Evidence map›Paper›PMID 19590762›Full record

ArticleInternational journal of integrated care2009

Health systems integration: state of the evidence.

Gail D Armitage, Esther Suter, Nelly D Oelke, Carol E Adair

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of integrated care, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 163 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
163citing papers in PubMed, 12 pooled it
18.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

163 citing papers in PubMed, 12 syntheses or guidelines pooled it, 416 citations in OpenAlex.

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  18. Commissioning a 'neighbourhood health service': what can we learn from the literature?The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Article
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103 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Gail D ArmitageHealth Systems and Workforce Research Unit, Alberta Health Services - Calgary (formerly Calgary Health Region), 10301 Southport Lane SW, Calgary, Alberta, Canada T2W 1S7.
Esther Suter
Nelly D Oelke
Carol E Adair
Alberta Health Services · CA

Funding

CIHR 79142
6 · The paper itself

Abstract

introductionIntegrated health systems are considered a solution to the challenge of maintaining the accessibility and integrity of healthcare in numerous jurisdictions worldwide. However, decision makers in a Canadian health region indicated they were challenged to find evidence-based information to assist with the planning and implementation of integrated healthcare systems.

methodsA systematic literature review of peer-reviewed literature from health sciences and business databases, and targeted grey literature sources.

resultsDespite the large number of articles discussing integration, significant gaps in the research literature exist. There was a lack of high quality, empirical studies providing evidence on how health systems can improve service delivery and population health. No universal definition or concept of integration was found and multiple integration models from both the healthcare and business literature were proposed in the literature. The review also revealed a lack of standardized, validated tools that have been systematically used to evaluate integration outcomes. This makes measuring and comparing the impact of integration on system, provider and patient level challenging. DISCUSSION AND

conclusionHealthcare is likely too complex for a one-size-fits-all integration solution. It is important for decision makers and planners to choose a set of complementary models, structures and processes to create an integrated health system that fits the needs of the population across the continuum of care. However, in order to have evidence available, decision makers and planners should include evaluation for accountability purposes and to ensure a better understanding of the effectiveness and impact of health systems integration.

Indexed as

evidence-based policy decisionshealth systems integrationsystematic literature review

Identifiers

PMID19590762
PMCPMC2707589
OpenAlexW1880245249

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.