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Indicators and Measurement Tools for Health Systems Integration: A Knowledge Synthesis.

Esther Suter1,2, Nelly D Oelke3, Maria Alice Dias da Silva Lima4

  • 1Faculty of Social Work, University of Calgary, CA.

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|March 29, 2018
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Summary
This summary is machine-generated.

Measuring integrated care is challenging. This study identified 114 tools across 16 domains, highlighting gaps in foundational components but offering options for assessing overall integration progress.

Keywords:
Integrationknowledge synthesismeasurement instrumentsperformance measurementtools

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Area of Science:

  • Healthcare Management
  • Health Services Research
  • Systems Science

Background:

  • Conceptualizing and measuring integrated care presents significant challenges despite widespread support.
  • A knowledge synthesis was conducted to address these measurement difficulties.

Purpose of the Study:

  • To identify indicator domains for integrated care.
  • To find tools for measuring progress towards integrated care.

Main Methods:

  • An established framework and a Delphi survey with integration experts were used to define measurement domains.
  • Literature searches and reviews were performed to identify relevant measurement tools for each domain.

Main Results:

  • 114 unique tools were identified from 7,133 abstracts.
  • Abundant tools exist for care coordination, patient engagement, and team effectiveness.
  • Few tools were found for performance measurement, information systems, organizational goal alignment, and resource allocation.
  • 12 tools measure overall integration or multiple domains.

Conclusions:

  • Gaps persist in tools measuring foundational components essential for integrated care.
  • "Overall integration" tools can provide a broad assessment in the absence of targeted measures.
  • Identifying 114 tools across 16 domains supports the development of a unified measurement framework for evaluating integrated care strategies.