Integrated care for older people based on information and communication technology: a scoping review protocol

Tian, Yuchen; Yutong, Tian; Wang, Shan Shan; Qingyun, Cheng; Lixue, Meng

doi:10.1136/bmjopen-2022-061011

Cited by 5 publications

(4 citation statements)

References 27 publications

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“…This study was conducted following the framework of a scoping review developed by Arksey and O’malley [ 11 ] and further updated by Levac et al [ 12 ], and the study protocol has been published in the BMJ Open [ 13 ]. We followed the JBI evidence synthesis manual [ 14 ] and the PRISMA-ScR checklist [ 15 ] to report the scoping review results.…”

Section: Methodsmentioning

confidence: 99%

Information and Communication Technology Based Integrated Care for Older Adults: A Scoping Review

Yutong¹,

Yan²,

Qingyun³

et al. 2023

Int J Integr Care

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Background: Integrated care is an important initiative to respond positively to the ageing of society and information and communication technology(ICT) plays an important role in facilitating the integration of functional and normative health and social care. The scoping review aims to synthesize evidence on the experience and practice of ICT-based implementation of integrated care for older adults. Methods: This study followed the research framework developed by Arksey and O’malley for the scoping review and systematically searched for relevant studies published between 1 January 2000 and 30 March 2022 from nine electronic databases, three specialist journals, three key institutional websites, 11 integrated care project websites, google scholar and references of the studies to be included. Two reviewers independently screened and extracted data and used thematic analysis to sort out and summarize the core elements, hindrances and facilitators of ICT-based integrated care. Results: A total of 77 studies were included in this study, including 36 ICT-based practice models of integrated care with seven core elements of implementation including single entry point, comprehensive geriatric assessment, personalized care planning, multidisciplinary case conferences, coordinated care, case management and patient empowerment, which generally had a positive effect on improving quality of life, caregiver burden and primary care resource utilization for older adults, but effectiveness evaluations remained Heterogeneity exists. The barriers and facilitators to ICT-based implementation of integrated care were grouped into four themes: demand-side factors, provider factors, technology factors and system factors. Conclusion: The implementation of ICT-based integrated care for the elderly is expected to improve the health status of both the supply and demand of services, but there is still a need to strengthen the supply of human resources, team training and collaboration, ICT systems and financial support in order to promote the wider use of ICT in integrated care.

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Section: Methodsmentioning

confidence: 99%

Information and Communication Technology Based Integrated Care for Older Adults: A Scoping Review

Yutong¹,

Yan²,

Qingyun³

et al. 2023

Int J Integr Care

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“…A preliminary search of PubMed returned some systematic reviews on facilitators of and barriers to ICC [6,8,11,18] as well as a handful of scoping reviews on DICC in the primary health care system and for specific disease groups [19][20][21][22][23][24]. However, no current or ongoing PROSPERO-registered systematic or scoping review on our research aim was identified in previous primary and review studies.…”

Section: Overviewmentioning

confidence: 99%

Conceptualizing Interprofessional Digital Communication and Collaboration in Health Care: Protocol for a Scoping Review

