IDEAS home Printed from https://ideas.repec.org/a/cup/hecopl/v18y2023i3p321-328_7.html
   My bibliography  Save this article

The forgotten dimension of integrated care: barriers to implementing integrated clinical care in English NHS hospitals

Author

Listed:
  • Castelli, Michele
  • Erskine, Jonathan
  • Hunter, David
  • Hungin, Amritpal

Abstract

Multimorbid patients who enter English NHS hospitals are frequently subject to care pathways designed to assess, diagnose and treat single medical conditions. Opportunities are thereby lost to offer patients more holistic, person-centred care. Hospital organisations elsewhere are known to use in-hospital, multi-specialty, integrated clinical care (ICC) to overcome this problem. This perspective piece aims to critically discuss barriers to implementing this form of ICC in the English NHS focusing on six key areas: information technologies, the primary–secondary care interface, internal hospital processes, finance, workload, professional roles and behaviours. Integrated care programmes currently underway are largely focused on macro (system) and meso (organisational) levels. A micro (clinical) level ICC, offering highly coordinated multispecialty expertise to multimorbid hospital patients could fill an important gap in the current care pathways.

Suggested Citation

  • Castelli, Michele & Erskine, Jonathan & Hunter, David & Hungin, Amritpal, 2023. "The forgotten dimension of integrated care: barriers to implementing integrated clinical care in English NHS hospitals," Health Economics, Policy and Law, Cambridge University Press, vol. 18(3), pages 321-328, July.
    • Handle: RePEc:cup:hecopl:v:18:y:2023:i:3:p:321-328_7
    as

    Download full text from publisher

    File URL: https://www.cambridge.org/core/product/identifier/S1744133122000214/type/journal_article
    File Function: link to article abstract page
    Download Restriction: no
    ---><---

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:cup:hecopl:v:18:y:2023:i:3:p:321-328_7. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Kirk Stebbing (email available below). General contact details of provider: https://www.cambridge.org/hep .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.