Elements and Performance Indicators of Integrated Healthcare Programmes on Chronic Diseases in Six Countries in the Asia-Pacific Region: A Scoping Review

Pintér, K; Zhang, Hanwen; Liu, Chang; Tran, Bach Xuan; Chokshi, Maulik; Lucerno-Prisno, Don Eliseo; Sharma, Vikash; Tang, Shenglan

doi:10.5334/ijic.5439

Cited by 5 publications

(6 citation statements)

References 38 publications

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“…Mainland China, Taiwan, Singapore, Hong Kong contributed most to reporting meso- or macro-level related IC elements that require changes or reforms from the organisational or political point of view. Because these governments have the stronger political will or commitment to achieve IC reforms systematically, their involvement and leadership can facilitate the implementation of top-down IC programmes [ 97 ].…”

Section: Discussionmentioning

confidence: 99%

Integrated Care for Multimorbidity Population in Asian Countries: A Scoping Review

Lin

Islam

Leeder

et al. 2022

International Journal of Integrated Care

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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.

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Section: Discussionmentioning

confidence: 99%

Integrated Care for Multimorbidity Population in Asian Countries: A Scoping Review

Lin

Islam

Leeder

et al. 2022

International Journal of Integrated Care

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“…Higher sum scores indicate heavier psychological burden from patients and diseases. HAMA score was divided into no anxiety (≤ 7), possible anxiety (7)(8)(9)(10)(11)(12)(13)(14), definitely anxiety (14-21), obvious anxiety (21)(22)(23)(24)(25)(26)(27)(28)(29), and severe anxiety levels (≥ 29) [40,41]. Additionally, in DT, a cut-off value of ≥ 5 is considered clinically relevant distress with a need of professional psychological support [42,43].…”

Section: Psychological Impactmentioning

confidence: 99%

“…The integrated model of health and social care delivery encompasses a coordinated approach to providing comprehensive services to individuals with complex needs. It integrates various aspects of health care, personal care, and supportive services to address the needs of vulnerable populations, particularly the elderly and those with limited self-care abilities, with the goal of improving and maintaining their health status and quality of life [8][9][10][11][12]. Since its inception, this model has aimed to bridge the gap between fragmented care systems and ensure seamless delivery of services across different care settings.…”

Section: Introductionmentioning

confidence: 99%

Availability and stability of palliative care for family members of terminally ill patients in an integrated model of health and social care

Wang,

Bi,

et al. 2024

BMC Palliat Care

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Background Palliative care and the integration of health and social care have gradually become the key direction of development to address the aging of the population and the growing burden of multimorbidity at the end of life in the elderly. Aims To explore the benefits/effectiveness of the availability and stability of palliative care for family members of terminally ill patients in an integrated institution for health and social care. Methods This prospective observational study was conducted at an integrated institution for health and social care. 230 patients with terminal illness who received palliative care and their family members were included. Questionnaires and scales were administered to the family members of patients during the palliative care process, including quality-of-life (SF-8), family burden (FBSD, CBI), anxiety (HAMA), and distress (DT). We used paired t-tests and correlation analyses to analyze the data pertaining to our research questions. Results In the integrated institution for health and social care, palliative care can effectively improve quality of life, reduce the family’s burden and relieve psychological impact for family members of terminally ill patients. Palliative care was an independent influencing factor on the quality of life, family burden, and psychosocial status. Independently of patient-related and family-related factors, the results are stable and widely applicable. Conclusion The findings underline the availability and stability of palliative care and the popularization of an integrated service model of health and social care for elder adults.

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“…The same results were also found in another review, comparing six Asian countries, including Singapore, China, India, Vietnam, etc. [67].…”

Section: Ihc Model Across International Healthcare Systemsmentioning

confidence: 99%

Integrated Healthcare and the Dilemma of Public Health Emergencies

Goniewicz¹,

Carlström

Hertelendy

et al. 2021

Sustainability

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Traditional healthcare services have demonstrated structural shortcomings in the delivery of patient care and enforced numerous elements of integration in the delivery of healthcare services. Integrated healthcare aims at providing all healthcare that makes humans healthy. However, with mainly chronically ill people and seniors, typically suffering from numerous comorbidities and diseases, being recruited for care, there is a need for a change in the healthcare service structure beyond direct-patient care to be compatible in peacetime and during public health emergencies. This article’s objective is to discuss the opportunities and obstacles for increasing the effectiveness of healthcare through improved integration. A rapid evidence review approach was used by performing a systematic followed by a non-systematic literature review and content analysis. The results confirmed that integrated healthcare systems play an increasingly important role in healthcare system reforms undertaken in European Union countries. The essence of these changes is the transition from the episodic treatment of acute diseases to the provision of coordinated medical services, focused on chronic cases, prevention, and ensuring patient continuity. However, integrated healthcare, at a level not yet fully defined, will be necessary if we are to both define and attain the integrated practice of both global health and global public health emergencies. This paper attains the necessary global challenges to integrate healthcare effectively at every level of society. There is a need for more knowledge to effectively develop, support, and disseminate initiatives related to coordinated healthcare in the individual healthcare systems.

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Elements and Performance Indicators of Integrated Healthcare Programmes on Chronic Diseases in Six Countries in the Asia-Pacific Region: A Scoping Review

Cited by 5 publications

References 38 publications

Integrated Care for Multimorbidity Population in Asian Countries: A Scoping Review

Integrated Care for Multimorbidity Population in Asian Countries: A Scoping Review

Availability and stability of palliative care for family members of terminally ill patients in an integrated model of health and social care

Integrated Healthcare and the Dilemma of Public Health Emergencies

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