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Current developments in delivering customized care: a scoping review.

Etienne Minvielle1,2, Aude Fourcade3, Thomas Ricketts4

  • 1i3-Centre de Recherche en Gestion, Institut Interdisciplinaire de l'Innovation (UMR 9217), École polytechnique, Batiment Ensta, 828, Boulevard des Maréchaux, 91762, Palaiseau Cedex, France. etienne.minvielle@polytechnique.edu.

BMC Health Services Research
|June 14, 2021
PubMed
Summary
This summary is machine-generated.

This scoping review found no common strategy for customized health care delivery. Future research should define segmentation, demonstrate value, and align actions to improve care quality and reduce costs.

Keywords:
Care customizationHealth care deliveryLogic of actionMass customizationOrganizational modelPatient-centered carePersonalized medicineTargeting population

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Area of Science:

  • Health Services Research
  • Health Care Management
  • Personalized Medicine

Background:

  • Growing interest in personalized medicine and patient-centered care.
  • Limited research on implementing and combining these approaches in healthcare delivery.
  • Need to understand patient characteristics used for care segmentation and implementation challenges.

Purpose of the Study:

  • To conduct a scoping review of customized care articles.
  • To identify patient characteristics used for care segmentation.
  • To identify challenges in implementing customized interventions in routine care.

Main Methods:

  • Searched MEDLINE, PubMed, PsycINFO, Web of Science, Science Direct, and JSTOR.
  • Focused on articles with "care customization", "personalized service and health care", "individualized care", or "targeting population" in title/abstract.
  • Followed Prisma guidelines with independent review and consensus for disagreements.

Main Results:

  • Identified 70 articles (2008-2019), with most published 2016-2019.
  • Four patient characteristic categories for segmentation: clinical, psychosocial, service, and costs.
  • Few articles assessed quality, experiences, costs, or defined a conceptual basis for customization.

Conclusions:

  • No common theory-based strategy for customized care exists.
  • Need to better define segmentation and intervention steps.
  • Demonstrate added value, economic viability, and align logics of action for customization.