Evidence map›Paper›PMID 35414805›Full record

ArticleInternational journal of integrated care

Integrated Care for Multimorbidity Population in Asian Countries: A Scoping Review.

Jiaer Lin, Kamrul Islam, Stephen Leeder, Zhaohua Huo, Chi Tim Hung, Eng Kiong Yeoh, James Gillespie, Hengjin Dong, Jan Erik Askildsen, Dan Liu and 3 more

Abstract readScoping Review
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 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 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.

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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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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

13 authors.

Jiaer LinJockey Club School of Public Health and Primary Care, Chinese University of Hong Kong, Hong Kong SAR, China.ORCID https://orcid.org/0000-0001-9785-1407
Kamrul IslamHealth Services and Health Economics, NORCE Norwegian Research Centre, Bergen, Norway.ORCID https://orcid.org/0000-0003-4751-1513
Stephen LeederMenzies Centre for Health Policy and Economics, Sydney School of Public Health, The University of Sydney, Australia.ORCID https://orcid.org/0000-0003-3532-7137
Zhaohua HuoJockey Club School of Public Health and Primary Care, Chinese University of Hong Kong, Hong Kong SAR, China.ORCID https://orcid.org/0000-0002-6895-1449
Chi Tim HungJockey Club School of Public Health and Primary Care, Chinese University of Hong Kong, Hong Kong SAR, China.ORCID https://orcid.org/0000-0003-2103-8377
Eng Kiong YeohCentre for Health Systems and Policy Research, Jockey Club School of Public Health and Primary Care, Chinese University of Hong Kong, Hong Kong SAR, China.ORCID https://orcid.org/0000-0002-1721-9450
James GillespieMenzies Centre for Health Policy and Economics, Sydney School of Public Health, The University of Sydney, Australia.ORCID https://orcid.org/0000-0002-0355-4178
Hengjin DongSchool of Medicine, Zhejiang University, China.ORCID https://orcid.org/0000-0002-5064-7297
Jan Erik AskildsenDepartment of Economics, University of Bergen, Norway.ORCID https://orcid.org/0000-0002-2663-8008
Dan LiuCentre for Health Economics Research and Evaluation, University of Technology Sydney, Australia.ORCID https://orcid.org/0000-0002-1891-9352
Qi CaoSchool of Public Administration and Policy, Renmin University of China, China.ORCID https://orcid.org/0000-0003-0278-8084
Benjamin Hon Kei YipJockey Club School of Public Health and Primary Care, Chinese University of Hong Kong, Hong Kong SAR, China.ORCID https://orcid.org/0000-0002-4749-7611
Adriana CastelliCentre for Health Economics, University of York, UK.ORCID https://orcid.org/0000-0002-2546-419X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The complex needs of patients with multiple chronic diseases call for integrated care (IC). This scoping review examines several published Asian IC programmes and their relevant components and elements in managing multimorbidity patients. Method: A scoping review was conducted by searching electronic databases encompassing Medline, Embase, Scopus, and Web of Science. Three key concepts - 1) integrated care, 2) multimorbidity, and 3) Asian countries - were used to define searching strategies. Studies were included if an IC programme in Asia for multimorbidity was described or evaluated. Data extraction for IC components and elements was carried out by adopting the SELFIE framework. Results: This review yielded 1,112 articles, of which 156 remained after the title and abstract screening and 27 studies after the full-text screening - with 23 IC programmes identified from seven Asian countries. The top 5 mentioned IC components were service delivery (n = 23), workforce (n = 23), leadership and governance (n = 23), monitoring (n = 15), and environment (n = 14); whist financing (n = 9) was least mentioned. Compared to EU/US countries, technology and medical products (Asia: 40%, EU/US: 43%-100%) and multidisciplinary teams (Asia: 26%, EU/US: 50%-81%) were reported less in Asia. Most programmes involved more micro-level elements that coordinate services at the individual level (n = 20) than meso- and macro-level elements, and programmes generally incorporated horizontal and vertical integration (n = 14). Conclusion: In the IC programmes for patients with multimorbidity in Asia, service delivery, leadership, and workforce were most frequently mentioned, while the financing component was least mentioned. There appears to be considerable scope for development. Highlights: First scoping review to synthesise the key components and elements of integrated care programmes for multimorbidity in Asia.All programmes emphasized 'distinctive service delivery', 'leadership', and 'workforce' components.'Financing' component was least mentioned in identified integrated care programmes.

Indexed as

Asiachronicintegrated caremultimorbidityscoping review

Identifiers

PMID35414805
PMCPMC8932356

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.