The SELFIE framework for integrated care for multi-morbidity: Development and description

<p>Background: The rise of multi-morbidity constitutes a serious challenge in health and social care organisation that requires a shift from disease- towards person-centred integrated care. The aim of the current study was to develop a conceptual framework that can aid the development, implem...

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Bibliographic Details
Main Authors: Leijten, F, Struckmann, V, van Ginneken, E, Czypionka, T, Kraus, M, Reiss, M, Tsiachristas, A, Boland, M, de Bont, A, Bal, R, Busse, R, Mölken, M
Format: Journal article
Published: Elsevier 2017
Description
Summary:<p>Background: The rise of multi-morbidity constitutes a serious challenge in health and social care organisation that requires a shift from disease- towards person-centred integrated care. The aim of the current study was to develop a conceptual framework that can aid the development, implementation, description, and evaluation of integrated care programmes for multi-morbidity.</p><p> Methods: A scoping review and expert discussions were used to identify and structure concepts for integrated care for multi-morbidity. A search of scientific and grey literature was conducted.</p><p> Discussion: meetings were organised within the SELFIE research project with representatives of five stakeholder groups (5Ps): patients, partners, professionals, payers, and policy makers.</p><p> Results: In the scientific literature 11,641 publications were identified, 92 were included for data extraction. A draft framework was constructed that was adapted after discussion with SELFIE partners from 8 EU countries and 5P representatives. The core of the framework is the holistic understanding of the person with multi-morbidity in his or her environment. Around the core, concepts were grouped into adapted WHO components of health systems: service delivery, leadership &amp; governance, workforce, financing, technologies &amp; medical products, and information &amp; research. Within each component micro, meso, and macro levels are distinguished.</p><p> Conclusion: The framework structures relevant concepts in integrated care for multi-morbidity and can be applied by different stakeholders to guide development, implementation, description, and evaluation.</p>