ArticleBMJ open2021
Untangling the inter-relatedness within integrated care programmes for community-dwelling frail older people: a rapid realist review.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Implementation and operationalization of Integrated People-Centred Health Services delivery strategies in integrated osteoporosis care (IOC) initiatives: a systematic review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2023Pooled it
- Effectiveness of information and communication technology-based integrated care for older adults: a systematic review and meta-analysis.Frontiers in public health · 2023Pooled it
- Experiences of a remote, person-centred intervention in older persons living with frailty - a qualitative study.BMC geriatrics · 2025Article
- Article
- People-centred primary health care: a scoping review.BMC primary care · 2023Article
- Living with frailty and haemodialysis: a qualitative study.BMC nephrology · 2022Article
- Integrated care for older people based on information and communication technology: a scoping review protocol.BMJ open · 2022Article
- Information and Communication Technology Based Integrated Care for Older Adults: A Scoping Review.International journal of integrated careArticle
- Consensus on Integrated Care for Older People Among Dutch Experts: A Delphi Study.International journal of integrated careArticle
- Unveiling the potential of digital twins in homecare: A reflexive thematic analysis of older adults' views.Digital healthArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo identify the relationships between the context in which integrated care programmes (ICPs) for community-dwelling frail older people are applied, the mechanisms by which the programmes do (not) work and the outcomes resulting from this interaction by establishing a programme theory.
designRapid realist review. INCLUSION CRITERIA: Reviews and meta-analyses (January 2013-January 2019) and non-peer-reviewed literature (January 2013-December 2019) reporting on integrated care for community-dwelling frail older people (≥60 years). ANALYSIS: Selection and appraisal of documents was based on relevance and rigour according to the Realist And Meta-narrative Evidence Syntheses: Evolving Standards criteria. Data on context, mechanisms, programme activities and outcomes were extracted. Factors were categorised into the five strategies of the WHO framework of integrated people-centred health services (IPCHS).
results27 papers were included. The following programme theory was developed: it is essential to establish multidisciplinary teams of competent healthcare providers (HCPs) providing person-centred care, closely working together and communicating effectively with other stakeholders. Older people and informal caregivers should be involved in the care process. Financial support, efficient use of information technology and organisational alignment are also essential. ICPs demonstrate positive effects on the functionality of older people, satisfaction of older people, informal caregivers and HCPs, and a delayed placement in a nursing home. Heterogeneous effects were found for hospital-related outcomes, quality of life, healthcare costs and use of healthcare services. The two most prevalent WHO-IPCHS strategies as part of ICPs are 'creating an enabling environment', followed by 'strengthening governance and accountability'.
conclusionCurrently, most ICPs do not address all WHO-IPCHS strategies. In order to optimise ICPs for frail older people the interaction between context items, mechanisms, programme activities and the outcomes should be taken into account from different perspectives (system, organisation, service delivery, HCP and patient).
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