ReviewFrontiers in public health2016
The Complexity of Health Service Integration: A Review of Reviews.
Review in Frontiers in public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 4 of them syntheses that pooled 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.
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.
Who cites it
29 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Pooled it
- A systematic review on integrated care for traumatic brain injury, mental health, and substance use.PloS one · 2022Pooled it
- The impacts of collaboration between local health care and non-health care organizations and factors shaping how they work: a systematic review of reviews.BMC public health · 2021Pooled it
- EPA guidance on the quality of mental health services: A systematic meta-review and update of recommendations focusing on care coordination.European psychiatry : the journal of the Association of European Psychiatrists · 2020Pooled it
- Partnerships and organizational capacity drive sustainability of integrated hypertension-HIV care in primary health care in Uganda.BMC health services research · 2026Trial
- Acceptability, feasibility and appropriateness of integrating HPV self-sampling for cervical cancer screening into voluntary family planning services in Malawi.BMC public health · 2025Trial
- From Silos to Synergy: Insights From Health Professionals on Integrating Youth Mental Health Care.Early intervention in psychiatry · 2026Article
- A cross-sectional survey of service delivery for infertility in Uganda: gaps, opportunities and a way forward.BMC health services research · 2026Article
- Patient experiences and contextual appropriateness of universal screening for depression and suicide risk in HIV care: a qualitative study in Tanzania.Frontiers in health services · 2025Article
- How interventions to maintain services during the COVID-19 pandemic strengthened systems for delivery of maternal and child health services: a case-study of Wakiso District, Uganda.Global health action · 2024Article
- International research priorities for integrated care and cross-boundary working: an electronic Delphi study.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2024Article
- Article
- Exploring key determinants of health among individuals with serious mental Illness: qualitative insights from a first episode psychosis cohort, 20 years postdiagnosis.BMC psychiatry · 2023Article
- Information-Driven Integrated Healthcare: An Analysis of the Cooperation Strategy of County Medical Community Based on Multi-Subject Simulation.Healthcare (Basel, Switzerland) · 2023Article
- Supporting integration: the creation of a framework to support the design and delivery of clinical academic integration across a complex system.Future healthcare journal · 2023Article
- Article
- Interventions to Promote the Utilization of Physical Health Care for People with Severe Mental Illness: A Scoping Review.International journal of environmental research and public health · 2022Article
- Perceptions of Facilitators and Barriers to Implementation of Falls Prevention Programs in Primary Health Care Settings in China.JAMA network open · 2022Article
- Improving public health sector service delivery in the Free State, South Africa: development of a provincial intervention model.BMC health services research · 2022Article
- Application of Medical-Nursing-Assistance Integration Model Based on Theoretical Basis of Behavioral Psychology in Management of Children's ICU.Computational and mathematical methods in medicine · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of health service integration is to provide a sustainable and integrated health system that better meets the needs of the end user. Yet, definitions of health service integration, methods for integrating health services, and expected outcomes are varied. This review was commissioned by Queensland Health, the government department responsible for health service delivery in Queensland, Australia, to inform efforts to integrate their mental health services. This review reports on the characteristics, reported outcomes, and design quality of studies included in systematic reviews of health service integration research.
methodThe review was developed by systematically searching nine electronic databases to find peer-reviewed Australian and international systematic reviews with a focus on health service integration. Reviews were included if they were in the English language and published between 2000 and 2015. A standardized assessment tool was used to analyze the study design quality of included reviews. Data relating to the integration types, methods, and reported outcomes of integration were synthesized.
resultsSeventeen publications met the inclusion criteria. Eleven (65%) reviews were published during the past 5 years, which may indicate a trend for increased awareness of the need for service integration. The majority of reviews were published by researchers in the UK (8/47%), USA (3/18%), and Australia (3/18%). Included reviews focused on a variety of integration types, including integrated care pathways, governance models, integration of interventions, collaborative/integrated care models, and integration of different types of health care. Most (53%) of the reviews reported on the cost-effectiveness of service integration, e.g., positive results, no effect, or inconclusive. Only one of the reviews reported on the importance of consumer involvement. The overall design of 70% of the reviews was high, 18% medium, and 12% low.
conclusionThere is no "one size fits all" approach to health service integration. Instead, this literature review highlighted the complexity of service integration, which in most primary studies involved a range of strategies. Rigorous assessments of cost-effectiveness and reporting on consumer involvement are required in future research.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.