Around the world, health and social care systems are struggling to cope with the increasing demands for services resulting from rapidly ageing populations with multiple physical, mental, and social care needs. The search for struc-tural or technological solutions gives emphasis to the reorientation of care systems that need to prevent ill health, support self-care, deliver care closer to people's homes, eliminate waste and duplication, and reduce the reliance on hospitals and long-term care institutions. The rapid rise of those with complex and long-term care needs presupposes the development of more integrated delivery systems that bring together clinical and non-clinical professionals from both the health and social care sec-tors. It also represents a challenge in how to adopt effective strategies of health promotion and ill health prevention that can address the socio-determinants of health and so support, at the end of the life-course, more active and healthy ageing. Today's fragmented health and social care systems continue to impede solutions that might other-wise prevent deterioration in health status and/or support better quality of life. This problem appears to be particular prevalent amongst the old, the poor, the vulnerable and people from ethnic and indigenous minority groups .
Goodwin, N. (2015). How should integrated care address the challenge of people with complex health and social care needs? Emerging lessons from international case studies. International Journal of Integrated Care, 15(3). https://doi.org/10.5334/ijic.2254