The French Society of Geriatrics and Gerontology position paper on the concept of integration
- PMID: 24868197
- PMCID: PMC4027931
- DOI: 10.5334/ijic.1212
The French Society of Geriatrics and Gerontology position paper on the concept of integration
Abstract
Introduction: The concept of integration, although dating from the 1990s, has only recently appeared in French public health policy. It must be linked with 'coordination', which is the base of most French public policies applied to geriatrics since the 1960s. Herein, we report the French Society of Geriatrics and Gerontology working group's findings according to three axes: definition of integration, objectives of this organisational approach and the means needed to achieve them.
Discussion: Integration is a process that aims to overcome the fragmentation of services for vulnerable people. This process requires a multilevel approach, particularly concerning how to modify public policies and financing systems. Notably, all relevant levels need to develop shared processes, tools, resources, financing, interventions and action-reports on the latter. Integration must be accompanied by a local dedicated professional (the 'pilot'). Results of recent experiments showed that it is possible to implement integrative dynamics in France.
Keywords: definition; geriatrics; integration; position paper.
References
-
- Kodner DL, Kyriacou CK. Fully integrated care for frail elderly: two American models. International Journal of Integrated Care [serial online] 2000 Nov 1;:1. [cited 2014 Mar 13]. Available from: URN:NBN:NL:UI:10-1-100253. - PMC - PubMed
-
- Présidence de la République Alzheimer's disease and related disorders” 2008–2012 planPlan “Alzheimer et maladies apparentées” 2008–2012. 2008 Feb 1; (Fre). [cited 2013 Jul 4]. Available from: http://www.sante.gouv.fr/IMG/pdf/Plan_Alzheimer_2008-2012-2.pdf. [in French]
-
- Somme D, Balard F, Couturier Y, Gagnon D, Saint-Jean O, Trouvé H. PRISMA France: projet pilote sur l'intégration et la gestion de cas. [PRISMA France: a pilot project for integration and case management]. Sarrebruck: Editions Universitaires Européennes; 2011. (Fre).
-
- Trouvé H, Couturier Y, Etheridge F, Saint-Jean O, Somme D. The path dependency theory: analytical framework to study institutional integration. The case of France. International Journal of Integrated Care [serial online] 2010 Jun 30;:10. [cited 2014 Mar 13]. URN:NBN:NL:UI:10-1-100886. - PMC - PubMed
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