Abstract:
Introduction:The aim of this review is to systematically assess the methodological quality of economic evaluations in integrated care and to identify challenges with conducting such studies. Theory and methods:Searches of grey-literature and scientific papers were performed, from January 2000 to December 2018. A checklist was developed to assess the quality of economic evaluations. Authors' statements of challenges encountered during their evaluations were qualitatively coded. Results:Forty-four articles were eligible for inclusion. The review found that study design, measurement of cost and outcomes, statistical analysis and presentation of data were the areas with most quality variation. Authors identified challenges mostly related to time horizon of the evaluation, inadequate or lack of comparator group, contamination bias, and a post-hoc evaluation culture. Discussion:Our review found significant differences in quality, with some studies showing poor methodological rigor; challenging conclusions on the cost-effectiveness of integrated care. Conclusion:It is essential for evaluators to use best-practice standards when planning and conducting economic evaluations, in order to build a reliable evidence base for decision-making in integrated care.
journal_name
Int J Integr Carejournal_title
International journal of integrated careauthors
Kadu M,Ehrenberg N,Stein V,Tsiachristas Adoi
10.5334/ijic.4675subject
Has Abstractpub_date
2019-09-09 00:00:00pages
17issue
3issn
1568-4156journal_volume
19pub_type
杂志文章abstract:Introduction:Integrated care systems as well as accountable care organisations (ACOs) in the US and similar concepts in other countries are advocated as an effective method of improving the performance of healthcare systems. These systems outline a payment and care delivery model that intends to tie provider reimbursem...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.3615
更新日期:2018-01-12 00:00:00
abstract:Introduction:Not surprisingly given their multi-component nature, initiatives to improve integrated care often evolve to find the best way to bring about change. This paper provides an example of how an evaluation evolved alongside such an initiative designed to better integrate care across primary, community and hospi...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.4183
更新日期:2019-04-05 00:00:00
abstract:PURPOSE:To evaluate the feasibility of regional physical therapy networks including continuing education in rheumatology. The aim of these networks was to improve care provided by primary care physical therapists by improving specific knowledge, technical and communicative skills and the collaboration with rheumatologi...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.108
更新日期:2004-01-01 00:00:00
abstract:INTRODUCTION:The objective of this study was to assess a model for improving healthcare integration for patients with multiple chronic diseases in an integrated healthcare organisation in the Basque Country and to propose areas for improvement. METHODS:We organised four nominal groups composed of representatives from ...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.1975
更新日期:2016-08-19 00:00:00
abstract:OBJECTIVE:We analysed the integrated planning model adopted by the Italian region Emilia Romagna in year 2000 to cover the entire range of treatment of cardiovascular disease. This model, called "hub and spoke", provides for the transfer of patient care and treatment from peripheral units (the spokes) to central units ...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.82
更新日期:2003-01-01 00:00:00
abstract:Background:Political and public health leaders increasingly recognize the need to take urgent action to address the problem of chronic diseases and multi-morbidity. European countries are facing unprecedented demand to find new ways to deliver care to improve patient-centredness and personalization, and to avoid unnece...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.3096
更新日期:2017-09-25 00:00:00
abstract:CONTEXT:In 2006 the Labour Government in England published its long awaited White Paper on 'community services', following on from the 2005 Green Paper on the future of social care. The policy envisages an unprecedented shift of activity and resources from acute care to community settings, along with a much stronger fo...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.158
更新日期:2006-08-17 00:00:00
abstract:BACKGROUND:The literature on integration indicates the need for an enhanced theorization of institutional integration. This article proposes path dependence as an analytical framework to study the systems in which integration takes place. PURPOSE:PRISMA proposes a model for integrating health and social care services ...
journal_title:International journal of integrated care
pub_type: 杂志文章
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更新日期:2010-06-30 00:00:00
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journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.227
更新日期:2008-02-11 00:00:00
abstract:Background:Most current care models are disease- or symptom-focused and mostly do not account for the individual needs of patients with chronic diseases. The aim of this study was to develop an innovative, evidence-based and expert-based practice model for the management of patients with type 2 diabetes mellitus. Meth...
journal_title:International journal of integrated care
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doi:10.5334/ijic.4646
更新日期:2020-04-22 00:00:00
abstract:PROBLEM STATEMENT:Health care delivery in Germany is highly fragmented, resulting in poor vertical and horizontal integration and a system that is focused on curing acute illness or single diseases instead of managing patients with more complex or chronic conditions, or managing the health of determined populations. Wh...
journal_title:International journal of integrated care
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更新日期:2009-04-20 00:00:00
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journal_title:International journal of integrated care
pub_type: 杂志文章
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更新日期:2006-10-09 00:00:00
abstract:BACKGROUND:As the prevalence of long-term and multimorbid conditions is increasing, patients increasingly require consultations with multiple health care professionals and coordination of their care needs. METHODS:This study is based on a 2011 survey of older Australians which draws on sub-populations of people with d...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.1598
更新日期:2015-05-14 00:00:00
abstract:Background:Distributive leadership has been proposed as an effective means towards achieving integrated health services. This study draws from the case of Foundry, a network of integrated youth health centres in British Columbia, Canada, and explores the function and impact of distributive leadership in the context of ...
