ArticleClinical interventions in aging2023
Facilitators and Barriers of Integrated Care for Older Adults with Multimorbidity: A Descriptive Qualitative Study.
Article in Clinical interventions in aging, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Understanding competencies to manage multimorbidity in primary care: A focus group study with professionals and patients.The European journal of general practice · 2026Article
- [Development, structure, and function of the GeriatrIMSS Institutional Model].Revista medica del Instituto Mexicano del Seguro Social · 2026Article
- Barriers, Facilitators, and Strategies for Sustaining the Hospital-Wide "One Bed" Model in China: A Single-Centre Descriptive Qualitative Study of Healthcare Professionals' Perspectives.Healthcare (Basel, Switzerland) · 2026Article
- Naturalistic Decision-Making Patterns in Cardiometabolic Multimorbidity Self-Care: A Qualitative Study.Annals of family medicine · 2026Article
- Multiprofessional and multidisciplinary teleconsultation for the management of multimorbidity: preliminary results from the joint action JADECARE.BMC health services research · 2026Article
- Long-term care insurance and health outcomes among older adults with disabilities: evidence from a support system reconfiguration perspective.Archives of public health = Archives belges de sante publique · 2026Article
- Health Shocks and Debt Risk Among Middle-Aged and Elderly Individuals in China: The Mediating Roles of Informal Self-Treatment and Formal Healthcare Utilization.Risk management and healthcare policy · 2026Article
- Factors of caregiver support under integrated care for older adults in rural areas: a scoping review.Frontiers in public health · 2026Article
- Organizing everyday management in older adults with multimorbidity: a qualitative study from a time-geography perspective.Frontiers in medicine · 2026Article
- Factors influencing head nurses' implementation of inclusive leadership from stakeholders' perspectives: a qualitative descriptive study.BMC nursing · 2025Article
- Care models for individuals with chronic multimorbidity: lessons for low- and middle-income countries.BMC health services research · 2024Article
- A Case Study on the Integrated Healthcare Delivery System in Xuhui District, Shanghai Best Practices and Implementation.International journal of integrated careArticle
- Implementation Barriers and Facilitators of an Integrated Care Initiative Targeting Socioeconomically Vulnerable Groups.International journal of integrated careArticle
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: A lack of coordinated care leads to multiple adverse effects for older adults with multimorbidity, including high treatment burdens, adverse health outcomes, reduplicated healthcare service utilization, and catastrophic healthcare expenditure. To foster healthy aging, person-centered integrated care that is responsive to older adults has been proposed by the World Health Organization. The objective of this study was to identify factors that impact the successful implementation of integrated care for older adults with multimorbidity in China. Patients and Methods: From July 2022 to May 2023, 33 healthcare providers and managers involved in the delivery and management of healthcare services for older adults with multimorbidity were recruited from Zhejiang Province, China using purposeful and maximum variation sampling methods. Semi-structured, face-to-face in-depth interviews were conducted by the same interviewer in the participants' native Chinese language until data saturation was reached. Inductive thematic analysis was used to analyze the data, and then, themes were mapped onto six dimensions using the Rainbow Model of Integrated Care to allow for a comprehensive view of the study's findings. Results: Eleven themes were generated as facilitators and barriers to integrated care for older adults with multimorbidity in China. These themes include (1) clinical integration: patient-centered care, (2) professional integration: interdisciplinary teams and training, (3) organizational integration: resources and accessibility, (4) system integration: community and funds, incentives, and health insurance, (5) functional integration: electronic health record systems, workforce, and guidelines, and (6) normative integration: shared mission. Conclusion: Guided by the Rainbow Model of Integrated Care, various factors at both micro, meso, and macro levels that impact the implementation of integrated care for older adults with multimorbidity in the Chinese context have been identified in this study. The strategies for future interventions and policies should focus on promoting facilitators and addressing barriers.
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