SynthesisBMJ open2022
Identifying and understanding the factors that influence the functioning of integrated healthcare systems in the NHS: a systematic literature review.
Synthesis in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis 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
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Networks for healthcare delivery: a systematic literature review.Journal of health organization and management · 2024Pooled it
- Acceptability, feasibility and appropriateness of integrating HPV self-sampling for cervical cancer screening into voluntary family planning services in Malawi.BMC public health · 2025Trial
- Developing person-centred leadership practices: Health and social care leaders' experiences following an educational programme.PloS one · 2026Article
- Staff and service user perspectives of a co-located homelessness centre in Scotland: a mixed-methods evaluation.BJGP open · 2025Article
- Bridging care hierarchies through regional global budget payment: evidence from county medical communities in Zhejiang Province, China.Health policy and planning · 2025Article
- An evidence-informed, community-engaged approach to designing a large-scale, impact-oriented research funding initiative to foster the implementation of transformative integrated care: a multi-methods qualitative study.Implementation science communications · 2025Article
- Exploring mechanisms of behavior change for healthcare professionals in cough and secretion management in ALS.Neurodegenerative disease management · 2025Article
- Factors that influence inter-organisational integration: a qualitative exploration of service providers' perspectives from an integrated care initiative.BMC health services research · 2025Article
- Exploring ways to improve healthcare service access for people experiencing homelessness in Manchester, UK.Health promotion international · 2025Article
- Article
- International research priorities for integrated care and cross-boundary working: an electronic Delphi study.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2024Article
- Normalisation and equity of referral to the NHS Low Calorie Diet programme pilot; a qualitative evaluation of the experiences of health care staff.BMC public health · 2024Article
- Article
- Profiling of patients with type 2 diabetes based on medication adherence data.Frontiers in public health · 2023Article
- "It's My Life and It's Now or Never"-Transplant Recipients Empowered From a Service-Dominant Logic Perspective.Transplant international : official journal of the European Society for Organ Transplantation · 2023Article
- Inter-Organizational Coordination to Improve Patient Outcomes in Multimorbid Older Patients Following Hospital Discharge - a Systematic Review.International journal of integrated careArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe National Health Service has been moving towards integrated care for the best part of two decades to address the growing financial and service pressures created by an ageing population. Integrated healthcare systems (IHSs) join up health and social care services and have been established to manage the care of individuals with complex chronic conditions but with varied success. It is therefore imperative to conduct a Systematic Literature Review (SLR) to identify and understand the factors that influence their successful functioning, and ascertain the factor with the greatest influence, in order to ensure positive outcomes when establishing future IHSs.
methodsArticles published between 1 January 1997 and 8 March 2020 were analysed from the following six databases: Healthcare Management Information Consortium, Nuffield Trust, Cumulative Index to Nursing and Allied Health Literature, PubMed, National Institute for Health and Care Excellence Evidence and Health Systems Evidence. Those deemed relevant after title and abstract screening were procured for subsequent review of the full-text article.
resultsThirty-three finalised articles were analysed in this SLR to provide a comprehensive overview of the factors that influence the functioning of IHSs. Factors were stratified into six key categories: organisational culture, workforce management, interorganisational collaboration, leadership ability of staff, economic factors and political factors. Leadership was deemed to be the most influential factor due to its intrinsic and instrumental role in influencing the other key factors.
conclusionsThe findings of this SLR may serve as a guide to developing tailor-made recommendations and policies that address the identified key factors and thereby improve the functioning of present and future IHSs. Furthermore, due to both its overarching influence and the inadequacy of literature in this field, there is a strong case for further research exploring leadership development specifically for IHSs.
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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.