scholarly journals Integrated healthcare models for rheumatoid arthritis: A descriptive systematic review

2019 ◽  
Vol 22 (1) ◽  
pp. 10-18
Author(s):  
Valentina Vodopivec ◽  
Hubertus JM Vrijhoef
Keyword(s):  
Rheumatoid Arthritis ◽  
Integrated Care ◽  
Patient Empowerment ◽  
Building Blocks ◽  
Models Of Care ◽  
Modern Approach ◽  
Experience Of Care ◽  
Care Models ◽  
Patients Experience ◽  
Integrated Care Models

Introduction Integrated people-centred care is a modern approach for addressing healthcare issues related to demographic changes, increasing prevalence of chronic diseases, and restricted resources. By providing an overview of integrated care models for patients with rheumatoid arthritis, we aimed to offer insight into the strategies and interventions that are being used for designing and implementing integrated models of care for this patient group, and their outcomes. Methods We conducted a systematic literature search of peer-reviewed literature available in English and published between 2013 and 2018, using three databases: Cochrane, PubMed and EMBASE. We analysed the publications based on the Framework on integrated people-centred health services and the Triple/Quadruple Aim framework. Results We identified 1271 records. After screening, 50 articles met the criteria for inclusion in the review. Approaches for improving patient empowerment, engagement and experience of care were most prevalent in the identified care profiles. Similarly, frequently reported outcomes were related to improvements in patients’ experience of care and their health status. Most of the studies we reviewed did not demonstrate notable improvements from the perspective of cost-effectiveness or benefits for the healthcare workforce. Conclusions Our findings suggest that for rheumatoid arthritis, integrated care is in the early stages of development. Strategies focusing on patient outcomes and patient satisfaction were found to be prioritised. Future initiatives aiming to redesign rheumatology care should adopt systems thinking perspective to better address all of the building blocks of people-centred integrated care.

scholarly journals Evaluating integrated care for people with complex needs

2020 ◽  
Vol 26 (1) ◽  
pp. 46-53
Author(s):  
Panagiotis Kasteridis ◽  
Anne Mason ◽  
Andrew Street
Keyword(s):  
Primary Care ◽  
Integrated Care ◽  
Models Of Care ◽  
Care Team ◽  
Future Research ◽  
Complex Care ◽  
Care Needs ◽  
Complex Needs ◽  
Care Models ◽  
Integrated Care Models

Objectives As part of the Vanguard programme, two integrated care models were introduced in South Somerset for people with complex care needs: the Complex Care Team and Enhanced Primary Care. We assessed their impact on a range of utilization measures and mortality. Methods We used monthly individual-level linked primary and secondary care data from April 2014 to March 2018 to assess outcomes before and after the introduction of the care models. The analysis sample included 564 Complex Care Team and 841 Enhanced Primary Care cases that met specific criteria. We employed propensity score methods to identify out-of-area control patients and difference-in-differences analysis to isolate the care models’ impact. Results We found no evidence of significantly reduced utilization in any of the Complex Care Team or Enhanced Primary Care cohorts. The death rate was significantly lower only for those in the first Enhanced Primary Care cohort. Conclusions The integrated care models did not significantly reduce utilization nor consistently reduce mortality. Future research should test longer-term outcomes associated with the new models of care and quantify their contribution in the context of broader initiatives.

scholarly journals Impact of Relaxation and Group Psycho-Education on Health Outcomes Using Integrated Care Models and Quality Improvement

2014 ◽  
Vol 04 (12) ◽  
pp. 887-896 ◽  
Author(s):  
Martha Okafor ◽  
Victor Ede ◽  
Rosemary Kinuthia ◽  
Debbie Strotz ◽  
Cathryn Marchman ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Health Outcomes ◽  
Integrated Care ◽  
Care Models ◽  
Integrated Care Models

Effectiveness and cost-effectiveness of integrated care models for elderly, complex patients: A narrative review. Don’t we need a value-based approach?

2018 ◽  
Vol 21 (4) ◽  
pp. 120-139 ◽  
Author(s):  
Marta Marino ◽  
Antonio G de Belvis ◽  
Maria Tanzariello ◽  
Emanuele Dotti ◽  
Sabina Bucci ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Health Outcomes ◽  
Integrated Care ◽  
Service Providers ◽  
Systems Of Care ◽  
Social Needs ◽  
Narrative Review ◽  
A Value ◽  
Care Models ◽  
Integrated Care Models

Introduction The management of patients with complex health and social needs is one of the main challenges for healthcare systems. Integrated care seems to respond to this issue, with collaborative working and integration efforts of the care system components professionals and service providers aimed at improving efficiency, appropriateness and person centeredness of care. We conducted a narrative review to analyse the available evidences published on effectiveness and cost-effectiveness of integrated care models targeted on the management of such elderly patients. Methods MEDLINE, Scopus and EBSCO were searched. We reported this narrative review according to the PRISMA Checklist. For studies to be included, they had to: (i) refer to integrated care models through implemented experimental or demonstration projects; (ii) focus on frail elderly ≥65 years old, with complex health and social needs, not disease-specific; (iii) evaluate effectiveness and/or cost and/or cost-effectiveness; (iv) report quantitative data (e.g. health outcomes, utilization outcomes, cost and cost-effectiveness). Results Thirty articles were included, identifying 13 integrated care models. Common features were identified in case management, geriatric assessment and multidisciplinary team. Favourable impacts on healthcare facilities utilization rates, though with mixed results on costs, were found. The development of community-based and cost-effective integrated systems of care for the elderly is possible, thanks to the cooperation across care professionals and providers, to achieving a relevant impact on healthcare and efficient resource management. The elements of success or failure are not always unique and identifiable, but the potential clearly exists for these models to be successful and generalized on a large scale. Discussion We found out a favourable impact of integrated care models/methods on health outcomes, care utilization and costs. The selected interventions are likely to be implemented at community level, focused on the patient management in terms of continuity of care. Thus, we propose a value-based framework for the evaluation of these services.

scholarly journals Integrated Care Models and Child Health: A Meta-analysis

PEDIATRICS ◽  
2019 ◽  
Vol 145 (1) ◽  
pp. e20183747 ◽  
Author(s):  
Ingrid Wolfe ◽  
Rose-Marie Satherley ◽  
Elizabeth Scotney ◽  
James Newham ◽  
Raghu Lingam
Keyword(s):  
Child Health ◽  
Integrated Care ◽  
Meta Analysis ◽  
Care Models ◽  
Integrated Care Models ◽  
And Child Health

Management of Chronic Hepatitis C in Veterans: The Potential of Integrated Care Models

2008 ◽  
Vol 103 (7) ◽  
pp. 1810-1823 ◽  
Author(s):  
Samuel B. Ho ◽  
Erik Groessl ◽  
Adrian Dollarhide ◽  
Shannon Robinson ◽  
David Kravetz ◽  
...  
Keyword(s):  
Chronic Hepatitis ◽  
Hepatitis C ◽  
Integrated Care ◽  
Chronic Hepatitis C ◽  
Care Models ◽  
Integrated Care Models

scholarly journals Quality improvement in healthcare: Towards to integrated care models in EU

Tehnika ◽  
2019 ◽  
Vol 74 (1) ◽  
pp. 147-151
Author(s):  
Bojana Knežević ◽  
Valentina Marinković
Keyword(s):  
Quality Improvement ◽  
Integrated Care ◽  
Care Models ◽  
Integrated Care Models
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