ReviewBMJ open2018
Elements of integrated care approaches for older people: a review of reviews.
Review in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 111 papers, 9 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
111 citing papers in PubMed, 9 syntheses or guidelines pooled it, 239 citations in OpenAlex.
- Health financing policies for aging populations: a comparative study of seven countries.BMC health services research · 2025Pooled it
- Effect of sport on health in people aged 60 years and older: a systematic review with meta-analysis.British journal of sports medicine · 2023Pooled it
- The World Health Organization (WHO) Integrated Care for Older People (ICOPE) Framework: A Narrative Review on Its Adoption Worldwide and Lessons Learnt.International journal of environmental research and public health · 2022Pooled it
- The effect of integrated health care in patients with hypertension and diabetes: a systematic review and meta-analysis.BMC health services research · 2022Pooled it
- Prevalence of multimorbid degenerative lumbar spinal stenosis with knee or hip osteoarthritis: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2022Pooled it
- Implementation of eHealth to Support Assessment and Decision-making for Residents With Dementia in Long-term Care: Systematic Review.Journal of medical Internet research · 2022Pooled it
- Pooled it
- [Integrated care management for older people with chronic diseases in domesticity: evidence from Cochrane reviews].Zeitschrift fur Gerontologie und Geriatrie · 2021Pooled it
- Pooled it
- Transition of care from post-acute services for the older adults in Quebec: a pilot impact evaluation.BMC health services research · 2024Trial
- Local, collaborative, stepped, and personalized care management for older people with chronic diseases - results from the randomized controlled LoChro-trial.BMC geriatrics · 2023Trial
- Long-Term Care Planning and Sustainability of the Care System in the Region.Healthcare (Basel, Switzerland) · 2026Article
- From Integrated Care to Learning Systems.Healthcare (Basel, Switzerland) · 2026Review
- Development and Feasibility Assessment of an Intrinsic Capacity Program in Primary Care: Protocol for an Implementation Science Approach.JMIR research protocols · 2026Article
- Development and Psychometric Testing of the Inventory of Self-Care Decision-Making Styles of Older Adults.Research in nursing & health · 2026Article
- Transforming Caring for Dependent Older People: A New Approach for Integrated Socio-Healthcare.Scandinavian journal of caring sciences · 2025Article
- Key elements of home care workforce capability to provide integrated home care to older people: scoping review.BMJ open · 2025Article
- A Multi-Method Study to Develop and Pilot Test an Interprofessional Transitional Care Model for Frail Older Adults - AdvantAGE.Journal of advanced nursing · 2025Article
- Community-Based Health-Social Partnership Programme (C-HSPP) for enhancing self-care management among older adults: protocol for a hybrid effectiveness-implementation trial.BMC public health · 2025Article
- Engineering Integrated Care Expansion and Innovation: Drawing upon Nursing Leadership.International journal of environmental research and public health · 2025Article
51 more citing papers are in PubMed but not listed here.
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 at 3 institutions in 3 countries.
Funding
Abstract
objectiveThe World Health Organization (WHO) recently proposed an Integrated Care for Older People approach to guide health systems and services in better supporting functional ability of older people. A knowledge gap remains in the key elements of integrated care approaches used in health and social care delivery systems for older populations. The objective of this review was to identify and describe the key elements of integrated care models for elderly people reported in the literature.
designReview of reviews using a systematic search method.
methodsA systematic search was performed in MEDLINE and the Cochrane database in June 2017. Reviews of interventions aimed at care integration at the clinical (micro), organisational/service (meso) or health system (macro) levels for people aged ≥60 years were included. Non-Cochrane reviews published before 2015 were excluded. Reviews were assessed for quality using the Assessment of Multiple Systematic Reviews (AMSTAR) 1 tool.
resultsFifteen reviews (11 systematic reviews, of which six were Cochrane reviews) were included, representing 219 primary studies. Three reviews (20%) included only randomised controlled trials (RCT), while 10 reviews (65%) included both RCTs and non-RCTs. The region where the largest number of primary studies originated was North America (n=89, 47.6%), followed by Europe (n=60, 32.1%) and Oceania (n=31, 16.6%). Eleven (73%) reviews focused on clinical 'micro' and organisational 'meso' care integration strategies. The most commonly reported elements of integrated care models were multidisciplinary teams, comprehensive assessment and case management. Nurses, physiotherapists, general practitioners and social workers were the most commonly reported service providers. Methodological quality was variable (AMSTAR scores: 1-11). Seven (47%) reviews were scored as high quality (AMSTAR score ≥8).
conclusionEvidence of elements of integrated care for older people focuses particularly on micro clinical care integration processes, while there is a relative lack of information regarding the meso organisational and macro system-level care integration strategies.
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.