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This chapter describes the experience of integrating health and social care across the whole of Scotland. The opening section outlines the first horizon—the political and policy landscape, financial and demographic context, stakeholder engagement, and the introduction of new organizational arrangements. The second section covers important enablers for implementing integrated care. It signposts to local examples of change and considers the challenge of measuring impacts and outcomes. The journey to improve population health and reduce inequalities is the subject of the third section. The chapter concludes with some lessons learned and a case study that illustrates the adoption of new ways of working.

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Three Horizons of Integrating Health and Social Care in Scotland

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  • 发表日期：

    2025年

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  • Maimie Thompson,
  • Elaine Mead,
  • Anne Hendry

摘要

This chapter describes the experience of integrating health and social care across the whole of Scotland. The opening section outlines the first horizon—the political and policy landscape, financial and demographic context, stakeholder engagement, and the introduction of new organizational arrangements. The second section covers important enablers for implementing integrated care. It signposts to local examples of change and considers the challenge of measuring impacts and outcomes. The journey to improve population health and reduce inequalities is the subject of the third section. The chapter concludes with some lessons learned and a case study that illustrates the adoption of new ways of working.