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Lookup NU author(s): Dr Michele Castelli
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
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.
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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