Health system performance for the high-need patient

"The health care system needs to work better for the highest-need, most-complex patients. This study’s findings highlight the importance of tailoring interventions to address their needs."

Health system performance for the high-need patient: A look at access to care and patient care experiences
CA Salzberg, SL Hayes, D McCarthy, D Radley, MK Abrams, T Shah, G Anderson
The Commonwealth Fund
August 2016

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Primary health care interventions for Indigenous people with chronic diseases

"Future interventions should consider the findings of this review as it provides an evidence base that contributes to the successful design, implementation and sustainability of chronic disease interventions in primary health care settings intended for Indigenous people."

Enablers and barriers to the implementation of primary health care interventions for Indigenous people with chronic diseases: a systematic review
O Gibson, et al.
Implementation Science, 2015, 10:71

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What is the evidence on the economic impacts of integrated care?

"Failure to better integrate or coordinate services along the care continuum may result in suboptimal outcomes and available evidence of integrated care programmes points to a positive impact on the quality of patient care and improved health or patient satisfaction outcomes."

Policy summary 11: What is the evidence on the economic impacts of integrated care?
E Nolte, E Pitchforth
European Observatory on Health Systems and Policies
World Health Organization
2014

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Inequalities among adults with a chronic disease

"Low SES groups seem to be faced with a double burden: first, increased levels of health impairments and, second, lower levels of valuated HRQL once health is impaired."

Health-related quality of life and socioeconomic status: inequalities among adults with a chronic disease
A Mielck, M Vogelmann, R Leidl
Health and Quality of Life Outcomes, 2014, 12:58

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The NHS payment system: evolving policy and emerging evidence

"But the payment system for NHS-funded services is in need of reform to support a health system that meets the needs of an ageing population, with growing prevalence of multiple chronic diseases, in the context of tightly constrained resources."

The NHS payment system: evolving policy and emerging evidence
L Marshall, A Charlesworth, J Hurst
Nuffield Trust
February 2014

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Association between chronic disease related hospitalisations and primary health care resourcing

"Measuring hospitalisations, that could potentially be avoided with high quality and accessible primary care, is one indicator of how well primary care services are performing."

A systematic review of evidence on the association between hospitalisation for chronic disease related ambulatory care sensitive conditions and primary health care resourcing
OR Gibson, L Segal, RA McDermott
BMC Health Services Research, 2013, 13:336

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Patient and carer experience of obtaining medication for chronic conditions

"This paper presents findings from England of a qualitative study and survey of patients and their carers' experiences of community and primary care based services for physical chronic diseases."

Patient and carer experience of obtaining regular prescribed medication for chronic disease in the English National Health Service: a qualitative study
PM Wilson, N Kataria, E McNeilly
BMC Health Services Research, 2013, 13:192

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Health care lessons from Australia

"This paper is the first in a series that examines the way health services are funded and delivered in other nations."

Health care lessons from Australia
N Esmail
Fraser Institute
February 2013

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Evaluating disease management programmes: learning from diverse approaches across Europe

"The project reviewed the policy context for, and approaches to, chronic disease management in 13 European countries, using a structured data collection instrument that organised chronic disease management around four components: active patient involvement, service design, decision support and clinical information systems."

Evaluating disease management programmes: learning from diverse approaches across Europe
E Nolte, et al.
RAND Europe
October 2012

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European guideline variations and access to innovative therapies for rheumatoid arthritis

"This report usefully documents the variation in treatment across 12 European countries in the treatment of Rheumatoid Arthritis (RA), and notes the large cost imposed on societies by this disease."

A common disease with uncommon treatment: European guideline variations and access to innovative therapies for rheumatoid arthritis
T Hockley, J Costa-Font
Policy Analysis Centre Limited
June 2012

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Impact of telehealth on use of hospital care and mortality

"Over the 12 months that they spent in the trial, patients allocated to receive the telehealth intervention had fewer emergency hospital admissions."

The impact of telehealth on use of hospital care and mortality
A Steventon, M Bardsley
Nuffield Trust
June 2012

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Transformation lessons from disease-based strategies

"Examining disease-based strategies and frameworks provides meaningful lessons for health system transformation in Canada."

Transformation lessons from disease-based strategies: an environmental scan
Canadian Health Services Research Foundation
January 2012

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Show me the evidence

Show Me The Evidence  is a new publication showcasing some of the innovative research supported by the Canadian Institutes of Health Research. The first issue presents three stories about initiatives that have the potential to improve the delivery of health services to Canadians, but perhaps these lessons can also be shared further afield.

Read more here.