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Type: Journal article
Title: Achieving integrated care for older people: shuffling the deckchairs or making the system watertight for the future?
Author: Harvey, G.
Dollard, J.
Marshall, A.
Mittinty, M.
Citation: International Journal of Health Policy and Management, 2018; 7(4):290-293
Publisher: Kerman University of Medical Sciences
Issue Date: 2018
ISSN: 2322-5939
Statement of
Gill Harvey, Joanne Dollard, Amy Marshall, Manasi Murthy Mittinty
Abstract: Integrated care has been recognised as a key initiative to resolve the issues surrounding care for older people living with multi-morbidity. Multiple strategies and policies have been implemented to increase coordination of care globally however, evidence of effectiveness remains mixed. The reasons for this are complex and multi-factorial, yet many strategies deal with parts of the problem rather than taking a whole systems view with the older person clearly at the centre. This approach of fixing parts of the system may be akin to shuffling the deckchairs on the Titanic, rather than dealing with the fundamental reasons why the ship is sinking. Attempts to make the ship more watertight need to be firmly centred on the older person, pay close attention to implementation and embrace approaches that promote collaborative working between all the stakeholders involved.
Keywords: Integrated Care; Older People; Multi-Morbidity
Description: ePublished: 3 January 2018
Rights: © 2018 The Author(s); Published by Kerman University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
RMID: 0030084755
DOI: 10.15171/ijhpm.2017.144
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Appears in Collections:Nursing publications

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