Evidence map›Paper›PMID 31367205›Full record

ArticleInternational journal of integrated care2019

Impact of Integrated Care on Patient-Related Outcomes Among Older People - A Systematic Review.

Ann E M Liljas, Fanny Brattström, Bo Burström, Pär Schön, Janne Agerholm

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of integrated care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05527223 (Integrated Care with GP Participation for Older Persons in the Ambulatory Care Hub), which is not on this map. Cited by 60 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 7 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.

NCT05527223 completednot on this mapstarted 2022, after this paper: background citation

Integrated Care with GP Participation for Older Persons in the Ambulatory Care Hub: a Prospective Cohort Study of Clinical and Process Outcomes.

TypeobservationalSponsorUniversity of LimerickRan2022 to 2023Enrolled303ConditionsFrailty, Comprehensive Geriatric Assessment
3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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  4. Value-Based Integrated Care: A Systematic Literature Review.International journal of health policy and management · 2024
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  5. Challenges to Systems of Long-Term Care: Mapping of the Central Concepts from an Umbrella Review.International journal of environmental research and public health · 2023
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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

5 authors.

Ann E M LiljasDepartment of Public Health Sciences, Division of Social Medicine, Karolinska Institutet, Stockholm, SE.ORCID 0000-0002-2358-6046
Fanny BrattströmDepartment of Public Health Sciences, Division of Social Medicine, Karolinska Institutet, Stockholm, SE.
Bo BurströmDepartment of Public Health Sciences, Division of Social Medicine, Karolinska Institutet, Stockholm, SE.
Pär SchönAging Research Center, Karolinska Institutet and Stockholm University, Stockholm, SE.
Janne AgerholmDepartment of Public Health Sciences, Division of Social Medicine, Karolinska Institutet, Stockholm, SE.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe growing number of older adults with multiple needs increases the pressure to reform existing healthcare systems. Integrated care may be part of such reforms. The aim of this systematic review was to identify important patient-related outcomes of integrated care provided to older adults.

methodsA systematic search of 5 databases to identify studies comprising older adults assessing hospital admission, length of hospital stay, hospital readmission, patient satisfaction and mortality in integrated care settings. Retrieved literature was analysed employing a narrative synthesis.

resultsTwelve studies were included (2 randomised controlled trials, 7 quasi-experimental design, 2 comparison studies, 1 survey evaluation). Five studies investigated patient satisfaction, 9 hospital admission, 7 length of stay, 3 readmission and 5 mortality. Findings show that integrated care tends to have a positive impact on hospital admission rates, some positive impact on length of stay and possibly also on readmission and patient satisfaction but not on mortality.

conclusionsIntegrated care may reduce hospital admission rates and lengths of hospital stay. However due to lack of robust findings, the effectiveness of integrated care on patient-related outcomes in later life remain largely unknown. Further research is needed to establish the effect of integrated care on these patient-related outcomes. PROSPERO REGISTRATION NUMBER: CRD42018110491.

Indexed as

hospital admissionhospital readmissionintegrated carelength of hospital staymortalitypatient satisfaction

Identifiers

PMID31367205
PMCPMC6659761

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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.