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Indicators and measurement tools for health system integration: a knowledge synthesis protocol.
Nelly D Oelke1, Esther Suter2, Maria Alice Dias da Silva Lima3
1School of Nursing, University of British Columbia, Okanagan 3333 University Way, Kelowna, British Columbia, V1V 1V7, Canada. nelly.oelke@ubc.ca.
Systematic Reviews
|July 30, 2015
Summary
This study identifies key indicators and measurement tools for health system integration, addressing fragmentation and improving patient outcomes. It provides a framework for evaluating integration strategies across diverse healthcare settings.
Area of Science:
- Health Services Research
- Health Systems Science
- Healthcare Management
Background:
- Health system integration is crucial for improving patient, provider, and system outcomes, yet service delivery remains fragmented.
- A significant knowledge gap exists regarding the definition and measurement of successful health system integration.
- This study builds upon 10 identified key principles of health system integration.
Purpose of the Study:
- To identify appropriate indicators for each of the 10 key principles of health system integration.
- To determine the measurement tools used to assess these indicators.
- To enhance generalizability through a Canada-Brazil partnership addressing shared integration priorities.
Main Methods:
- An iterative scoping review process informed by knowledge-user engagement.
- Indicator identification and prioritization using a modified Delphi method and patient/user focus groups.
- Literature search and screening for relevant studies, followed by quality appraisal and data extraction.
Main Results:
- Development of a comprehensive set of indicators for health system integration principles.
- Identification of measurement tools applicable to diverse healthcare contexts.
- Synthesis of findings to inform policy and practice.
Conclusions:
- This project will provide policymakers with accessible indicators and tools to measure health system integration.
- Evaluating integration strategies will lead to improved health system design and better patient outcomes.
- The findings will be disseminated through integrated knowledge translation strategies.
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