"ouwens" - 1 õppematerjal

What is integrated care?

Since a robust comparator is essential, but randomisation is not possible, controls are selected retrospectively from within the large datasets. There has been a tendency for evaluation of integrated care to focus on `boutique pilots' (indeed, given the current lack of available evidence, some of the examples within this paper are drawn from such sources), which has made it difficult to generalise findings to other health and care settings (Ouwens and others, 2005). The challenge for managers, clinicians and service users is to propose and support an evaluative component at the outset of any integrated care initiative. The aim should be to make a robust contribution to the emerging evidence base for integrated care, encouraging users, planners and decision-makers to become more directly involved in shaping evaluation, and appreciating where the big gains are to be made in developing better integrated care.