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Integrated Care for Multimorbidity Population in Asian Countries: A Scoping Review.

Jiaer Lin1, Kamrul Islam2,3, Stephen Leeder4

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Integrated care programmes in Asia for multimorbidity patients prioritize service delivery, leadership, and workforce. Financing was the least emphasized component, indicating a need for development in these complex patient management strategies.

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Area of Science:

  • Healthcare Management
  • Public Health
  • Health Services Research

Background:

  • Managing patients with multiple chronic diseases (multimorbidity) necessitates integrated care (IC) approaches.
  • Asian integrated care programmes for multimorbidity patients are not well-documented.
  • This review synthesizes components of Asian IC programmes for multimorbidity.

Purpose of the Study:

  • To examine published Asian integrated care programmes for multimorbidity.
  • To identify key components and elements of these programmes.
  • To compare Asian IC programmes with those in EU/US countries.

Main Methods:

  • A scoping review was conducted using Medline, Embase, Scopus, and Web of Science.
  • Search strategy combined "integrated care," "multimorbidity," and "Asian countries."
  • The SELFIE framework was used for data extraction of IC components and elements.

Main Results:

  • Twenty-three integrated care programmes from seven Asian countries were identified.
  • Service delivery, workforce, and leadership/governance were the most frequently reported components.
  • Financing was the least mentioned component; technology and multidisciplinary teams were less emphasized than in EU/US programmes.

Conclusions:

  • Asian integrated care programmes for multimorbidity predominantly focus on service delivery, leadership, and workforce.
  • There is significant room for improvement, particularly in the financing component.
  • Further development is needed to enhance integrated care models for multimorbidity in Asia.