Chronic Care, Health Care Systems and Services Integration

ISBN: 978-0-76231-147-7, eISBN: 978-1-84950-300-6

ISSN: 0275-4959

Publication date: 30 December 2004


Chronic illnesses require long term, ongoing medical care as well as the provision of a variety of social support services. These diverse systems of care need to be integrated. However, under managed care, health care systems adhere to a disease model where emphasis is placed upon cure rather than care. While managed care can increase system coordination, the logic of cost containment favors acute services over the long term supportive services needed by chronic care clients. In this paper I describe efforts in one community which has received funding to integrate services for individuals with chronic mental illness as well as a planning grant to integrate multiple chronic care systems (HIV, mental health, and substance abuse) for minority clients. I describe various models of system integration and how diverse systems can be coordinated. In the conclusion I examine the barriers to system integration and argue that sociologists need to play a stronger role in understanding systems of care.


Scheid, T. (2004), "SERVICE SYSTEM INTEGRATION: PANACEA FOR CHRONIC CARE POPULATIONS?", Jacobs Kronenfeld, J. (Ed.) Chronic Care, Health Care Systems and Services Integration (Research in the Sociology of Health Care, Vol. 22), Emerald Group Publishing Limited, Bingley, pp. 141-158.

Download as .RIS



Emerald Group Publishing Limited

Copyright © 2004, Emerald Group Publishing Limited

Please note you might not have access to this content

You may be able to access this content by login via Shibboleth, Open Athens or with your Emerald account.
If you would like to contact us about accessing this content, click the button and fill out the form.