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The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time

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Instruments to assess integrated care: a systematic review.

Anne Marie Lyngsø¹, Nina Skavlan Godtfredsen², Dorte Høst¹

¹Department of Integrated Healthcare, Bispebjerg University Hospital, Bispebjerg Bakke 23, DK-2400 Copenhagen, Denmark.

International Journal of Integrated Care

|October 23, 2014

Summary

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No single measurement tool fully captures integrated health care. This review highlights the need for validated instruments that incorporate theoretical frameworks and organizational elements for comprehensive assessment.

Area of Science:

Health Services Research
Healthcare Management
Integrated Care Models

Background:

Existing measurement instruments for integrated health care delivery lack standardization and validation.
No current instrument comprehensively covers all essential aspects of integrated care.

Purpose of the Study:

To identify instruments measuring integrated care levels across health sectors.
To assess and evaluate organizational elements within identified measurement instruments.

Main Methods:

Systematic literature review conducted across major databases (PubMed, CINAHL, PsycINFO, Cochrane, Web of Science) from 1980-2011.
Independent review of selected abstracts by two investigators.

Main Results:

Keywords:

integrated care measurement instruments organisational elements systematic literature review

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Identified 23 measurement instruments, revealing eight common organizational elements.

No single instrument encompassed all eight organizational elements; structural and process aspects were common, with cultural aspects less frequent.

14 instruments explicitly utilized a theoretical framework.

Conclusions:

No comprehensive measurement instrument for integrated care was identified.
A lack of uniform application of organizational elements across studies was observed.
The desirability of a single, all-inclusive integrated care assessment model remains uncertain; validated, theoretically grounded instruments are crucial.