Integrated Care for Older People in France in 2020
Findings, Challenges, and Prospects
Bibliographic Data
| ID | 12830792 |
|---|---|
| Authors | Emma Bajeux (Centre Hospitalier Universitaire de Rennes, corresponding author), Aline Corvol (0000-0002-2318-6878, Arènes: politique, santé publique, environnement, médias), Dominique Somme (0000-0002-1245-1170, Centre Hospitalier Universitaire de Rennes) |
| Year | 2021 |
| Volume | 21 |
| Issue | 4 |
| Publication date | 2021-01-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Integrated Care (JOURNAL) |
| Journal identifiers | ISSN: 1568-4156 • E-ISSN: 1568-4156 |
| Publisher | Ubiquity Press (PUBLISHER • GB) |
| DOI | 10.5334/ijic.5643 |
| OpenAlex | W3213865882 |
| Language | EN |
| Citations received | 3 |
| References cited | 11 |
Background: We analyze here major changes over the last decade in the French healthcare system for older people, in terms of the integrated care concept. Policies: During this period, the major theme of public policies was “care coordination.” Despite some improvements, the multiplication of experimental programs and the multiplicity of stakeholders distanced the French healthcare system from an integrated care model. Professionals and organizations generally welcomed these numerous programs. However, most often, the programs were insufficiently implemented or articulated, notably at a clinical level, because of the persistence of a high level of fragmentation of governance, despite the creation of regional health agencies 10 years ago. The COVID-19 crisis has highlighted this fragmentation. Moreover, we still lack data on the impact of these programs on people’s health trajectories and personal experiences. Conclusion: The French healthcare system seems more fragmented in 2020 than in 2010, despite improvements in the culture of professional collaboration. The future health reform is an opportunity to capitalize upon this progress and to implement “integrated care.” This implies a strong and continuous national leadership in governance and change management
Business · Corporate governance · Fragmentation (computing · Health care · Healthcare system · Integrated care · Political science · Public relations · Health Systems, Economic Evaluations, Quality of Life · Health, Medicine and Society · Healthcare Systems and Practices · Medicine · Nursing · Public Administration
| Citations per year | 0.75 |
|---|---|
| Citation span | 2022 - 2026 (5) |
| Highly cited | No |