Nordmann¹,

Ruediger²,

Möbius-Lerch³

et al. 2023

JMIR Res Protoc

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Background Effective communication and collaboration among health professionals are essential prerequisites for patient-centered care. However, interprofessional teams require suitable structures and tools to efficiently use their professional competencies in the service of high-quality care appropriate to the patient’s life situation. In this context, digital tools potentially enhance interprofessional communication and collaboration and lead to an organizationally, socially, and ecologically sustainable health care system. However, there is a lack of studies systematically assessing the critical factors for successfully implementing tools for digitally supported interprofessional communication and collaboration in the health care setting. Furthermore, an operationalization of this concept is missing. Objective The aim of the proposed scoping review is to (1) identify factors influencing the development, implementation, and adoption processes of digital tools for interprofessional communication in the health care sector and (2) analyze and synthesize the (implicit) definition, dimensions, and concepts of digitally supported communication and collaboration among health care professionals in the health care setting. Studies focusing on digital communication and collaboration practices among health care professionals, including medical doctors and qualified medical assistants, in any health care setting will be included in this review. Methods To address these objectives, an in-depth analysis of heterogeneous studies is needed, which is best achieved through a scoping review. Within this proposed scoping review, which adheres to the Joanna Briggs Institute methodology, 5 databases (SCOPUS, CINAHL, PubMed, Embase, and PsycInfo) will be searched for studies assessing digital communication and collaboration among various health care professionals in different health care settings. Studies focusing on health care providers or patient interaction through digital tools and non–peer-reviewed studies will be excluded. Results Key characteristics of the studies included will be summarized through descriptive analysis, using diagrams and tables. We will synthesize and map the data and conduct a qualitative in-depth thematic analysis of definitions and dimensions of interprofessional digital communication and collaboration among health care and nursing professionals. Conclusions Results from this scoping review may help in establishing digitally supported collaborations between various stakeholders in the health care setting and successfully implementing new forms of interprofessional communication and collaboration. This could facilitate the transition to better coordinated care and encourage the development of digital frameworks. International Registered Report Identifier (IRRID) PRR1-10.2196/45179

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“…A descriptive analysis of articles with quantitative, qualitative, and mixed-method research designs found positive impacts on quality of life, caregiver burden, and primary care resource utilization among older adults, but the validity assessments were not as robust as hoped. Heterogeneity was high, and 60.5% of the included studies were empirical studies, necessitating systematic evaluation to further validate their effectiveness (13). In addition, existing studies have focused on the effectiveness of preventive integrated care for frail older adults in the community (14), the core components and impact of nurseled models of integrated care for older adults at home (15), and systematic evaluations of service providers' perceptions of integrated care for frail older adults (16).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of information and communication technology-based integrated care for older adults: a systematic review and meta-analysis

Tian,

Wang,

Zhang

et al. 2024

Front. Public Health

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BackgroundInformation and communication technology (ICT) is a key factor in advancing the implementation of integrated care for older adults in the context of an aging society and the normalization of epidemics. This systematic review aims to comprehensively evaluate the effectiveness of ICT-based integrated care for older adults to provide input for the construction of intelligent integrated care models suitable for the context of an aging population in China.MethodsA systematic review and meta-analysis were conducted using PubMed, Web of Science Core Collection, Scopus, MEDLINE, EBSCO, EMBASE, CINAHL with full text, ProQuest, and Cochrane Library databases, along with the Google Scholar search engine, for papers published between January 1, 2000, and July 25, 2022, to include randomized controlled trials and quasi-experimental studies of ICT-based integrated care for older adults. Two reviewers independently performed literature screening, quality assessment (JBI standardized critical appraisal tool), and data extraction. The results were pooled using a random effects model, and narrative synthesis was used for studies with insufficient outcome data.ResultsWe included 32 studies (21 interventions) with a total of 30,200 participants (14,289 in the control group and 15,911 in the intervention group). However, the quality of the literature could be improved. The meta-analysis results showed that ICT-based integrated care significantly improved the overall perceived health status of older adults (n=3 studies, MD 1.29 (CI 0.11 to 2.46), no heterogeneity) and reduced the number of emergency department visits (n=11 studies, OR 0.46 (CI 0.25 to 0.86), high heterogeneity) but had no significant effect on improving quality of life, mobility, depression, hospital admissions and readmissions, or mortality in older adults, with a high degree of study heterogeneity. Narrative analysis showed that the overall quality of care, primary care service use, and functional status of older adults in the intervention group improved, but the cost-effectiveness was unclear.ConclusionsICT-based integrated care is effective in improving health outcomes for older adults, but the quality and homogeneity of the evidence base need to be improved. Researchers should develop intelligent integrated care programs in the context of local health and care welfare provision systems for older adults, along with the preferences and priorities of the older adults.

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Integrated care for older people based on information and communication technology: a scoping review protocol

Cited by 5 publications

References 27 publications

Information and Communication Technology Based Integrated Care for Older Adults: A Scoping Review

Information and Communication Technology Based Integrated Care for Older Adults: A Scoping Review

Conceptualizing Interprofessional Digital Communication and Collaboration in Health Care: Protocol for a Scoping Review

Effectiveness of information and communication technology-based integrated care for older adults: a systematic review and meta-analysis

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