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Impact of Integrated Care on Patient-Related Outcomes Among Older People - A Systematic Review
Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI).
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Number of Authors: 52019 (English)In: International Journal of Integrated Care, ISSN 1568-4156, E-ISSN 1568-4156, Vol. 19, no 3, article id UNSP 6Article, review/survey (Refereed) Published
Abstract [en]

Introduction: The growing number of older adults with multiple needs increases the pressure to reform existing healthcare systems. Integrated care may be part of such reforms. The aim of this systematic review was to identify important patient-related outcomes of integrated care provided to older adults. Methods: A systematic search of 5 databases to identify studies comprising older adults assessing hospital admission, length of hospital stay, hospital readmission, patient satisfaction and mortality in integrated care settings. Retrieved literature was analysed employing a narrative synthesis. Results: Twelve studies were included (2 randomised controlled trials, 7 quasi-experimental design, 2 comparison studies, 1 survey evaluation). Five studies investigated patient satisfaction, 9 hospital admission, 7 length of stay, 3 readmission and 5 mortality. Findings show that integrated care tends to have a positive impact on hospital admission rates, some positive impact on length of stay and possibly also on readmission and patient satisfaction but not on mortality. Conclusions: Integrated care may reduce hospital admission rates and lengths of hospital stay. However due to lack of robust findings, the effectiveness of integrated care on patient-related outcomes in later life remain largely unknown. Further research is needed to establish the effect of integrated care on these patient-related outcomes.

Place, publisher, year, edition, pages
2019. Vol. 19, no 3, article id UNSP 6
Keywords [en]
integrated care, hospital admission, length of hospital stay, hospital readmission, patient satisfaction, mortality
National Category
Public Health, Global Health, Social Medicine and Epidemiology Gerontology, specialising in Medical and Health Sciences
Identifiers
URN: urn:nbn:se:su:diva-173038DOI: 10.5334/ijic.4632ISI: 000482645700006PubMedID: 31367205OAI: oai:DiVA.org:su-173038DiVA, id: diva2:1355628
Available from: 2019-09-30 Created: 2019-09-30 Last updated: 2019-09-30Bibliographically approved

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Schön, Pär
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Aging Research Center (ARC), (together with KI)
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Public Health, Global Health, Social Medicine and EpidemiologyGerontology, specialising in Medical and Health Sciences

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