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| List of Figures | |
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| List of Tables | |
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| List of Chapter appendices | |
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| Foreword | |
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| Preface: Introducing Emily: Problems in the current systems of care for older people | |
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| Introduction | |
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| The Roots of Discrimination | |
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| Trying to Understand It All: A Systems Approach | |
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| Implementation Models | |
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| Assessment: Getting to Know the Older Person | |
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| Preventing Crises: Health Promotion, Chronic Disease Management and Risk Management | |
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| Putting it in Place: Some Solutions | |
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| Information Systems: Connecting Places | |
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| Involving the Users | |
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| Evaluating an Integrated Care System | |
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| Levers and Tools for Integrating Care | |
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| The New Professionals: New Ways of Working Together for Integrated Care | |
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| Changing Places: The Way Ahead for the Care of Older People | |
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| Integrating Care at the End of Life | |
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| Epilogue: Remember Emily? Meet Winifred | |
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| EPICS - A Profile of an Elderly Persons Integrated Care System in South Buckinghamshire | |
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| Other Models of Integrated Care | |
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| Acknowledgements | |
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| About the authors | |
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| Subject index | |
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| Author index | |
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| List of Figures | |
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| Problems with hospital admission viewed from a systems perspective | |
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| The vicious cycle of primary-secondary interface | |
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| Systems map of integrated care | |
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| Reinforcing and balancing loops | |
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| Contrasting machines and complex adaptive systems | |
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| The integrative whole systems model | |
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| Moving the older person line down | |
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| Moving the crisis line up | |
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| Reducing the number of critical events | |
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| The integrative care management model | |
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| Value of 'older person partnership' | |
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| EPICS organizational structure - EPICS-r-US | |
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| EPICS management and line management system | |
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| Setting up and sustaining an integrated care system | |
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| Setting up and sustaining an integrated care system (contd.) | |
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| Aims and objectives of a local Older Persons Action Group | |
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| The continuous evaluation process | |