Integrated Care for Multimorbidity Population in Asian Countries: A Scoping Review
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 searchi...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ubiquity Press
2022-03-01
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| Series: | International Journal of Integrated Care |
| Subjects: | |
| Online Access: | https://www.ijic.org/articles/6009 |
| _version_ | 1811299858486657024 |
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| author | Jiaer Lin Kamrul Islam Stephen Leeder Zhaohua Huo Chi Tim Hung Eng Kiong Yeoh James Gillespie Hengjin Dong Jan Erik Askildsen Dan Liu Qi Cao Adriana Castelli Benjamin Hon Kei Yip |
| author_facet | Jiaer Lin Kamrul Islam Stephen Leeder Zhaohua Huo Chi Tim Hung Eng Kiong Yeoh James Gillespie Hengjin Dong Jan Erik Askildsen Dan Liu Qi Cao Adriana Castelli Benjamin Hon Kei Yip |
| author_sort | Jiaer Lin |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-13T06:42:05Z |
| format | Article |
| id | doaj.art-640c991ce42b4527911addca1ff6c8d3 |
| institution | Directory Open Access Journal |
| issn | 1568-4156 |
| language | English |
| last_indexed | 2024-04-13T06:42:05Z |
| publishDate | 2022-03-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj.art-640c991ce42b4527911addca1ff6c8d32022-12-22T02:57:42ZengUbiquity PressInternational Journal of Integrated Care1568-41562022-03-0122110.5334/ijic.60095598Integrated Care for Multimorbidity Population in Asian Countries: A Scoping ReviewJiaer Lin0Kamrul Islam1Stephen Leeder2Zhaohua Huo3Chi Tim Hung4Eng Kiong Yeoh5James Gillespie6Hengjin Dong7Jan Erik Askildsen8Dan Liu9Qi Cao10Adriana Castelli11Benjamin Hon Kei Yip12Jockey Club School of Public Health and Primary Care, Chinese University of Hong Kong, Hong Kong SARHealth Services and Health Economics, NORCE Norwegian Research Centre, Bergen; Department of Economics, University of BergenMenzies Centre for Health Policy and Economics, Sydney School of Public Health, The University of SydneyJockey Club School of Public Health and Primary Care, Chinese University of Hong Kong, Hong Kong SARJockey Club School of Public Health and Primary Care, Chinese University of Hong Kong, Hong Kong SARCentre for Health Systems and Policy Research, Jockey Club School of Public Health and Primary Care, Chinese University of Hong Kong, Hong Kong SARMenzies Centre for Health Policy and Economics, Sydney School of Public Health, The University of SydneySchool of Medicine, Zhejiang UniversityDepartment of Economics, University of BergenCentre for Health Economics Research and Evaluation, University of Technology SydneySchool of Public Administration and Policy, Renmin University of ChinaCentre for Health Economics, University of YorkJockey Club School of Public Health and Primary Care, Chinese University of Hong Kong, Hong Kong SARBackground: 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.https://www.ijic.org/articles/6009integrated caremultimorbiditychronicasiascoping review |
| spellingShingle | Jiaer Lin Kamrul Islam Stephen Leeder Zhaohua Huo Chi Tim Hung Eng Kiong Yeoh James Gillespie Hengjin Dong Jan Erik Askildsen Dan Liu Qi Cao Adriana Castelli Benjamin Hon Kei Yip Integrated Care for Multimorbidity Population in Asian Countries: A Scoping Review International Journal of Integrated Care integrated care multimorbidity chronic asia scoping review |
| title | Integrated Care for Multimorbidity Population in Asian Countries: A Scoping Review |
| title_full | Integrated Care for Multimorbidity Population in Asian Countries: A Scoping Review |
| title_fullStr | Integrated Care for Multimorbidity Population in Asian Countries: A Scoping Review |
| title_full_unstemmed | Integrated Care for Multimorbidity Population in Asian Countries: A Scoping Review |
| title_short | Integrated Care for Multimorbidity Population in Asian Countries: A Scoping Review |
| title_sort | integrated care for multimorbidity population in asian countries a scoping review |
| topic | integrated care multimorbidity chronic asia scoping review |
| url | https://www.ijic.org/articles/6009 |
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