<oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
  <dc:contributor>Calciolari, Stefano</dc:contributor>
  <dc:creator>Ilinca, Stefania</dc:creator>
  <dc:date>2013-06-17</dc:date>
  <dc:description xmlns:ns0="xml" ns0:lang="en">Our work focuses on understanding the challenges and opportunities of  health care delivery to the elderly, an issue which has become salient  for European health systems. While a growing body of research  assesses the challenging complexity associated with aging and frailty  through care integration numerous questions remain: What are the  antecedents of successful care integration and how does integration  affect care outcomes? What are the patterns of utilization among the  frail elderly and what services are most relevant for integration? The  first essay comprises an investigation of integration models for the frail  elderly in Europe and North America, through an extensive literature  review and a comparative case study analysis. We develop a  conceptual framework positing that the success of integrated care  initiatives does not result from the mere technical intensity of integration,  rather it is a function of the correct matching of operating tools  implemented with environmental, cultural and organizational factors. In  the second essay we empirically test the framework in the Italian NHS.  We use confirmatory factor analysis to validate the measurement  models and structural equation models to test the proposed  relationships. The third essay extends our approach to the association  between care utilization and frailty, in the elder European population. We  focus on identifying the effect of an individual’s frailty state on primary,  secondary and tertiary care utilization using data from the SHARE  survey. We use Poisson and logistic regression models, accounting for  the panel structure of the dataset and unobserved heterogeneity at the  country and individual level.</dc:description>
  <dc:format>application/pdf</dc:format>
  <dc:identifier>https://susi.usi.ch/global/documents/318599</dc:identifier>
  <dc:identifier>https://n2t.net/ark:/12658/srd1318599</dc:identifier>
  <dc:identifier>https://susi.usi.ch/documents/318599/files/2013ECO004.pdf</dc:identifier>
  <dc:language>eng</dc:language>
  <dc:relation>info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:rero-006-111959</dc:relation>
  <dc:relation>info:eu-repo/semantics/altIdentifier/ark/12658/srd1318599</dc:relation>
  <dc:rights>info:eu-repo/semantics/openAccess</dc:rights>
  <dc:rights>License undefined</dc:rights>
  <dc:subject xmlns:ns1="xml" ns1:lang="en">Ageing</dc:subject>
  <dc:subject xmlns:ns2="xml" ns2:lang="en">Frailty</dc:subject>
  <dc:subject xmlns:ns3="xml" ns3:lang="en">Care integration</dc:subject>
  <dc:subject xmlns:ns4="xml" ns4:lang="en">Health care utilization</dc:subject>
  <dc:subject>info:eu-repo/classification/udc/33</dc:subject>
  <dc:title xmlns:ns5="xml" ns5:lang="en">Essays on care integration and frailty : Challenges and perspectives</dc:title>
  <dc:type>http://purl.org/coar/resource_type/c_db06</dc:type>
</oai_dc:dc>