This resource describes the findings of the International Experts Working Group on Patients with Complex Needs. The Commonwealth Fund established this group in 2014 to outline the components of a high-performing health care system for high-need, high-cost patients and to identify promising relevant international innovations.
- This report reviews the group's top 10 recommendations, which include making care coordination a high priority; identifying patients in greatest need of proactive, coordinated care; and training more primary care physicians and geriatricians.
- All 10 recommendations present challenges, and some recommendations require paradigm shifts - for instance, away from disease-specific care delivery and toward patient-centered approaches.
- Successful implementation of the recommendations has the potential to transform care and quality of life for millions of people.
- This report also includes profiles of selected international models that follow the recommendations, from countries including Canada, England, France, and Israel.
- What are the prerequisites for a high-performing health care system for patients with complex needs?
- What are key areas of leverage for policy to provide these prerequisites?
- What are some examples of innovative care models from around the world?