Evidence map›Paper›PMID 29588637›Full record

ArticleInternational journal of integrated care2017

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

Esther Suter, Nelly D Oelke, Maria Alice Dias da Silva Lima, Michelle Stiphout, Robert Janke, Regina Rigatto Witt, Cheryl Van Vliet-Brown, Kaela Schill, Mahnoush Rostami, Shelanne Hepp and 3 more

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Article in International journal of integrated care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  13. Towards a New System for the Assessment of the Quality in Care Pathways: An Overview of Systematic Reviews.International journal of environmental research and public health · 2020
    Review
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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

13 authors.

Esther SuterFaculty of Social Work, University of Calgary, CA.
Nelly D OelkeSchool of Nursing, University of British Columbia, Okanagan (UBCO), CA.
Maria Alice Dias da Silva LimaSchool of Nursing, Universidade Federal do Rio Grande do Sul (UFRGS), BR.
Michelle StiphoutWorkforce Research and Evaluation, Alberta Health Services (AHS), CA.
Robert JankeUniversity of British Columbia, Okanagan (UBCO), CA.
Regina Rigatto WittSchool of Nursing, Universidade Federal do Rio Grande do Sul (UFRGS), BR.
Cheryl Van Vliet-BrownSchool of Nursing, University of British Columbia, Okanagan (UBCO), CA.
Kaela SchillSchool of Nursing, University of British Columbia, Okanagan (UBCO), CA.
Mahnoush RostamiWorkforce Research and Evaluation, Alberta Health Services (AHS), CA.
Shelanne HeppWorkforce Research and Evaluation, Alberta Health Services (AHS), CA.
Arden BirneyWorkforce Research and Evaluation, Alberta Health Services (AHS), CA.
Fatima Al-RoubaiaiBritish Columbia Patient Safety and Quality Council (BCPSQC), CA.
Giselda Quintana MarquesSchool of Nursing, Universidade Federal do Rio Grande do Sul (UFRGS), BR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite 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.

methodsWe 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.

findingsFrom 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.

conclusionsContinued 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.

Indexed as

Integrationknowledge synthesismeasurement instrumentsperformance measurementtools

Identifiers

PMID29588637
PMCPMC5854167

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.