Evidence map›Paper›PMID 38618830›Full record

SynthesisInternational journal of health policy and management2024

Value-Based Integrated Care: A Systematic Literature Review.

Evelien S van Hoorn, Lizhen Ye, Nikki van Leeuwen, Hein Raat, Hester F Lingsma

Open access · diamondAbstract readSystematic Review
In one paragraph

Synthesis in International journal of health policy and management, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
15.8field-weighted citation impact, top 2% of its field
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, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. The VBHC big picture: an umbrella review.BMC health services research · 2025
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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

5 authors at 1 institution in 1 country.

Evelien S van HoornDepartment of Public Health, Erasmus MC, Erasmus University Medical Centre, Rotterdam, The Netherlands.ORCID 0000-0001-9661-2746
Lizhen YeDepartment of Public Health, Erasmus MC, Erasmus University Medical Centre, Rotterdam, The Netherlands.ORCID 0000-0002-8413-6671
Nikki van LeeuwenDepartment of Public Health, Erasmus MC, Erasmus University Medical Centre, Rotterdam, The Netherlands.ORCID 0000-0002-3482-7335
Hein RaatDepartment of Public Health, Erasmus MC, Erasmus University Medical Centre, Rotterdam, The Netherlands.ORCID 0000-0002-6000-7445
Hester F LingsmaDepartment of Public Health, Erasmus MC, Erasmus University Medical Centre, Rotterdam, The Netherlands.ORCID 0000-0003-2063-9533
Erasmus MC · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealthcare services worldwide are transforming themselves into value-based organizations. Integrated care is an important aspect of value-based healthcare (VBHC), but practical evidence-based recommendations for the successful implementation of integrated care within a VBHC context are lacking. This systematic review aims to identify how value-based integrated care (VBIC) is defined in literature, and to summarize the literature regarding the effects of VBIC, and the facilitators and barriers for its implementation.

methodsEmbase, Medline ALL, Web of Science Core Collection, and Cochrane Central Register of Controlled Trails databases were searched from inception until January 2022. Empirical studies that implemented and evaluated an integrated care intervention within a VBHC context were included. Non-empirical studies were included if they described either a definition of VBIC or facilitators and barriers for its implementation. Theoretical articles and articles without an available full text were excluded. All included articles were analysed qualitatively. The Rainbow Model of Integrated Care (RMIC) was used to analyse the VBIC interventions. The quality of the articles was assessed using the Mixed Methods Appraisal Tool (MMAT).

resultsAfter screening 1328 titles/abstract and 485 full-text articles, 24 articles were included. No articles were excluded based on quality. One article provided a definition of VBIC. Eleven studies reported-mostly positive- effects of VBIC, on clinical outcomes, patient-reported outcomes, and healthcare utilization. Nineteen studies reported facilitators and barriers for the implementation of VBIC; factors related to reimbursement and information technology (IT) infrastructure were reported most frequently.

conclusionThe concept of VBIC is not well defined. The effect of VBIC seems promising, but the exact interpretation of effect evaluations is challenged by the precedence of multicomponent interventions, multiple testing and generalizability issues. For successful implementation of VBIC, it is imperative that healthcare organizations consider investing in adequate IT infrastructure and new reimbursement models. Systematic Review Registration: PROSPERO (CRD42021259025).

Indexed as

Delivery of Health Care, IntegratedHumansDelivery of HealthcareEffects EvaluationFacilitators & BarriersIntegrated careSystematic ReviewValue-Based Healthcare

Identifiers

PMID38618830
PMCPMC11016279
OpenAlexW4392554033

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.