Shared care for high-dependency patients: mental illness, neurological disorders and terminal care--a review.
Changes in the structure of health services in the UK have increased the need to identify and formalize shared responsibilities between primary and secondary care for patients with chronic conditions. There are well-established schemes for the management of patients with some chronic diseases but very little for other high-dependency groups. This review examines the extent of systematic and shared care for some of the less well served groups: these are mental illness, neurological disorders and terminal care. Examples of good practice are highlighted.
Walker
Z
Z
Centre for Research in Primary and Community Care, University of Hertfordshire, Hatfield, UK. z.a.k.walker@herts.ac.uk
McKinnon
M
M
Townsend
J
J
D019090:Case Management; D002908:Chronic Disease; D005194:Family Practice / Q000458:organization & administration*; D006801:Humans; D008511:Medicine / Q000458:organization & administration*; D001523:Mental Disorders / Q000628:therapy*; D009422:Nervous System Diseases / Q000628:therapy*; D011320:Primary Health Care / Q000458:organization & administration; D013038:Specialization; D013222:State Medicine / Q000458:organization & administration; D013727:Terminal Care / Q000458:organization & administration*; D006113:United Kingdom