The SELFIE framework for integrated care for multi-morbidity: Development and description
•A framework for integrated care for multi-morbidity is presented.•A holistic understanding of the individual is at the core of the framework.•Concepts are structured according to the six WHO key components of health systems.•The framework can be used by different stakeholders in different contexts....
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| Vydané v: | Health policy (Amsterdam) Ročník 122; číslo 1; s. 12 - 22 |
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| Hlavní autori: | , , , , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
| Vydavateľské údaje: |
Ireland
Elsevier B.V
01.01.2018
Elsevier Science Ltd |
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| ISSN: | 0168-8510, 1872-6054, 1872-6054 |
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| Abstract | •A framework for integrated care for multi-morbidity is presented.•A holistic understanding of the individual is at the core of the framework.•Concepts are structured according to the six WHO key components of health systems.•The framework can be used by different stakeholders in different contexts.•The framework can guide the description and evaluation of integrated care for multi-morbidity.
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.
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.
meetings were organised within the SELFIE research project with representatives of five stakeholder groups (5Ps): patients, partners, professionals, payers, and policy makers.
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.
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. |
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| AbstractList | 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.BACKGROUNDThe 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.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.METHODSA 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.meetings were organised within the SELFIE research project with representatives of five stakeholder groups (5Ps): patients, partners, professionals, payers, and policy makers.DISCUSSIONmeetings were organised within the SELFIE research project with representatives of five stakeholder groups (5Ps): patients, partners, professionals, payers, and policy makers.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.RESULTSIn 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.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.CONCLUSIONThe framework structures relevant concepts in integrated care for multi-morbidity and can be applied by different stakeholders to guide development, implementation, description, and evaluation. 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. 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. meetings were organised within the SELFIE research project with representatives of five stakeholder groups (5Ps): patients, partners, professionals, payers, and policy makers. 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. 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. Highlights • A framework for integrated care for multi-morbidity is presented. • A holistic understanding of the individual is at the core of the framework. • Concepts are structured according to the six WHO key components of health systems. • The framework can be used by different stakeholders in different contexts. • The framework can guide the description and evaluation of integrated care for multi-morbidity. •A framework for integrated care for multi-morbidity is presented.•A holistic understanding of the individual is at the core of the framework.•Concepts are structured according to the six WHO key components of health systems.•The framework can be used by different stakeholders in different contexts.•The framework can guide the description and evaluation of integrated care for multi-morbidity. 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. 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. meetings were organised within the SELFIE research project with representatives of five stakeholder groups (5Ps): patients, partners, professionals, payers, and policy makers. 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. 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. 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. 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. Discussion: meetings were organised within the SELFIE research project with representatives of five stakeholder groups (5Ps): patients, partners, professionals, payers, and policy makers. 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. 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. |
| Author | Struckmann, Verena Boland, Melinde Rutten-van Mölken, Maureen van Ginneken, Ewout Kraus, Markus Czypionka, Thomas de Bont, Antoinette Busse, Reinhard Bal, Roland Tsiachristas, Apostolos Leijten, Fenna R.M. Reiss, Miriam |
| Author_xml | – sequence: 1 givenname: Fenna R.M. surname: Leijten fullname: Leijten, Fenna R.M. email: leijten@bmg.eur.nl organization: Institute of Health Policy and Management, Erasmus University Rotterdam, the Netherlands – sequence: 2 givenname: Verena surname: Struckmann fullname: Struckmann, Verena organization: Department of Health Care Management, Berlin University of Technology, Germany – sequence: 3 givenname: Ewout surname: van Ginneken fullname: van Ginneken, Ewout organization: European Observatory on Health Systems and Policies, Berlin University of Technology, Department of Health Care Management, Germany – sequence: 4 givenname: Thomas surname: Czypionka fullname: Czypionka, Thomas organization: Institute for Advanced Studies, Vienna, Austria – sequence: 5 givenname: Markus surname: Kraus fullname: Kraus, Markus organization: Institute for Advanced Studies, Vienna, Austria – sequence: 6 givenname: Miriam surname: Reiss fullname: Reiss, Miriam organization: Institute for Advanced Studies, Vienna, Austria – sequence: 7 givenname: Apostolos surname: Tsiachristas fullname: Tsiachristas, Apostolos organization: Institute of Health Policy and Management, Erasmus University Rotterdam, the Netherlands – sequence: 8 givenname: Melinde surname: Boland fullname: Boland, Melinde organization: Institute of Health Policy and Management, Erasmus University Rotterdam, the Netherlands – sequence: 9 givenname: Antoinette surname: de Bont fullname: de Bont, Antoinette organization: Institute of Health Policy and Management, Erasmus University Rotterdam, the Netherlands – sequence: 10 givenname: Roland surname: Bal fullname: Bal, Roland organization: Institute of Health Policy and Management, Erasmus University Rotterdam, the Netherlands – sequence: 11 givenname: Reinhard surname: Busse fullname: Busse, Reinhard organization: Department of Health Care Management, Berlin University of Technology, Germany – sequence: 12 givenname: Maureen surname: Rutten-van Mölken fullname: Rutten-van Mölken, Maureen organization: Institute of Health Policy and Management, Erasmus University Rotterdam, the Netherlands |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28668222$$D View this record in MEDLINE/PubMed |
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| Copyright | 2017 The Authors Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved. Copyright Elsevier Science Ltd. Jan 2018 |
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| Snippet | •A framework for integrated care for multi-morbidity is presented.•A holistic understanding of the individual is at the core of the framework.•Concepts are... Highlights • A framework for integrated care for multi-morbidity is presented. • A holistic understanding of the individual is at the core of the framework. •... The rise of multi-morbidity constitutes a serious challenge in health and social care organisation that requires a shift from disease- towards person-centred... Background: The rise of multi-morbidity constitutes a serious challenge in health and social care organisation that requires a shift from disease- towards... |
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| Title | The SELFIE framework for integrated care for multi-morbidity: Development and description |
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