Will integration help systems deal with health care reform effectively?

Sasha Karakusevic (Director of Strategy in the South Devon Health Community, and Director of the Health Innovation Education Cluster (SW) at Torbay Care Trust, Torquay, UK)

Journal of Integrated Care

ISSN: 1476-9018

Publication date: 10 October 2011



The purpose of this paper is to discuss the impact of demographic pressures on health and social care services and provide readers with a simple way of assessing their impact on local organisations.


The major forces affecting health systems are identified and the likely impact discussed.


It is likely that between 4 and 8 per cent of existing budgets need to be released to deal effectively with increasing demand over the next decade. Systems that work in an integrated way are more likely to achieve this.

Practical implications

By developing a quick numerical model, it is possible to assess the viability and effectiveness of proposed strategies.


The paper provides a quick way to think about the major forces affecting strategy enabling the reader to contribute to the identification of possible solutions.



Karakusevic, S. (2011), "Will integration help systems deal with health care reform effectively?", Journal of Integrated Care, Vol. 19 No. 5, pp. 41-46. https://doi.org/10.1108/14769011111176743



Emerald Group Publishing Limited

Copyright © 2011, Emerald Group Publishing Limited

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