Integration of home care services. Preliminary results from the EURHOMAP study

Abstract

PurposeTo show the extent to which social and health care services are integrated across European home care systems.Introduction and theoryHome care incorporates several types of services. It is part of both the social system and health care system. Different disciplines/providers from different organisational settings, which may be financed differently, provide care at the clients' home. Furthermore, client's access to care may be organised in various ways. A European wide study (EURHOMAP) is used to look at these aspects in several countries.MethodsA systematic literature review and consultations with experts across Europe resulted in a set of consensus-based indicators. Major topics are: provision, financing and regulation. Data were collected in 31 countries in 2008–2009. To enhance comparability, a panel of key informants in each country answered a set of questions related to four vignettes about people in need of home care.Results and conclusionResults will be presented for some countries which form a contrast in the extent of service delivery and integration in home care. The delivery, needs assessment, financing and policy and regulation of each will be discussed. There are several levels at which integration can occur: regulation, financing, access and service delivery. Whether and at which level integration occurs varies from country to country.