journal_title:International journal of integrated care
pub_type:
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更新日期:2020-12-01 00:00:00
abstract:Introduction:Primary care is increasingly being confronted with complex health care demands stemming from both biomedical and psychosocial problems of people with chronic diseases. Interprofessional collaboration is needed to enhance person-centredness and coordinate care provision in an efficient manner, which should ...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.4179
更新日期:2018-12-13 00:00:00
abstract::The WHO European Office for Integrated Health Care Services in Barcelona is an integral part of the World Health Organizations' Regional Office for Europe. The main purpose of the Barcelona office is within the integration of services to encourage and facilitate changes in health care services in order to promote heal...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:
更新日期:2001-01-01 00:00:00
abstract::This article explores legislative provisions in relation to patient privacy in the context of integrated health and social care and the development of multidisciplinary health care teams that include practitioners from private sector and government agencies in the health, education, child protection, family welfare, d...
journal_title:International journal of integrated care
pub_type: 杂志文章
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更新日期:2020-11-19 00:00:00
abstract:Aim:To explore health professionals' perspectives on communication, continuity and between-service coordination for improving cancer care for Indigenous people in Queensland. Methods:Semi-structured interviews were conducted in a purposive sample of primary health care (PHC) services in Queensland with Indigenous and ...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.5456
更新日期:2020-06-08 00:00:00
abstract::HealthOne was part of a state-wide initiative to invest in new community-based facilities for collocating services. The HealthOne Mount Druitt is a virtual hub and spoke organisation established in 2006 in a socially disadvantaged part of Western Sydney based out of a new community health hub. The model is based on 'v...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.2243
更新日期:2015-09-23 00:00:00
abstract:Background:Chronicity, and particularly complex care needs for people with chronic diseases is one of the main challenges of health systems. Objective:To determine the population prevalence of people with chronic diseases and complex care needs and to characterize these needs considering features of health and social ...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.3292
更新日期:2018-05-25 00:00:00
abstract::The current demographic shift raises the demand for provision of health care tailored to the complex care needs for older adults. Given the growing number of national care plans and best practice models there is an urgent need to build evidence for inter- and multiprofessional care provision for older people when offe...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.4683
更新日期:2020-02-24 00:00:00
abstract:BACKGROUND:Joint training for interagency working is carried out by Local Safeguarding Children Boards in England to promote effective local working to safeguard and promote the welfare of children. PURPOSE:This paper reports on the findings of the outputs and outcomes of interagency training to safeguard children in ...
journal_title:International journal of integrated care
pub_type: 杂志文章
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更新日期:2010-11-16 00:00:00
abstract:INTRODUCTION:The variable success of integrated care initiatives has led experts to recommend tailoring design and implementation to the organizational context. Yet, organizational contexts are rarely described, understood, or measured with sufficient depth and breadth in empirical studies or in practice. We thus lack ...
journal_title:International journal of integrated care
pub_type: 杂志文章
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更新日期:2017-06-27 00:00:00
abstract:INTRODUCTION:Multidisciplinary group meetings are one of the key drivers of facilitating integrated care. Health care professionals attending such groups have a key role in the success of these discussions and hence, in the forming of multi-professional integrated care. The study aimed to explore the professionals' exp...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.2019
更新日期:2015-09-02 00:00:00
abstract::The International Foundation for Integrated Care (IFIC) recently celebrated its 20th International Conference (ICIC20) through a virtual event that brought together patients and carers, academics, care professionals, NGOs, policy-makers and industry partners from across the global integrated care community [1]. The In...
journal_title:International journal of integrated care
pub_type: 社论
doi:10.5334/ijic.5627
更新日期:2020-10-21 00:00:00
abstract:THEME:Two central themes permeate this paper-the interplay between structure and agency in integration processes and the extent to which this is mediated through sensemaking by individual actors. CASE STUDY:The empirical base for the paper is provided by case study research from Wales which draws on examples of differ...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.509
更新日期:2009-12-22 00:00:00
abstract:OBJECTIVES:The aim of follow-up visits by the general practitioner and district nurse (within a week after discharge from hospital) is to reduce hospital readmissions and improve the overall wellbeing of the patient. There is strong evidence that these programmes are effective, but are difficult to implement because of...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.649
更新日期:2011-07-01 00:00:00
abstract:PURPOSE:Description and analysis of the effects and side-effects of integrated mental health care in the Netherlands. CONTEXT OF CASE:Due to a number of large-scale mergers, Dutch mental health care has become an illustration of integration and coherence of care services. This process of integration, however, has not ...
journal_title:International journal of integrated care
pub_type: 杂志文章
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更新日期:2007-08-27 00:00:00
abstract:INTRODUCTION:Collaboration between welfare organizations is an important strategy for integrating different health and welfare services. This article reports a review of the international literature on vocational rehabilitation, focusing on different organizational models of collaboration as well as different barriers ...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.670
更新日期:2011-10-01 00:00:00
abstract:BACKGROUND:The use of case studies in health services research has proven to be an excellent methodology for gaining in-depth understanding of the organisation and delivery of health care. This is particularly relevant when looking at the complexity of integrated healthcare programmes, where multifaceted interactions o...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.1980
更新日期:2014-12-15 00:00:00