Towards a taxonomy for integrated care: a mixed-methods study

Valentijn, Pim; Boesveld, Inge C.; Klauw, D.M. van der; Ruwaard, Dirk; Struijs, Jeroen N.; Molema, J.; Bruijnzeels, Marc; Vrijhoef, Hubertus J. M.

doi:10.5334/ijic.1513

Cited by 180 publications

(274 citation statements)

References 75 publications

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“…Others have described these domains as functional, system, organizational or normative dimensions of integrated care and have attested to their significance for successful integration [1222]. The lack of measurement tools in these domains is consistent with findings from the literature.…”

Section: Discussionsupporting

confidence: 74%

“…Using these key principles, integrated care is conceptualized as ten distinct areas that need to be addressed to successfully create connectivity, alignment and collaboration within and across care sectors. Others have uncovered similar constructs confirming the importance of a range of structural and process elements at different levels to achieve integrated care, collectively advancing the field towards a unified conceptual framework [2122122]. …”

Section: Introductionmentioning

confidence: 98%

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Indicators and Measurement Tools for Health Systems Integration: A Knowledge Synthesis

Suter¹,

Oelke²,

Lima³

et al. 2017

Int J Integr Care

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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.

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Section: Discussionsupporting

confidence: 74%

Section: Introductionmentioning

confidence: 98%

Indicators and Measurement Tools for Health Systems Integration: A Knowledge Synthesis

Suter¹,

Oelke²,

Lima³

et al. 2017

Int J Integr Care

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“…There are numerous ways in which integration of oral health and primary care may occur [19]. Patient care services may be coordinated across different times, places, and professional disciplines.…”

Section: Integration Of Oral Health and Primary Carementioning

confidence: 99%

Integrating Oral Health and Primary Care in the Changing Health Care Landscape

Atchison

Weintraub

2017

North Carolina Medical Journal

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“…25 The essence of integrated care is a continuum of care for service users, crossing the boundaries of public health, primary, secondary and tertiary care. [25][26][27] The focus of MOBCs is to act as a facility for giving birth rather than to improve Open Access collaboration between care providers or to realise integration of care, and MOBCs are mainly owned by primary care organisations. MUBCs can be regarded as facilities for giving birth with a focus on integrated birth care.…”

Section: Methodsmentioning

confidence: 99%

Cost-effectiveness of planned birth in a birth centre compared with alternative planned places of birth: results of the Dutch Birth Centre study

et al. 2017

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ObjectivesTo estimate the cost-effectiveness of a planned birth in a birth centre compared with alternative planned places of birth for low-risk women. In addition, a distinction has been made between different types of locations and integration profiles of birth centres.DesignEconomic evaluation based on a prospective cohort study.Setting21 Dutch birth centres, 46 hospital locations where midwife-led birth was possible and 110 midwifery practices where home birth was possible.Participants3455 low-risk women under the care of a community midwife at the start of labour in the Netherlands within the study period 1 July 2013 to 31 December 2013.Main outcome measuresCosts and health outcomes of birth for different planned places of birth. Healthcare costs were measured from start of labour until 7 days after birth. The health outcomes were assessed by the Optimality Index-NL2015 (OI) and a composite adverse outcomes score.ResultsThe total adjusted mean costs for births planned in a birth centre, in a hospital and at home under the care of a community midwife were €3327, €3330 and €2998, respectively. There was no difference between the score on the OI for women who planned to give birth in a birth centre and that of women who planned to give birth in a hospital. Women who planned to give birth at home had better outcomes on the OI (higher score on the OI).ConclusionsWe found no differences in costs and health outcomes for low-risk women under the care of a community midwife with a planned birth in a birth centre and in a hospital. For nulliparous and multiparous low-risk women, planned birth at home was the most cost-effective option compared with planned birth in a birth centre.

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Towards a taxonomy for integrated care: a mixed-methods study

Cited by 180 publications

References 75 publications

Indicators and Measurement Tools for Health Systems Integration: A Knowledge Synthesis

Indicators and Measurement Tools for Health Systems Integration: A Knowledge Synthesis

Integrating Oral Health and Primary Care in the Changing Health Care Landscape

Cost-effectiveness of planned birth in a birth centre compared with alternative planned places of birth: results of the Dutch Birth Centre study

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