The fragmented delivery of healthcare and social services was put on the agenda as a major problem by WHO in 2002. Integrated Homecare (IHC) combining efficacy with net savings represents a prototype of integrated care (IC) with overlapping services for better clinical continuity. Frequent chronic conditions as stroke, heart failure, chronic obstructive pulmonary disease and mental disease exhibit parallel results as explained by a common neuroeconomic framework. A SWOT analysis of IHC emphasizes: Strength: health economic dominance; Weakness: fragmented financial conditions; Opportunity: low-tech patient benefits affordable to middle income countries; Threat: low levels of trust across professions and settings A meso-strategy for EU recommends: (1) Make a synthesis of existing and ongoing research as a health technology assessment (HTA) of IHC for multidisciplinary teamwork across the hospital and primary care interface (2) Focus on dissemination by the formation of country specific multidisciplinary networks on IHC, see http://www.integratedhomecare.eu/ .
International Journal of Healthcare Delivery Reform Initiatives, 2009, Vol 1, Issue 3, p. 70-87
Managed Care, Health Care Reengineering, Telemedicine, neuroeconomics, HTA, SWOT-analysis, Meso-strategy