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Five Laws for Integrating Medical and Social Services: Lessons from the United States and the United Kingdom
Open accessAbstract
Because persons with disabilities (PWDs) use health and social services extensively, both the United States and the United Kingdom have begun to integrate care across systems. Initiatives in these two countries are examined within the context of the reality that personal needs and use of systems differ by age and by type and severity of disability. The lessons derived from this scrutiny are presented in the form of five “laws” of integration. These laws identify three levels of integration, point to alternative roles for physicians, outline resource requirements, highlight friction from differing medical and social paradigms, and urge policy makers and administrators to consider carefully who would be most appropriately selected to design, oversee, and administer integration initiatives. Both users and caregivers must be involved in planning to ensure that all three levels of integration are attended to and that the borders between medical and other systems are clarified.
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Cited by
Valentijn, P. P., Schepman, S. M., Opheij, W., & Bruijnzeels, M. A. (2013) · International Journal of Integrated Care · doi:10.5334/ijic.886 · Cited by 1,174
The Lancet Global Health Commission on financing primary health care: putting people at the centre
Hanson, K., Brikci, N., Erlangga, D., Alebachew, A., De Allegri, M., Balabanova, D., Blecher, M., Cashin, C., Esperato, A., Hipgrave, D., et al. (2022) · The Lancet Global Health · doi:10.1016/s2214-109x(22)00005-5 · Cited by 525
All Together Now: A Conceptual Exploration of Integrated Care
Kodner, D. (2009) · Healthcare Quarterly · doi:10.12927/hcq.2009.21091 · Cited by 434
Getting The Right Mix: Unpacking Integration Meanings and Strategies
Keast, R., Brown, K., & Mandell, M. (2007) · International Public Management Journal · doi:10.1080/10967490601185716 · Cited by 393
A systematic review of different models of home and community care services for older persons
Low, L.-F., Yap, M., & Brodaty, H. (2011) · BMC Health Services Research · doi:10.1186/1472-6963-11-93 · Cited by 310
Metadata
- Authors
- Leutz, W. N.
- Venue
- The Milbank Quarterly
- Publisher
- Wiley
- Published
- 1999-03
- Volume
- 77
- Issue
- 1
- Pages
- 77-110
- ISSN
- 0887-378X (ISSN-L)
- 1468-0009
- OpenAlex
- W1998538518
- Cited by
- 826
- References
- 0
- FWCI
- 31.71
- Type
- journal article
- Language
- en
- Open access
- green
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- Leutz, W. N. (1999). Five Laws for Integrating Medical and Social Services: Lessons from the United States and the United Kingdom. The Milbank Quarterly. https://doi.org/10.1111/1468-0009.00125
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
