Impact of Integrated Care on Patient-Related Outcomes Among Older People – A Systematic Review
Introduction: The growing number of older adults with multiple needs increases the pressure to reform existing healthcare systems. Integrated care may be part of such reforms. The aim of this systematic review was to identify important patient-related outcomes of integrated care provided to older ad...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Ubiquity Press
2019-07-01
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| Series: | International Journal of Integrated Care |
| Subjects: | |
| Online Access: | https://www.ijic.org/articles/4632 |
| _version_ | 1818972630994124800 |
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| author | Ann E. M. Liljas Fanny Brattström Bo Burström Pär Schön Janne Agerholm |
| author_facet | Ann E. M. Liljas Fanny Brattström Bo Burström Pär Schön Janne Agerholm |
| author_sort | Ann E. M. Liljas |
| collection | DOAJ |
| description | Introduction: The growing number of older adults with multiple needs increases the pressure to reform existing healthcare systems. Integrated care may be part of such reforms. The aim of this systematic review was to identify important patient-related outcomes of integrated care provided to older adults. Methods: A systematic search of 5 databases to identify studies comprising older adults assessing hospital admission, length of hospital stay, hospital readmission, patient satisfaction and mortality in integrated care settings. Retrieved literature was analysed employing a narrative synthesis. Results: Twelve studies were included (2 randomised controlled trials, 7 quasi-experimental design, 2 comparison studies, 1 survey evaluation). Five studies investigated patient satisfaction, 9 hospital admission, 7 length of stay, 3 readmission and 5 mortality. Findings show that integrated care tends to have a positive impact on hospital admission rates, some positive impact on length of stay and possibly also on readmission and patient satisfaction but not on mortality. Conclusions: Integrated care may reduce hospital admission rates and lengths of hospital stay. However due to lack of robust findings, the effectiveness of integrated care on patient-related outcomes in later life remain largely unknown. Further research is needed to establish the effect of integrated care on these patient-related outcomes. Prospero registration number: CRD42018110491. |
| first_indexed | 2024-12-20T15:11:20Z |
| format | Article |
| id | doaj.art-09c85314114d458aaead130f0005b487 |
| institution | Directory Open Access Journal |
| issn | 1568-4156 |
| language | English |
| last_indexed | 2024-12-20T15:11:20Z |
| publishDate | 2019-07-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj.art-09c85314114d458aaead130f0005b4872022-12-21T19:36:19ZengUbiquity PressInternational Journal of Integrated Care1568-41562019-07-0119310.5334/ijic.46324149Impact of Integrated Care on Patient-Related Outcomes Among Older People – A Systematic ReviewAnn E. M. Liljas0Fanny Brattström1Bo Burström2Pär Schön3Janne Agerholm4Department of Public Health Sciences, Division of Social Medicine, Karolinska Institutet, StockholmDepartment of Public Health Sciences, Division of Social Medicine, Karolinska Institutet, StockholmDepartment of Public Health Sciences, Division of Social Medicine, Karolinska Institutet, Stockholm; Centre for Epidemiology and Community Medicine, Stockholm County Council Health Services, StockholmAging Research Center, Karolinska Institutet and Stockholm University, StockholmDepartment of Public Health Sciences, Division of Social Medicine, Karolinska Institutet, Stockholm; Centre for Epidemiology and Community Medicine, Stockholm County Council Health Services, StockholmIntroduction: The growing number of older adults with multiple needs increases the pressure to reform existing healthcare systems. Integrated care may be part of such reforms. The aim of this systematic review was to identify important patient-related outcomes of integrated care provided to older adults. Methods: A systematic search of 5 databases to identify studies comprising older adults assessing hospital admission, length of hospital stay, hospital readmission, patient satisfaction and mortality in integrated care settings. Retrieved literature was analysed employing a narrative synthesis. Results: Twelve studies were included (2 randomised controlled trials, 7 quasi-experimental design, 2 comparison studies, 1 survey evaluation). Five studies investigated patient satisfaction, 9 hospital admission, 7 length of stay, 3 readmission and 5 mortality. Findings show that integrated care tends to have a positive impact on hospital admission rates, some positive impact on length of stay and possibly also on readmission and patient satisfaction but not on mortality. Conclusions: Integrated care may reduce hospital admission rates and lengths of hospital stay. However due to lack of robust findings, the effectiveness of integrated care on patient-related outcomes in later life remain largely unknown. Further research is needed to establish the effect of integrated care on these patient-related outcomes. Prospero registration number: CRD42018110491.https://www.ijic.org/articles/4632integrated carehospital admissionlength of hospital stayhospital readmissionpatient satisfactionmortality |
| spellingShingle | Ann E. M. Liljas Fanny Brattström Bo Burström Pär Schön Janne Agerholm Impact of Integrated Care on Patient-Related Outcomes Among Older People – A Systematic Review International Journal of Integrated Care integrated care hospital admission length of hospital stay hospital readmission patient satisfaction mortality |
| title | Impact of Integrated Care on Patient-Related Outcomes Among Older People – A Systematic Review |
| title_full | Impact of Integrated Care on Patient-Related Outcomes Among Older People – A Systematic Review |
| title_fullStr | Impact of Integrated Care on Patient-Related Outcomes Among Older People – A Systematic Review |
| title_full_unstemmed | Impact of Integrated Care on Patient-Related Outcomes Among Older People – A Systematic Review |
| title_short | Impact of Integrated Care on Patient-Related Outcomes Among Older People – A Systematic Review |
| title_sort | impact of integrated care on patient related outcomes among older people a systematic review |
| topic | integrated care hospital admission length of hospital stay hospital readmission patient satisfaction mortality |
| url | https://www.ijic.org/articles/4632 |
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