Integrated care

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Integrated care

• Well-planned and well-organized set of services
  and care processes, targeted at the
  multidimensional needs of an individual client,
  or a category of persons with similar needs
  built up by elements of acute health care,
  long-term care, social care, housing and services
  such as transport and meals.

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Integrated Delivery System

• Is a network of organizations (e.g., ambulatory
  care clinics, physician groups, diagnostic
  centers, hospitals, nursing homes, home health
  care agencies) which provides, or arranges to
  provide, a coordinated continuum of services to a
  defined population and is willing to be held
  clinically and fiscally responsible for the
  health status of that population. These systems
  often own, or are closely aligned with, an
  insurance service.

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Types of Facilities/Agencies

• Home health care agencies
• Ambulatory care clinics
• physician groups diagnostic centers
• Small Health Care Facility - Type 1,2.3
• Intermediate Care Facility/Nursing Facility
• Skilled Nursing Facility
• Hospitals
• Hospice

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Community care

• Self care/Personal care ?????? ?? ??? ????
• Family care/Home care ?????? ?? ??? ???????
• NGO ?????? ?? ??? ????? (????????? ??? ????
  )

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Health system
1- ??? ??? ????? ????? - ???? ?????? ? ????
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Community care
Health System
Family care
State Hospital
Home care
Hospice
PHC
Self care
Palliative care
District Hospital
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References

• 1- ??? ????? ?????? ?????? ??? ????? ??????????
  ???? ????? ? ???? ???? ????? , ??????? ???? ????
  ????? ???? ? ?????? ?????.
•  
• 2- Islamic Republic of Iran (Health Sector
  Review),Volume I Main Report,. The World Bank
  Group Human Development Sector. June 2007.
•  
• 3-Appropriate level of care a patient flow,
  system integration and capacity solution, Report
  by the expert panel on alternate level of care,
  December 2006.
•  
• 4- Maternity referral systems in developing
  countries Current knowledge and future research
  needs. Susan F. Murraya, , Stephen C. Pearsonb
  aKings College London, London, UK bUniversity of
  Leeds, UK.Available online 5 December 2005.
•  
• 5 The foundation for Health and Wellbeing,
  Primary Health Care in the Islamic, Republic of
  Iran, Presented by Professor Hossein
  Malekafzali.
•  
• 6- Alma-Ata Rebirth and Revision (Improving the
  prevention and management of chronic)Disease in
  low-income and middle-income countries A
  priority for primary health care, Robert
  Beaglehole and et al-Vol 372 September 13, 2008.
•  

47
References

• 7-Prevention and control of non communicable
  diseases implementation of the global strategy.
  Report by the Secretariat,WHO,16 January 2008,
•  
• 8-Interventions to improve outpatient referrals
  from primary care to secondary care (Review)
  .prepared and maintained by The Cochrane
  Collaboration and published in The Cochrane
  Library.2009, Issue 4.
•  
• 9- Gaining health (The European Strategy for the
  Prevention And Control of No communicable
  Diseases)- World Health Organization 2006.
•  
• 10- A Provincial Framework for End-of-Life Care
  -Ministry of Health May 2006.
• 11- Better palliative care for older people-
  who 2004-Edited by Elizabeth Davies and lrene j
  Higginson.
• 12-The story of self-care and self medication,
  40 years of progress, 1970-2010.

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49

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Ali Janati
50

• ????? ? ?????? ?????? ???????
• ?????? ? ?????? ???? ?????
• ???? ?????? ???? ??????
• ???? ?????? ???????? ?? ?????
• ???? ?????? ???? ? ???? ????
• ???? ?????? ????? ?????? ?????
• ???? ?????? ? ????? ????? ????? ???? ???? .

51

• Science and Practice Toward a System for
  Enabling
• Communities to Adopt Best Practices for Chronic
  Disease
• Prevention. HEALTH PROMOTION PRACTICE / January
  2001
• Roy Cameron, PhD ,Mari Alice Jolin, BA ,Rosemary
  Walker, MSc , Nicky McDermott, MSc ,Myrna Gough,
  BA, RNLinking
• How can chronic disease management programmes
• operate across care settings and providers?
  Debbie Singh, World Health Organization 2008 and
  World Health
• Organization, on behalf of the European
  Observatory
• on Health Systems and Policies 2008

52

• Chronic Disease Management, Jim Nuovo, MD , 2007
  Springer ScienceBusiness Media, LLC