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The Persistent Problem of Integrated Clinical Care in English NHS Hospitals: Is the Mayo Model the Answer?

Lookup NU author(s): Dr Michele Castelli

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

The study aims to determine whether some aspects of the distinctive Mayo Clinic care model could be translated into English NHS hospital settings, to overcome the fragmented and episodic nature of non-emergency patient care.We used a rapid review to assess the literature on (a) integrated clinical care in hospital settings and (b) critical analysis of links between Mayo Clinic’s care model and the organisation’s performance and associated patient outcomes.The literature directly concerned with Mayo Clinic’s distinctive ethos and approach to patient care is limited in scope and largely confined to ‘grey’ sources or to authors and institutions with links to Mayo Clinic. We found only two peer-reviewed articles which offer critical analysis of the contribution of the Mayo Model to the performance of the organisation.Mayo Clinic is not the only organisation to practice integrated, in-hospital clinical care; however, it is widely regarded as an exemplar.There are barriers to implementing a Mayo-style model in English NHS hospitals, but they are not insurmountable and could lead to much better coordination of care for some patients.Our study shows that there is an appetite among NHS patients and staff place for better coordinated, multi-specialty care within NHS hospitals.In the English NHS integrated care generally aims to improve coordination between primary, community and secondary care, but problems remain of fragmented care for non-emergency hospital patients. Use of a Mayo-type care model, within hospital settings, could offer significant benefits to this patient group, particularly for the multi-morbid patients.


Publication metadata

Author(s): Erskine J, Castelli M, Hunter D, Hungin P

Publication type: Article

Publication status: Published

Journal: Journal of Health Organization and Management

Year: 2018

Volume: 32

Issue: 4

Pages: 532-544

Online publication date: 29/06/2018

Acceptance date: 10/05/2018

Date deposited: 16/05/2018

ISSN (print): 1477-7266

ISSN (electronic): 1758-7247

Publisher: Emerald Publishing Limited

URL: https://doi.org/10.1108/JHOM-01-2018-0020

DOI: 10.1108/JHOM-01-2018-0020


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