Payment reform needed to promote integrated care, says Nuffield Trust

BMJ 2011; 343 doi: (Published 07 July 2011) Cite this as: BMJ 2011;343:d4318
  1. Jacqui Wise
  1. 1London

Radical models of payment across clinical pathways, such as global capitated budgets, should be piloted to encourage integrated care, a report from the Nuffield Trust says.

With global capitated budgets a provider is given a total budget for a defined population to maintain health and provide services in order to reduce costly hospital admissions.

The trust’s report, Integration in Action; Four International Case Studies, is based on a detailed study of four separate organisations in Europe and the US that have made good progress integrating health and, in one case, social care services. The report concludes that good governance, leadership, and information technology are all needed for greater integration in healthcare.

The report welcomes the plan to develop “best practice pathways,” …

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