Challenges in measuring integrated care models: International knowledge and the case of Québec

IF 0.8 Q4 NURSING
Paul Wankah, Maxime Guillette, Thomas Lemaître, L. Belzile, Y. Couturier
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引用次数: 8

Abstract

Introduction The implementation of integrated care models requires significant efforts, especially due to institutional and organisational inertial forces that characterize health and social care systems of developed countries. It is therefore crucial to deploy strategies that promote continuous adjustment to these barriers so as to improve the benefits of integrating care. Measuring the implementation and effects of integrated care models are key component of these strategies. However, measuring integrated care also faces major challenges. This study aims to identify and characterise integrated care measurement challenges. Methods A review of reviews on the measurement of integrated care identified 12 papers. A thematic analysis was conducted to identify and categorize measurement challenges. Document analysis was done on the measurement of an integrated care model for older adults in Québec. Results Eight categories of measurement challenges were identified. These challenges include difficulties in measuring structures, processes, and effects of models; conceptual ambiguity and heterogeneity of organisational forms; involving multiple actors in the measurement strategy; and including multiple data sources, amongst others. These challenges revealed and explained potential gaps in the measurement of integrated care for older adults in Québec. For instance, the Québec measurement strategy did not include effects indicators. Conclusion Although the measurement of integrated care is a complex endeavour, there is a need for adequate measurement strategies that allow to appreciate important elements of integrate care. The findings of this study could be used as a reflexive tool in advancing research and practice of measuring integrated care.
衡量综合护理模式的挑战:国际知识和曲氏病案例
综合护理模式的实施需要付出巨大努力,特别是由于发达国家卫生和社会保健系统特有的体制和组织惯性力量。因此,至关重要的是部署促进不断调整这些障碍的战略,以提高综合护理的效益。衡量综合护理模式的实施和效果是这些战略的关键组成部分。然而,衡量综合护理也面临着重大挑战。本研究旨在识别和表征综合护理测量挑战。方法对有关综合护理测量的12篇文献进行综述。进行了专题分析,以确定和分类测量挑战。对曲海省老年人综合护理模式的测量进行文献分析。结果确定了8类测量挑战。这些挑战包括在测量模型的结构、过程和效果方面的困难;组织形式的概念模糊性和异质性在度量策略中涉及多个参与者;包括多个数据源等。这些挑战揭示并解释了在衡量曲海地区老年人综合护理方面的潜在差距。例如,quamesim计量战略没有包括效果指标。结论:虽然综合护理的测量是一项复杂的工作,但仍需要适当的测量策略,以便了解综合护理的重要因素。本研究结果可作为一种反思性工具,推动综合护理的研究和实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.10
自引率
14.30%
发文量
15
期刊介绍: The International Journal of Care Coordination (formerly published as the International Journal of Care Pathways) provides an international forum for the latest scientific research in care coordination. The Journal publishes peer-reviewed original articles which describe basic research to a multidisciplinary field as well as other broader approaches and strategies hypothesized to improve care coordination. The Journal offers insightful overviews and reflections on innovation, underlying issues, and thought provoking opinion pieces in related fields. Articles from multidisciplinary fields are welcomed from leading health care academics and policy-makers. Published articles types include original research, reviews, guidelines papers, book reviews, and news items.
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