to promote proactive engagement with patients in the management of their own condition. Findings suggest successful implementation of chronic care across Europe will require cross-disciplinary collaboration, raising the profile of general practitioners and nurses, designing care explicitly around the needs of the patient, and the political will to carry forward these chronic care measures.
International Journal of Care Coordination – SAGE
Published: Sep 1, 2014
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