Evidence map›Paper›PMID 40221678›Full record

SynthesisBMC public health2025

Defining the integrated neighbourhood model: a systematic review of key domains and framework development.

Fahad M Iqbal, Seher Kayikci, Hayley Lowther-Payne, Mohamed Aly, Alan Askari, Rachel Wells, Afsana Bhuiya

Abstract readSystematic Review
In one paragraph

Synthesis in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

7 authors.

Fahad M IqbalImperial College London, St Mary's Hospital, London, UK. f.iqbal@imperial.ac.uk.
Seher KayikciLondon Borough of Barnet, Colindale, NW9 4EW, UK.
Hayley Lowther-PayneApplied Health Research Hub (Ahrh), University of Central Lancashire, Preston, Lancashire, UK.
Mohamed AlyBrunel University, Kingston Lane, London, Uxbridge, UB8 3PH, UK.
Alan AskariImperial College London, St Mary's Hospital, London, UK.
Rachel WellsLondon Borough of Barnet, Colindale, NW9 4EW, UK.
Afsana BhuiyaNorth Central London ICB, Laycock PDC, Barnet, N1 1, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth systems are increasingly adopting Integrated Neighbourhoods (INs) to deliver hyper-local, community-based care that integrates health, social care, and public sector resources to address healthcare costs, improve outcomes, and reduce health inequalities. However, IN models lack a unified definition and standard framework for development and evaluation, limiting their scalability and effectiveness. This systematic review aims to establish a foundational framework for INs, identifying key domains to guide their implementation (including barriers of implementation, evaluation, and potential for future research.

methodsA systematic literature search, restricted to the English language, was performed to identify relevant studies with expert librarian support. Study quality was assessed with the Mixed-Methods Appraisal Tool (MMAT). A Braun and Clarke thematic analysis was conducted to identify recurring themes and extract key domains.

resultsA total of 29 studies met the inclusion criteria, encompassing a diverse range of IN models with varying focus areas and methodologies. Seven key domains emerged as central to effective IN models: integrator host, integrator enablers, integrator partnership principles, core integrated workforce, core areas of work, and services provided. These domains support multidisciplinary collaboration, enhance resource utilisation, and promote community engagement. However, barriers such as funding limitations, digital exclusion, and inconsistent evaluation frameworks present challenges to IN scalability and sustainability.

conclusionThis proposed framework provides a starting point for a standardised structure for implementing and evaluating INs, guiding clinicians, academics, and policymakers in developing sustainable, equitable, and adaptable community-based care solutions with the potential to improve access to patients from low-socioeconomic and underserved communities.

trial registrationPROSPERO ID: CRD42024597197; available: https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=597197 .

Indexed as

Delivery of Health Care, IntegratedNeighborhood CharacteristicsHumansCommunity health servicesHealth policyHealth services researchIntegrated health care systems

Identifiers

PMID40221678
PMCPMC11992736

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.