| Summary: | Background: Better integrated clinical models of care with close cooperation between hospital-based specialists and community practitioners are fundamental to effective chronic disease management. Yet despite integrated care being an international priority for over 20 years, sustained at-scale integration outcomes are still uncommon. Aims and Objectives: To allow clinician researchers with over a decade of service implementation at scale in Europe and Australia, to identify key integration success factors and barriers across diverse settings and business models. To involve the symposium audience in understanding and applying them in their own settings. To summarise learning and service integration development relevant to workshop participants. Format: Introduction, aims, task (5 minutes) Presentations (3 x 10 minutes) Group work, case discussion & questions (45 minutes) Summing up (10 minutes) Speakers: Caroline Nicholson, Director Mater/University of Queensland Centre for Integrated Care & Innovation (Chair), ‘Utilising the governance elements for integrated health care –the impact of a frailty team on system outcomes’. Dr Albert Alonso, Hospital Clinic of Barcelona Research and Innovation Directorate ‘Safely transferring hospital COPD care into the community’. Dr Jeroen Struijs, National Institute of Public Health and the Environment, Leiden University Medical Center Campus the Hague. Integrating care by payment reforms. The Symposium will highlight the challenges faced in implementing models of integrated care and how they may be overcome. Practice, organisational and external factors including clinician leadership and resourcing are critical for translation of evidence into ongoing practice. It will also highlight the importance of the external environment in creating the framework to allow effective adoption of health system innovation. Participants will apply frameworks to their own settings using facilitated small-group work. Target audience: clinicians, researchers, consumers, policy makers, and health care organisations working at the community/ hospital interface. Learnings/take away messages: To understand the key enablers and barriers in large scale integration interventions. To apply these in diverse settings internationally
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