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...
| Autores principales: | , , , , , , , , , , , |
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| Formato: | Journal article |
| Publicado: |
Elsevier
2017
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| _version_ | 1826274789280448512 |
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| author | 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 |
| author_facet | 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 |
| author_sort | Leijten, F |
| collection | OXFORD |
| 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, 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 & governance, workforce, financing, technologies & medical products, and information & 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> |
| first_indexed | 2024-03-06T22:48:46Z |
| format | Journal article |
| id | oxford-uuid:5e19dbd5-07b9-47e9-9f50-0fb8698684d4 |
| institution | University of Oxford |
| last_indexed | 2024-03-06T22:48:46Z |
| publishDate | 2017 |
| publisher | Elsevier |
| record_format | dspace |
| spelling | oxford-uuid:5e19dbd5-07b9-47e9-9f50-0fb8698684d42022-03-26T17:38:27ZThe SELFIE framework for integrated care for multi-morbidity: Development and descriptionJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:5e19dbd5-07b9-47e9-9f50-0fb8698684d4Symplectic Elements at OxfordElsevier2017Leijten, FStruckmann, Vvan Ginneken, ECzypionka, TKraus, MReiss, MTsiachristas, ABoland, Mde Bont, ABal, RBusse, RMölken, M<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 & governance, workforce, financing, technologies & medical products, and information & 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> |
| spellingShingle | 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 The SELFIE framework for integrated care for multi-morbidity: Development and description |
| title | The SELFIE framework for integrated care for multi-morbidity: Development and description |
| title_full | The SELFIE framework for integrated care for multi-morbidity: Development and description |
| title_fullStr | The SELFIE framework for integrated care for multi-morbidity: Development and description |
| title_full_unstemmed | The SELFIE framework for integrated care for multi-morbidity: Development and description |
| title_short | The SELFIE framework for integrated care for multi-morbidity: Development and description |
| title_sort | selfie framework for integrated care for multi morbidity development and description |
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