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Indicators and Measurement Tools for Health Systems Integration: A Knowledge Synthesis
BACKGROUND: Despite far reaching support for integrated care, conceptualizing and measuring integrated care remains challenging. This knowledge synthesis aimed to identify indicator domains and tools to measure progress towards integrated care. METHODS: We used an established framework and a Delphi...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Ubiquity Press
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5854167/ https://www.ncbi.nlm.nih.gov/pubmed/29588637 http://dx.doi.org/10.5334/ijic.3931 |
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author | Suter, Esther Oelke, Nelly D. da Silva Lima, Maria Alice Dias Stiphout, Michelle Janke, Robert Witt, Regina Rigatto Van Vliet-Brown, Cheryl Schill, Kaela Rostami, Mahnoush Hepp, Shelanne Birney, Arden Al-Roubaiai, Fatima Marques, Giselda Quintana |
author_facet | Suter, Esther Oelke, Nelly D. da Silva Lima, Maria Alice Dias Stiphout, Michelle Janke, Robert Witt, Regina Rigatto Van Vliet-Brown, Cheryl Schill, Kaela Rostami, Mahnoush Hepp, Shelanne Birney, Arden Al-Roubaiai, Fatima Marques, Giselda Quintana |
author_sort | Suter, Esther |
collection | PubMed |
description | BACKGROUND: Despite far reaching support for integrated care, conceptualizing and measuring integrated care remains challenging. This knowledge synthesis aimed to identify indicator domains and tools to measure progress towards integrated care. METHODS: We used an established framework and a Delphi survey with integration experts to identify relevant measurement domains. For each domain, we searched and reviewed the literature for relevant tools. FINDINGS: From 7,133 abstracts, we retrieved 114 unique tools. We found many quality tools to measure care coordination, patient engagement and team effectiveness/performance. In contrast, there were few tools in the domains of performance measurement and information systems, alignment of organizational goals and resource allocation. The search yielded 12 tools that measure overall integration or three or more indicator domains. DISCUSSION: Our findings highlight a continued gap in tools to measure foundational components that support integrated care. In the absence of such targeted tools, “overall integration” tools may be useful for a broad assessment of the overall state of a system. CONCLUSIONS: Continued progress towards integrated care depends on our ability to evaluate the success of strategies across different levels and context. This study has identified 114 tools that measure integrated care across 16 domains, supporting efforts towards a unified measurement framework. |
format | Online Article Text |
id | pubmed-5854167 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Ubiquity Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-58541672018-03-27 Indicators and Measurement Tools for Health Systems Integration: A Knowledge Synthesis Suter, Esther Oelke, Nelly D. da Silva Lima, Maria Alice Dias Stiphout, Michelle Janke, Robert Witt, Regina Rigatto Van Vliet-Brown, Cheryl Schill, Kaela Rostami, Mahnoush Hepp, Shelanne Birney, Arden Al-Roubaiai, Fatima Marques, Giselda Quintana Int J Integr Care Research and Theory BACKGROUND: Despite far reaching support for integrated care, conceptualizing and measuring integrated care remains challenging. This knowledge synthesis aimed to identify indicator domains and tools to measure progress towards integrated care. METHODS: We used an established framework and a Delphi survey with integration experts to identify relevant measurement domains. For each domain, we searched and reviewed the literature for relevant tools. FINDINGS: From 7,133 abstracts, we retrieved 114 unique tools. We found many quality tools to measure care coordination, patient engagement and team effectiveness/performance. In contrast, there were few tools in the domains of performance measurement and information systems, alignment of organizational goals and resource allocation. The search yielded 12 tools that measure overall integration or three or more indicator domains. DISCUSSION: Our findings highlight a continued gap in tools to measure foundational components that support integrated care. In the absence of such targeted tools, “overall integration” tools may be useful for a broad assessment of the overall state of a system. CONCLUSIONS: Continued progress towards integrated care depends on our ability to evaluate the success of strategies across different levels and context. This study has identified 114 tools that measure integrated care across 16 domains, supporting efforts towards a unified measurement framework. Ubiquity Press 2017-11-13 /pmc/articles/PMC5854167/ /pubmed/29588637 http://dx.doi.org/10.5334/ijic.3931 Text en Copyright: © 2017 The Author(s) http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Research and Theory Suter, Esther Oelke, Nelly D. da Silva Lima, Maria Alice Dias Stiphout, Michelle Janke, Robert Witt, Regina Rigatto Van Vliet-Brown, Cheryl Schill, Kaela Rostami, Mahnoush Hepp, Shelanne Birney, Arden Al-Roubaiai, Fatima Marques, Giselda Quintana Indicators and Measurement Tools for Health Systems Integration: A Knowledge Synthesis |
title | Indicators and Measurement Tools for Health Systems Integration: A Knowledge Synthesis |
title_full | Indicators and Measurement Tools for Health Systems Integration: A Knowledge Synthesis |
title_fullStr | Indicators and Measurement Tools for Health Systems Integration: A Knowledge Synthesis |
title_full_unstemmed | Indicators and Measurement Tools for Health Systems Integration: A Knowledge Synthesis |
title_short | Indicators and Measurement Tools for Health Systems Integration: A Knowledge Synthesis |
title_sort | indicators and measurement tools for health systems integration: a knowledge synthesis |
topic | Research and Theory |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5854167/ https://www.ncbi.nlm.nih.gov/pubmed/29588637 http://dx.doi.org/10.5334/ijic.3931 |
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