The effects of integrated care: a systematic review of UK and international evidence

BACKGROUND: Healthcare systems around the world have been responding to the demand for better integrated models of service delivery. However, there is a need for further clarity regarding the effects of these new models of integration, and exploration regarding whether models introduced in other care systems may achieve similar outcomes in a UK national health service context. METHODS: The study aimed to carry out a systematic review of the effects of integration or co-ordination between healthcare services, or between health and social care on service delivery outcomes including effectiveness, efficiency and quality of care. Electronic databases including MEDLINE; Embase; PsycINFO; CINAHL; Science and Social Science Citation Indices; and the Cochrane Library were searched for relevant literature published between 2006 to March 2017. Online sources were searched for UK grey literature, and citation searching, and manual reference list screening were also carried out. Quantitative primary studies and systematic reviews, reporting actual or perceived effects on service delivery following the introduction of models of integration or co-ordination, in healthcare or health and social care settings in developed countries were eligible for inclusion. Strength of evidence for each outcome reported was analysed and synthesised using a four point comparative rating system of stronger, weaker, inconsistent or limited evidence. RESULTS: One hundred sixty seven studies were eligible for inclusion. Analysis indicated evidence of perceived improved quality of care, evidence of increased patient satisfaction, and evidence of improved access to care. Evidence was rated as either inconsistent or limited regarding all other outcomes reported, including system-wide impacts on primary care, secondary care, and health care costs. There were limited differences between outcomes reported by UK and international studies, and overall the literature had a limited consideration of effects on service users. CONCLUSIONS: Models of integrated care may enhance patient satisfaction, increase perceived quality of care, and enable access to services, although the evidence for other outcomes including service costs remains unclear. Indications of improved access may have important implications for services struggling to cope with increasing demand. TRIAL REGISTRATION: Prospero registration number: 42016037725

21. The British Reception of Russian Film 1960-1990: The Role of Sight and Sound

Film is now well established in British universities as a medium for the study of Russian and Soviet culture and society—but this is a development of the last two decades. Twenty years ago, the study of Russian film in the way and on the scale in which it is practised now was unthinkable, for several reasons, not least of which was the almost total inaccessibility of the primary materials, a problem which our colleagues teaching literature (or we in our role as teachers of literature) did not..

The BFI Companion to Eastern European and Russian Cinema

No description supplie

A People Passing Rude

Described by the sixteenth-century English poet George Turbervile as "a people passing rude, to vices vile inclin'd", the Russians waited some three centuries before their subsequent cultural achievements - in music, art and particularly literature - achieved widespread recognition in Britain. The essays in this stimulating collection attest to the scope and variety of Russia's influence on British culture. They move from the early nineteenth century - when Byron sent his hero Don Juan to meet Catherine the Great, and an English critic sought to come to terms with the challenge of Pushkin - to a series of Russian-themed exhibitions at venues including the Crystal Palace and Earls Court. The collection looks at British encounters with Russian music, the fascination with Dostoevskii and Chekhov, and finishes by shedding light on Britain's engagement with Soviet film. Edited by Anthony Cross, one of the world's foremost authorities on Anglo-Russian relations, A People Passing Rude is essential reading for anyone with an interest in British and Russian cultures and their complex inter-relationship