Gold Coast Integrated Care: Enabling partnerships / Atención Integrada en Costa de Oro: Habilitación de asociaciones

Background: People-centred care (PCC) embodies the partnership approach to health care, refocusing care from the expert clinician as ‘care provider’ to a patient-clinician sharing of power and responsibility for care planning. Time poor environments and mandated performance outcomes in hospital and health service systems often leave little room for more than cursory attention to PCC at the point of service. However, integrated care systems provide an ideal platform for enabling PCC, given their overarching aim of combining structural and process reforms to position patients at the centre, rather than the margins of health decision-making. People-centred care model in a large Australian program The Gold Coast Integrated Care (GCIC) program was developed to transform services to the local population with chronic and complex conditions. The GCIC model offers proactive, shared care for higher risk patients within a population of c.140,000 (approx. 25% of the Gold Coast population). The Integrated Care (IC) process begins with recruitment of patients into the program through analysis of retrospective (three year) hospital data to identify and then stratify high end health service users with chronic conditions. It operates on the macro (shared governance between care organisations), meso (disease status or sub-population types) and micro level (organising care around individual patient needs). The program is people-centred in its location as well as in the patient journey. Based on models developed in the US1,2, the UK3,4 and other countries, including Australia5 a single point-of-entry includes multidisciplinary care, comprehensive holistic assessment, case management, an organised provider network, defined referral and service procedures, enhanced information management and self-management support all leading to an individualised shared care plan. The GCIC program is being carefully evaluated for cost effectiveness, caregiving processes and

• Publication year

  2015

• Venue

  International Journal of Integrated Care

• Publication date

  2015-11-17

• Fields of study

  Medicine, Sociology

• Identifiers
  DOI 10.5334/IJIC.2335
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar

• No claims are published for this paper.

• No concepts are published for this paper.

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