Evidence map›Paper›PMID 34824566›Full record

ArticleInternational journal of integrated care

Integrated Care in Aotearoa New Zealand 2008-2020.

Jacqueline Cumming, Lesley Middleton, Pushkar Silwal, Tim Tenbensel

Abstract read
In one paragraph

Article in International journal of integrated care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Review
  2. Towards a mother-centred maternal health promotion.Health promotion international · 2023
    Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
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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

4 authors.

Jacqueline CummingConsultant Advisor, Te Hikuwai Rangahau Hauora - Health Services Research Centre, Faculty of Health, Te Herenga Waka - Victoria University of Wellington, Wellington, New Zealand.ORCID https://orcid.org/0000-0002-8369-2465
Lesley MiddletonSenior Lecturer, School of Health, Faculty of Health, Te Herenga Waka - Victoria University of Wellington, New Zealand.ORCID https://orcid.org/0000-0002-3280-7445
Pushkar SilwalDoctoral candidate, School of Population Health, Faculty of Medical and Health Sciences, University of Auckland, New Zealand.ORCID https://orcid.org/0000-0001-6100-090X
Tim TenbenselAssociate Professor, School of Population Health, Faculty of Medical and Health Sciences, University of Auckland, New Zealand.ORCID https://orcid.org/0000-0001-7832-3318

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTen years ago, progress towards integrated care in Aotearoa New Zealand was characterised as slow. Since then, there has been a patchwork of practices occurring under the broad umbrella of integrated care. These include: collective planning approaches (i.e., alliancing), agreed pathways of care, chronic care management initiatives, shared patient information systems, co-located centres and indigenous models of holistic care (e.g., Whānau Ora). DESCRIPTION: Although integrated care is often mentioned in national policy documents, implementation has been left to regional and local decision making, and very few initiatives have spread beyond their initial locations. DISCUSSION: System incentives that preserve organisational "sovereignty" and path-dependent funding have slowed progress towards more integrated care in some areas. There is some evidence about specific initiatives and their impact, but it is difficult to discern significant trends and commonalities around the country.

conclusionIn the last ten years, the broad range of initiatives designed to achieve integrated care has absorbed regional and local attention and produced some evidence of progress, but the national picture of change is mixed.

Indexed as

equityintegrated careNew Zealandprimary health care

Identifiers

PMID34824566
PMCPMC8588901

What OpenQuestion holds

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Registered trials

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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.