ABSTRACT

The development of domiciliary services is the key point to help older persons to remain in their own home. Already at that time coordination was encouraged as a good means to improve the efficiency of the health and care services. The need for better coordination or integrated health and care as an idea is as old as social and health policy targeting the elderly itself. It is the result of a fragmentation of services, structures and funding. Since the major reform of residential care for dependent elderly people pricing is organised in three separate packages: “accommodation” which covers food and lodging; “dependence”, covering social care in everyday life and provision for incontinence; and “care” which covers the expenses for medical staff, general medical surveillance and medical equipment. The model ways of working presented in the French report have been chosen to illustrate the diversity of ways to coordinate, through some initiatives in France.