Policy by pilot? learning from demonstration projects for integrated care comment on “integration or fragmentation of health care? examining policies and politics in a belgian case study”

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SUMMARY

B arriers to integrated care are not technical; they are political," wrote Berwick et al in 2008, referring to the challenges of instituting the Triple Aim of improving individual care, enhancing population health, and reducing cost of care. Martens and colleagues` study of policy implementation for chronic disease in Belgium, specifically their analysis of 12 pilot projects, highlights the difficulties of launching experiments to model pathways to integrated care in a health system without a strong integrative force. As Martens and colleagues describe, the projects were instituted as part of an ambitious plan with . . .

 



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