Imperial College London

DrGevaGreenfield

Faculty of MedicineSchool of Public Health

Research Fellow in Public Health
 
 
 
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Contact

 

+44 (0)20 7594 8595g.greenfield Website

 
 
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Location

 

314Reynolds BuildingCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Curry:2013:10.5334/ijic.1149,
author = {Curry, N and Harris, M and Gunn, LH and Pappas, Y and Blunt, I and Soljak, M and Mastellos, N and Holder, H and Smith, J and Majeed, A and Ignatowicz, A and Greaves, F and Belsi, A and Costin-Davis, N and Jones, Nielsen JD and Greenfield, G and Cecil, E and Patterson, S and Car, J and Bardsley, M},
doi = {10.5334/ijic.1149},
journal = {Int J Integr Care},
title = {Integrated care pilot in north-west London: a mixed methods evaluation.},
url = {http://dx.doi.org/10.5334/ijic.1149},
volume = {13},
year = {2013}
}

RIS format (EndNote, RefMan)

TY  - JOUR
AB - INTRODUCTION: This paper provides the results of a year-long evaluation of a large-scale integrated care pilot in north-west London. The pilot aimed to integrate care across primary, acute, community, mental health and social care for people with diabetes and/or those aged 75+ through care planning, multidisciplinary case reviews, information sharing and project management support. METHODS: The evaluation team conducted qualitative studies of change at organisational, clinician and patient levels (using interviews, focus groups and a survey); and quantitative analysis of change in service use and patient-level clinical outcomes (using patient-level datasets and a matched control study). RESULTS: The pilot had successfully engaged provider organisations, created a shared strategic vision and established governance structures. However, the engagement of clinicians was variable and there was no evidence to date of significant reductions in emergency admissions. There was some evidence of changes in care processes. CONCLUSION: Although the pilot has demonstrated the beginnings of large-scale change, it remains in the early stages and faces significant challenges as it seeks to become sustainable for the longer term. It is critical that National Health Service managers and clinicians have realistic expectations of what can be achieved in a relatively short period of time.
AU - Curry,N
AU - Harris,M
AU - Gunn,LH
AU - Pappas,Y
AU - Blunt,I
AU - Soljak,M
AU - Mastellos,N
AU - Holder,H
AU - Smith,J
AU - Majeed,A
AU - Ignatowicz,A
AU - Greaves,F
AU - Belsi,A
AU - Costin-Davis,N
AU - Jones,Nielsen JD
AU - Greenfield,G
AU - Cecil,E
AU - Patterson,S
AU - Car,J
AU - Bardsley,M
DO - 10.5334/ijic.1149
PY - 2013///
SN - 1568-4156
TI - Integrated care pilot in north-west London: a mixed methods evaluation.
T2 - Int J Integr Care
UR - http://dx.doi.org/10.5334/ijic.1149
UR - https://www.ncbi.nlm.nih.gov/pubmed/24167455
UR - http://hdl.handle.net/10044/1/38721
VL - 13
ER -