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What are the clinical and social outcomes of integrated care for older people? A qualitative systematic review

Citation

Karacsony, S and Merl, H and O'Brien, J and Maxwell, H and Andrews, S and Greenwood, M and Rouhi, M and McCann, D and Stirling, C, What are the clinical and social outcomes of integrated care for older people? A qualitative systematic review, International Journal of Integrated Care, 22, (3) Article 14. ISSN 1568-4156 (2022) [Refereed Article]


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Copyright Statement

2022. The Authors. This article is licensed under a Creative Commons Attribution 4.0 International (CC BY 4.0) License, (https://creativecommons.org/licenses/by/4.0/), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

DOI: doi:10.5334/ijic.6469

Abstract

Introduction: Older people with multiple chronic conditions have most to gain from successful integrated care models but there is a need to understand current evidence of outcomes for older people.

Methods: A qualitative meta-aggregation method was used for the review. Systematic searching of CINAHL, PubMed (Medline), Web of Science, PsycINFO, Scopus and Cochrane identified an initial 93 papers, of which 27 were reviewed. Studies were selected according to the pre-defined protocol and quality assessed using The Joanna Briggs Institute Critical Appraisal Tools (JBIQARI). Eleven, peer-reviewed, English language papers published between 2000 to 2020 were included.

Results: Thirty-three findings were extracted and aggregated into six categories. Three synthesised statements were identified denoting outcomes of integrated care for older people. These indicate social participation and connectedness for older people and their families; the older person feeling motivated to engage in health goals when their preferences were taken into consideration; and older people experiencing support and wellbeing when a therapeutic relationship with a key worker is established.

Discussion and conclusion: There was scant evidence of the older person's voice within included studies and a limited focus on outcomes. Stronger evidence is needed to provide meaningful and robust evaluation of outcomes within integrated care models for the older person.

Item Details

Item Type:Refereed Article
Keywords:ageing; social determinants; integrated care; qualitative systematic review
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Aged health care
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Determinants of health
UTAS Author:Karacsony, S (Dr Sara Karacsony)
UTAS Author:Merl, H (Mrs Helga Jenkins)
UTAS Author:O'Brien, J (Dr Jane O'Brien)
UTAS Author:Maxwell, H (Dr Hazel Maxwell)
UTAS Author:Andrews, S (Dr Sharon Andrews)
UTAS Author:Greenwood, M (Associate Professor Melanie Greenwood)
UTAS Author:Rouhi, M (Mrs Maryam Rouhi)
UTAS Author:McCann, D (Ms Damhnat McCann)
UTAS Author:Stirling, C (Professor Christine Stirling)
ID Code:153143
Year Published:2022
Deposited By:Nursing
Deposited On:2022-09-08
Last Modified:2022-10-18
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